Pain-Relievers
Acetaminophen (Tylenol) is the drug of choice for mild pain. Acetaminophen is not a nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs include, among dozens of others, aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and Celebrex, the only Cox-2 inhibitor left on the market. NSAIDs have been thought to cause symptom flare-ups in patients with IBD. However, a comprehensive 2006 study concluded that these drugs are as safe for patients with IBD as for other people, and that they can help prevent relapse as well as provide short-term pain relief. Patients should discuss with their doctors whether NSAIDs are appropriate for them.
Stress Reduction
Although stress is not a cause of inflammatory bowel disease, there are reports of an association between stress and symptom flare-ups. Although no evidence exists to confirm that stress reduction techniques such as relaxation methods, meditation, or cognitive therapy, manage the disease, they might be helpful.
Exercise
The effects of exercise in Crohn's disease are uncertain. Some research indicates that moderate exercise may trigger excess production of chemicals that could cause flare-up. One small study, however, reported significant improvement in patients who had been sedentary and who then embarked on a 12-week exercise program. They walked a little over 2 miles three times a week. During that period there were no flare-ups, and they felt physically and emotionally better than before.
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Review Date: 03/06/2007
Reviewed By: A.D.A.M. Editorial Team: Greg Juhn, M.T.P.W., David R. Eltz, Kelli A. Stacy. Previously approved by Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital (8/21/2006).
