Chapter 03 Β· The Basics

Disease Origin, What Causes Crohn’s?

Why some people develop Crohn’s disease while others don’t is still an open question. Researchers have some theories and have identified a few risk factors, but there’s no single cause, and no one thing you did or didn’t do is to blame.

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Crohn’s is not your fault

This is the most important thing to know in this chapter: Crohn’s is not caused by anything a person did, not by what you ate, how stressed you were, or any choice you made.

What Scientists Think Is Going On

Researchers have a few leading theories about how Crohn’s starts in the body:

🦠 Immune system “stuck on”

One theory is that a virus or bacterial infection may trigger Crohn’s. After the immune system fights off the infection, it doesn’t quite shut off, and it keeps mistakenly attacking healthy tissue in the gut.

🌱 The gut microbiome

Another theory points to the gut flora (microbiome), the trillions of tiny helpful microbes that live in your digestive system. An imbalance in that mix may play a role in how Crohn’s develops.

Known Risk Factors

Even though the exact cause isn’t known, researchers have identified certain things that can make Crohn’s more likely to develop.

Genetic factors

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A family history of Crohn’s, especially in first-degree relatives (parents or siblings)

Where and how you live

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Living in developed countries and northern climates
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Urban living in industrialized areas
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Smoking is a known risk factor

πŸ’‘What about stress and diet?

Stress and diet don’t cause Crohn’s. They can, however, make symptoms worse during a flare-up, which is why later chapters talk about how to eat and manage stress well when you’re living with Crohn’s.

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If any symptom is worrying you, contact your medical team. TeenHealthInsight is a health education resource, not a substitute for medical advice, diagnosis, or treatment from your doctor or gastroenterologist.
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