Also known as Crohw's disease, it is a non specific granulomatous inflammation of the small or raredy the large gut involving sharply localized single or multiple areas.


There is no known autoimmunity and at times genetic factors may also play some role.


Onset - gradual; Age - usually between 20 and 40 ears; Sex - Commonly in males. Attacks of colicky, abdominal pain around the umbilicus, or over the right iliac fossa is a common symptom. Diarrhoea may follow the attacks of abdominal pain. It is aggravated by taking milk or irritant food. The stool may contain blood. Features of malabsorption syndrome may follow. Low grade pyrexia is present. Features of intestinal obstruction also develop. Gradual loss of weight is seen.


Apart from emaciation and fever, there may be clubbing of fingers and toes, erythemanodosum, asymmetric arthritis involving ankles and knees, ankolosing spondylitis, psoriasis and renal calculus etc. The most important linical sign is a tender fixed sausage-shaped mass over the right iliac fossa. Fistulous communication may result in rerianal bacess, fistulainano, ileovesical fistula, passage of wind through urethra or even abcess I the abdominal wall. There may be granular proctitis.


Mental and physical rest is very important. Kurchi, Colocynth meresol, Nuxvomica merccor, Alteris, chappo are very good medicines. Several other medicines can be tried according to the indications.