{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/crohn's-disease/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_11917-markdown","title":"Does any one know how much CBD to take to control Crohn's disease?","slug":"does-any-one-know-how-much-cbd-to-take-to-control-crohns-disease","content":"\n_____________________\nThe answer to your question is actually no, the use of medicinal cannabis in inflammatory bowel disease has not yet developed into a scientifically validated treatment protocol.   IBD is notorious for waxing and waning, which makes it extra difficult to be sure of the association of various treatments with the symptom level.  You may read anecdotal reports or find suggestions of various treatment regimens on the internet, but the situation is summed up by this quote from a review of the issue:  \"Epidemiologic data and human therapy studies reveal a possible role for cannabinoids in the symptomatic treatment of IBD, although it has yet to be determined in human populations whether cannabinoids have therapeutic anti-inflammatory effects in IBD or are simply masking its many debilitating symptoms.\" With regard to using just CBD the situation is even less clear.  However the good news is that the evident lack of toxicity of CBD means it can be safely tried, and there is no evidence that taking even several hundred milligrams of CBD a day causes any adverse effects, although I would start with a much smaller amount.  There is also no reason to not use CBD while taking conventional medications for inflammatory bowel disease, and I recommend against discontinuing pharmaceutical treatment in favor of CBD without checking with your physician.\n\ndrelkind\n_____________________\nHello,\nActivating cannabinoid receptors has been shown to  inhibit gastrointestinal fluid secretion and inflammation in animal  models. Several studies indicate that cannabinoids in marijuana bind  with cannabinoid receptors in the digestive tract, especially the small  and large intestine.\n\nFurthermore, both CBD and THC have been  shown to reduce the inflammatory response in patients with autoimmune  diseases, such as multiple sclerosis, lupus and celiac disease; both CBD  and THC have  also been shown to help alleviate pain.  \n\n\"CBD may interact at extra-cannabinoid system  receptor sites, such as  peroxisome proliferator-activated  receptor-gamma. This strategic  interaction makes CBD as a potential  candidate for the development of a  new class of anti-IBD drugs.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/22815234\n\n\"CBD  targets enteric reactive gliosis, counteracts the inflammatory  environment ... in human colonic cultures derived from UC patients.  These actions lead to a reduction of intestinal damage. Our results  therefore  indicate that CBD indeed unravels a new therapeutic strategy  to treat  inflammatory bowel diseases.\"\nhttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0028159\n\ndrkim","image":null}},{"node":{"id":"Question_9181-markdown","title":"What is a good strain for Crohns and Ulcerative Colitis?","slug":"what-is-a-good-strain-for-crohns-and-ulcerative-colitis","content":"\"My son was just diagnosed with Crohns 4 years after having his colon removed for Ulcerative Colitis, edibles don't work for him because they go through his system to fast.  He is in constant pain and has constant nausea.  Any help would be greatly appreciated.  Thank you\"\n_____________________\nHello. I'm sorry to hear about your son's condition. We have an article on Crohn's disease & colitis (linked below), which includes a few cannabis strains such as Sour Grape & Cherry Pie that appear to help with symptoms. The research in the article also talks about inhaled methods being helpful in improving quality of life. We've got a couple of answers that you may want to review:  \nhttps://www.hellomd.com/answers/57334af044ac70000c00000d/i-like-to-know-what-other-products-you-suggest-for-crohns-and-if-cannabis-suppositories-are-a-good-option &  \nhttps://www.hellomd.com/answers/59bebe77d65bbf3256f3f74f/i-want-to-get-the-medical-benefits-of-cannabis-for-crohns-without-the-high-what-should-i-be-taking. They cover options such as rectal suppositories and tinctures to help relieve symptoms of Crohn's & ulcerative colitis. You may also want to look into transdermal patches, which deliver cannabis directly into your blood stream & can offer a steady, constant flow of cannabis for up to 8 hours. I hope this helps!\n\nlyp\n_____________________\nHello! I have UC and manage it with a holistic lifestyle. I use cannabis, legal hemp flowers, turmeric, ginger, bacopa, valerian root, and lemon balm. Plus, a strict diet. If you'd like to schedule a free 15 minute consultation call, let me know! \n\n@NixduExtreme","image":null}},{"node":{"id":"Question_8003-markdown","title":"I want to get the medical benefits of cannabis for Crohn's, without the high. What should I be taking?","slug":"i-want-to-get-the-medical-benefits-of-cannabis-for-crohns-without-the-high-what-should-i-be-taking","content":"\"I've started with drops 20:1 is this a good ratio or would 10:1 be more effective?\"\n_____________________\nWith the people I have worked with that have any digestive issues what has worked the best is either a 4:1 CBD/THC ratio or a 1:1 ratio. The THC is very helpful in relaxing the gut...with the 1:1 ratio product it depends on dosing, with larger dosing you might get a mild \"high\".\n\nPiantaTinta","image":null}},{"node":{"id":"Question_8000-markdown","title":"I have never used any type before and I am interested in the creams. I get bad Migraines, I have Crohn's and ","slug":"i-have-never-used-any-type-before-and-i-am-interested-in-the-creams-i-get-bad-migraines-i-have-crohns-and","content":"\"restless leg syndrome, don't sleep well at night. My husband smokes from time to time and it does help him. I don't want to smoke it as I don't inhale well, what do you suggest? I am kind of scared i won't lie!\"\n_____________________\nHello, You may also want to consider medical marijuana in capsule form, or a sublingual solution. Medical marijuana is a great pain reliever, anti-inflammatory and sleep aid. Plus, THC is combined with the CBD which helps soften THC's psychoactive effect and other less desirable effects. \n\ntatiananp","image":null}},{"node":{"id":"Question_7023-markdown","title":"Am I eligible for medical marijuana in the state of New York?","slug":"am-i-eligible-for-medical-marijuana-in-the-state-of-new-york","content":"\"I'm an 18 year living with Crohn's disease in upstate New York. If the answer is yes, some direction with how to proceed would be great. Eli\"\n_____________________\nYes inflammatory bowel disease is one of the conditions that is included in the NY state medical cannabis program. \nYou might want to start here...\nhttps://www.health.ny.gov/regulations/medical_marijuana/patients/\n\nandrewvanmd","image":null}},{"node":{"id":"Question_6915-markdown","title":"I have asymptomatic Crohns. Will marijuana help me? How do I know if I don't have symptoms?","slug":"i-have-asymptomatic-crohns-will-marijuana-help-me-how-do-i-know-if-i-dont-have-symptoms","content":"\n_____________________\nIn general people who have chronic inflammation diseases such as Chrons have flare ups from time to time. I am assuming even though your Chrons is asymptomatic currently, it wasn't at one time. Therefore to decrease chronic inflammation and therefore decrease future flareups you would benefit from a tincture in MCT oil with a CBD:THC ratio of 20:1 that you use under the tongue (sublingual) twice daily every day. It takes 2-3 weeks to be at full effect as you can not decrease \"chronic\" inflammation over night; therefore, this must be taken daily.  As a side note, any ratio of CBD:THC >10:1 will not make you \"high,\" so a ratio of 20:1 can be used during the day.\n\ndrb","image":null}},{"node":{"id":"Question_11494-markdown","title":"Is hemp cbd oil as effective for Crohns disease as real cannabis cbd oil?","slug":"is-hemp-cbd-oil-as-effective-for-crohns-disease-as-real-cannabis-cbd-oil","content":"\n_____________________\nCannabis helps to relieve anxiety and promotes sleep. Because of your use of valium your brain is adjusted to it and it will take time for it to reset without the valium. This uncomfortable feeling will be unavoidable while you body detoxes and resets. During this time marijuana provides some relief and comfort. Cannabis will not totally relieve your discomfort but it helps. I used marijuana to get off Heroin and Methadone. The entire process took a good 6 months of no opiates until I started to feel normal. Edibles from 100 mg to 300 mg are what I recommend though I am not a doctor. Use an Indica or Hybrid strain over a Sativa as it promotes sleep better. There is no overdose on marijuana. If 300 mg is to much for you you will only sleep. Its what I did at age 56. At age 63 I am better than ever now thanks to marijuana.\n\neltone\n_____________________\nI would say no - the general consensus from both the cannabis community and medical researchers indicates that hemp-based CBD is much less effective as a medication than cannabis-based CBD. This is likely due to something know as the entourage effect, in which the presence of cannabinoids and terpenes found in cannabis are believed to positively impact the therapeutic efficacy of CBD even if they aren't present in large amounts. While those in the cannabis industry have seen this to be true anecdotally, medical researchers (especially from nations other than ours) are also seeing the implications of the entourage effects in formal studies.\n\njessicapeters","image":null}},{"node":{"id":"Question_11143-markdown","title":"Any suggestions for something to help with Crohn's, specifically diarrhea?","slug":"any-suggestions-for-something-to-help-with-crohns-specifically-diarrhea","content":"\n_____________________\nVaping tinctures is not the best idea because tinctures are meant to be ingested through the stomach. When vaping you need a solution that is a bit more viscous so as the vapor does not burn you internally.\n\nogmorsel\n_____________________\nBesides vaping which isn't a bad idea, might I recommend cannabis suppositories from companies like Foria and Back Door Medicine? For Crohn's and Ulcerative colitis, one can take prescription medications like Mesalamine in rectal suppository form and so this method is already in use.  Some studies also measure the % of medication that is bioavailable through suppositories to be higher than the amounts seen in vaping. I hope this also helps!\n\ndrpark","image":null}},{"node":{"id":"Question_10882-markdown","title":"Having Crohn's, I've been taking CBD oil since last June, but my symptoms just came back..","slug":"having-crohns-ive-been-taking-cbd-oil-since-last-june-but-my-symptoms-just-came-back","content":"\"Now I am on prednisone and remicade temperarily to get the flare in control. I'm guessing my body built tolerance towards the cannabis. Should I try taking cannabis in a different form or with more thc? I still want to be able to function normally. Thanks\"\n_____________________\nWe work with a number of patients, and the feedback has been the same from all of them. Crohn's symptoms seem to respond best to a balanced ratio of THC to CBD, so it could be that taking just a high ratio of CBD isn't going to be enough to give you sustained results. Sublingual tinctures come in varying ratios, and it's often best to get a few and try it for a week to see the overall effects. We've seen best results with a 4:1 or 8:1 ratio, but everyone's endocannabinoid systems are different.\r\n\r\nAs an aside, I'm sure you're aware of this, but diet also has a huge impact, so if you haven't yet tried an initial elimination diet (and stuck with it!), that's definitely something to try as well.\n\nherbabuena\n_____________________\nI heard there are rectal suppositories of medical marijuana that can help.  The cannabis is absorbed into the gut where it is most needed for inflammation.\r\nTry different ration of the oils as well of the THD and CBD.\n\ndrraisen","image":null}},{"node":{"id":"Question_10834-markdown","title":"I have been trying to find information regarding the effects of cannabis on Crohn's, specifically fistulas.","slug":"i-have-been-trying-to-find-information-regarding-the-effects-of-cannabis-on-crohns-specifically-fistulas","content":"\"I know that it helps with inflammation inside the gut and whatnot, but is there any information or have any studies been done showing any hope for healing cysts and fistulas that are caused by Crohn's?\"\n_____________________\nCrohn's disease is an inflammatory condition that can effect the entire digestive system, from mouth to anus. Cannabis has anti-inflammatory properties and has been shown to help with the inflammatory bowel diseases. I have personally spoken with numerous patients who find benefit in utilizing cannabis to aid in symptom control and also in dealing with the side effects of medications. A decreased amount of inflammation would hopefully lead to fewer fistula and would likely treat the discomfort experienced. Many patients find relief through inhaled cannabis, while others prefer edible and topical preparations. I might reccomend cannabis suppositories, as well as oral preparations. \n\nFrom the American Journal of Gastroenterology, an article titled, \nMedical Marijuana for Digestive Disorders: High Time to Prescribe?\n The authors report on several studies of cannabis treatment for crohns disease. \n \n\"Patients with both ulcerative colitis and Crohn’s disease commonly use marijuana for relief of symptoms (75). The majority of IBD patients report that marijuana provides significant benefit for poor appetite, nausea, and abdominal pain; however, improvement in diarrhea is less clear (76). Notably, if it were available legally, over half of nonusers have reported an interest in using marijuana for IBD symptom relief (76). Small retrospective and prospective observational studies of patients with Crohn’s disease who smoke medical marijuana that contains moderate concentrations of THC indicate that medical marijuana has beneficial effects on symptom-based disease activity indices, overall well-being, and steroid use (77,78). A small randomized controlled trial of marijuana smoked twice daily (115mg THC; 23% THC and <0.5% CBD) also recently demonstrated a significant response as measured by the Crohn’s Disease Activity Index (53). Endoscopic disease activity was not evaluated, but lack of reduction in C-reactive protein indicates that the inflammatory disease burden was not affected. Although patients with IBD may feel better while using marijuana, evidence for an objective improvement in disease activity is lacking.\"\nAm J Gastroenterol 2015; 110:208–214; doi:10.1038/ajg.2014.245; published online 9 September 2014\n\nHere is a link to a well written article on cannabis for crohns.\nhttp://unitedpatientsgroup.com/blog/2015/01/13/a-cannabis-patients-guide-to-crohns-disease-by-crohns-patient-daniel-towns/\n\nandrewvanmd","image":null}},{"node":{"id":"Question_10775-markdown","title":"How to approach my doctor about using medical marijuana for crohns remission","slug":"how-to-approach-my-doctor-about-using-medical-marijuana-for-crohns-remission","content":"\"My son was diagnosed with crohns in 2011.  He was mostly symptom free until December 2015 when he took an antibiotic for strep throat which led to a severe flare.  He was prescribed 60mg of prednisone and placed on Remicade infusions.  The infusions/pred made him feel awful, and he wasn't getting better.  The pain was terrible and he was taking oxycodone just to get through the day.  When the pain was more than he could take, we would make trips to the ER and spend 5-6 days in the hospital at a time trying to get the inflammation under control.  Finally on April 15th of this year, he had surgery.  Now we are wondering what to do to keep the crohns in remission.  He doesn't want to do the Remicade anymore, and he is absolutely done with steroids.  He has done a lot of research on medical marijuana and crohns, but doesn't know how to approach the subject with his doctor.  It is something he wants to try, but doesn't think his doctor will be on board with it.\"\n_____________________\nDoctor's tend to like data, and a literature search on Crohn's disease and cannabis will reveal an abundance of data supporting cannabis for the treatment of Crohn's disease. You might want to bring in an article written for the lay-person that references several studies, such as \"Worth repeating: medical mairjuana defeat's Crohn's disease\" published in SF Gate on March 12, 2016. \n\nAs this article points out, there have been several studies using cellular, animal, and human models indicating that marijuana may not only be used for treating the symptoms of Crohn's disease (such as cramping, pain, and nausea) but may also reverse the disease process by modulating the immune system and decreasing inflammation. As a result, many patients have been able to wean off corticosteroids, opiates, and anti-inflammatory drugs and even potentially prevent surgeries necessitated by disease.\n\ndredmunds","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":1,"currentPage":1,"id":5162,"name":"Crohn's Disease","slug":"crohn's-disease","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}