Ask the experts
Can Crohn's disease be manifested with constipation and flatulence (farting)? My daughter has been on Zelnorm (tegaserod) for constipation for months and it is not working and she experiences extreme bloating, abdominal pain, and constipation with some diarrhea and is miserable.
Doctor's response
Extreme bloating, abdominal pain, and constipation with some diarrhea are unusual symptoms of Crohn's disease.
Common symptoms of Crohn's disease include:
- abdominal pain,
- diarrhea, and
- weight loss.
Less common symptoms include:
- poor appetite,
- fever,
- night sweats,
- rectal pain, and
- rectal bleeding.
Some patients with Crohn's disease also develop symptoms outside of the gastrointestinal tract; these symptoms include:
Furthermore, patients with Crohn's disease also can develop symptoms related to small bowel bacterial overgrowth. These symptoms include:
- excess gas,
- abdominal bloating, and
- sometimes worsening of diarrhea.
If your daughter is not responding to the medications prescribed by her doctor, it is important to let the doctor know, so that he/she can continue efforts to arrive at a firm diagnosis and plan of treatment.
REFERENCE:
"Clinical manifestations, diagnosis and prognosis of Crohn disease in adults"
UpToDate.com