Mercy Gastroenterologist Dr. Richard Desi Discusses Link Between Smoking And Crohn's Disease
Mercy gastroenterologist Dr. Richard Desi
Crohn's disease is an uncomfortable autoimmune disease that can be made worse by smoking, according to doctors.
Crohn's causes the body to attack itself. It happens in the gastrointestinal tract and causes inflammation of the intestines, as well as pain and diarrhea.
According to gastroenterologist Dr. Richard Desi of The Institute for Digestive Health and Liver Disease at Mercy, smokers are twice as likely as nonsmokers to develop Crohn's.
"It's also shown that with Crohn's, smoking can cause flares and a recurrence of the disease, especially after you've had surgery," he said.
The theory is that it's exacerbated by the nicotine effect or from smoke by-products. But there is good news for those who quit.
"If you quit smoking, about a year out, it puts you back in a category as if you had never smoked, in terms of flares, recurrence and severity of the disease," Dr. Desi said.
Tiffany Delaney was diagnosed with Crohn's disease when she was 17.
"For years, I had terrible stomach pains. I was always balled over in pain, I didn't want to eat. I was getting sick for no reason, and my parents said, 'We've got to figure out what's wrong,'" she explained.
Delaney had never heard of Crohn's disease, so she smoked while she had it.
"I smoked from when I went to college on, for about 10 years," she said.
Delaney's first major flare was when she was 25 and still smoking, and she had to be hospitalized for four days.
"Especially for Crohn's patients, there are always things to alleviate pain. But (quitting smoking) should be the first one," she said.
For smokers, quitting could be just as good as taking medicine for Crohn's. Quitters have a 65 percent lower risk of a flare-up and are less likely to need steroids or other medications.
Founded in 1874 in downtown Baltimore by the Sisters of Mercy, Mercy Medical Center is a 183-licensed bed acute care university-affiliated teaching hospital. Mercy has been recognized as a top Maryland hospital by U.S. News & World Report; a Top 100 hospital for Women’s Health & Orthopedics by Healthgrades; is currently A-rated for Hospital Safety (Leapfrog Group), and is recognized by the American Nurses Credentialing Center as a Magnet Hospital. Mercy Medical Center is part of Mercy Health Services (MHS), the parent of Mercy’s primary care and specialty care physician enterprise, known as Mercy Personal Physicians, which employs more than 200 providers with locations in Baltimore, Lutherville, Overlea, Glen Burnie, Columbia and Reisterstown. For more information about Mercy, visit www.mdmercy.com, MDMercyMedia on Facebook, Twitter, or call 1-800-MD-Mercy.