Complementary and Integrative Medicine

Many Americans use medical treatments that are not part of mainstream medicine. When you are using these types of care, it may be called complementary, integrative, or alternative medicine.

Complementary medicine is used together with mainstream medical care. An example is using acupuncture to help with side effects of cancer treatment. When health care providers and facilities offer both types of care, it is called integrative medicine. Alternative medicine is used instead of mainstream medical care.

The claims that non-mainstream practitioners make can sound promising. However, researchers do not know how safe many of these treatments are or how well they work. Studies are underway to determine the safety and usefulness of many of these practices.

To minimize the health risks of a non-mainstream treatment:

• Discuss it with your doctor. It might have side effects or interact with other medicines.
• Find out what the research says about it
• Choose practitioners carefully
• Tell all of your doctors and practitioners about all of the different types of treatments you use

NIH: National Center for Complementary and Integrative Health

Connective Tissue Disorders

Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.

Over 200 disorders that impact connective tissue. There are different types:

• Genetic disorders, such as Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta
• Autoimmune disorders, such as lupus and scleroderma
• Cancers, like some types of soft tissue sarcoma

Each disorder has its own symptoms and needs different treatment.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

COVID-19 (Coronavirus Disease 2019)

COVID-19 (coronavirus disease 2019) is an illness caused by a virus. This virus is a coronavirus called SARS-CoV-2. It spreads when a person who has the infection breathes out droplets and very small particles that contain the virus. On this page, you'll find links to resources on important issues such as symptoms, risks, and how you can protect yourself and your family.

We also have pages on:

• COVID-19 testing
• COVID-19 vaccines
• Post-COVID conditions (long COVID)

Crohn's Disease

What is Crohn's disease?

Crohn's disease is a chronic (long-lasting) disease that causes inflammation in your digestive tract. It can affect any part of your digestive tract, which runs from your mouth to your anus. But it usually affects your small intestine and the beginning of your large intestine.

Crohn's disease is an inflammatory bowel disease (IBD). Ulcerative colitis and microscopic colitis are other common types of IBD.

The cause of Crohn's disease is unknown. Researchers think that an autoimmune reaction may be one cause. An autoimmune reaction happens when your immune system attacks healthy cells in your body. Genetics may also play a role, since Crohn's disease can run in families.

Stress and eating certain foods don't cause the disease, but they can make your symptoms worse.

There are certain factors that may raise your risk of Crohn's disease:

• Family history of the disease. Having a parent, child, or sibling with the disease puts you at higher risk.
• Smoking. This may double your risk of developing Crohn's disease.
• Certain medicines, such as antibiotics, birth-control pills, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen. These may slightly increase your chance of developing Crohn's.
• A high-fat diet. This may also slightly increase your risk of Crohn's.

The symptoms of Crohn's disease can vary, depending where and how severe your inflammation is. The most common symptoms include:

• Diarrhea
• Cramping and pain in your abdomen
• Weight loss

Some other possible symptoms are:

• Anemia, a condition in which you have fewer red blood cells than normal
• Eye redness or pain
• Fatigue
• Fever
• Joint pain or soreness
• Nausea or loss of appetite
• Skin changes that involve red, tender bumps under the skin

Stress and eating certain foods such as carbonated (fizzy) drinks and high-fiber foods may make some people's symptoms worse.

Crohn's disease can cause other problems, including:

• Intestinal obstruction, a blockage in the intestine
• Fistulas, abnormal connections between two parts inside of the body
• Abscesses, pus-filled pockets of infection
• Anal fissures, small tears in your anus that may cause itching, pain, or bleeding
• Ulcers, open sores in your mouth, intestines, anus, or perineum
• Malnutrition, when your body does not get the right amount of vitamins, minerals, and nutrients it needs
• Inflammation in other areas of your body, such as your joints, eyes, and skin

Your health care provider may use many tools to make a diagnosis:

• A medical history, which includes asking about your symptoms
• A family history
• A physical exam, including:
  • Checking for bloating in your abdomen.
  • Listening to sounds within your abdomen using a stethoscope.
  • Tapping on your abdomen to check for tenderness and pain and to see if your liver or spleen is abnormal or enlarged.
• Various tests, including:
  • Blood and stool tests.
  • A colonoscopy.
  • An upper GI endoscopy, a procedure in which your provider uses a scope to look inside your mouth, esophagus, stomach, and small intestine.
  • Diagnostic imaging tests, such as a CT scan or an upper GI series. An upper GI series uses a special liquid called barium and x-rays. Drinking the barium will make your upper GI tract more visible on an x-ray.

There is no cure for Crohn's disease, but treatments can decrease inflammation in your intestines, relieve symptoms, and prevent complications. Treatments include medicines, bowel rest, and surgery. No single treatment works for everyone. You and your provider can work together to figure out which treatment is best for you:

• Medicines for Crohn's include various medicines that decrease the inflammation. Many of these medicines do this by reducing the activity of your immune system. Certain medicines can also help with symptoms or complications, such as nonsteroidal anti-inflammatory drugs and anti-diarrheal medicines. If your Crohn's causes an infection, you may need antibiotics.
• Bowel rest involves drinking only certain liquids or not eating or drinking anything. This allows your intestines to rest. You may need to do this if your Crohn's disease symptoms are severe. You get your nutrients through drinking a liquid, a feeding tube, or an intravenous (IV) tube. You may need to do bowel rest in the hospital, or you may be able to do it at home. It will last for a few days or up to several weeks.
• Surgery can treat complications and reduce symptoms when other treatments are not helping enough. The surgery will involve removing a damaged part of your digestive tract to treat:
  • Fistulas
  • Bleeding that is life threatening
  • Intestinal obstructions
  • Side effects from medicines when they threaten your health
  • Symptoms when medicines do not improve your condition

Changing your diet can help reduce symptoms. Your provider may recommend that you make changes to your diet, such as:

• Avoiding carbonated drinks
• Avoiding popcorn, vegetable skins, nuts, and other high-fiber foods
• Drinking more liquids
• Eating smaller meals more often
• Keeping a food diary to help identify foods that cause problems

In some cases, your provider may ask you to go on a special diet, such as a diet that is:

• High calorie
• Lactose free
• Low fat
• Low fiber
• Low salt

If you are not absorbing enough nutrients, you may need to take nutritional supplements and vitamins.

National Institute of Diabetes and Digestive and Kidney Diseases

Cryptosporidiosis

What is cryptosporidiosis?

Cryptosporidiosis is a contagious disease that causes watery diarrhea. It is caused by parasites called Cryptosporidium, or Crypto . These parasites live in soil, food, and water. They are found in every region of the United States and throughout the world. Crypto can also be found on surfaces or dirty hands that have been contaminated with the stool (poop) of humans or animals that have the infection.

You can become infected with Crypto by swallowing the parasite if it is in your food, drinking water, or water that you swim in. You can also get infected when you touch something that has been contaminated, and then you touch your eyes, mouth, or nose. Another way that Crypto can spread is through sexual contact.

Certain people are more likely to get Crypto; they include:

• Children and workers at childcare centers
• Older adults (ages 75 years and older)
• People who take care of other people with Crypto
• International travelers
• Backpackers, hikers, and campers who drink unfiltered, untreated water
• People, including swimmers, who swallow water from contaminated sources
• People who touch infected animals, often cows or sheep

The most common symptom of cryptosporidiosis is watery diarrhea. Other symptoms include:

• Dehydration
• Weight loss
• Stomach cramps or pain
• Fever
• Nausea and vomiting

The symptoms generally begin 2 to 10 days after becoming infected with the parasite. In people with healthy immune systems, the symptoms can last about 1 to 2 weeks. Occasionally, the symptoms can last longer or come and go for up to 30 days.

People with weakened immune systems may develop a serious, chronic illness. Some reasons why you might have a weakened immune system could include:

• Having HIV
• Having cancer
• Having a genetic condition that affects the immune system
• Taking certain medicines, such as chemotherapy and medicines needed after an organ transplant

Some people may not have any symptoms at all.

Contact your health care provider if you have watery diarrhea that lasts more than a few days, especially if you have a weakened immune system.

Cryptosporidiosis is diagnosed by examining stool samples, usually under a microscope. People with Crypto can have many parasites in their stool one day but not as many the next day. So you may need to give the lab three stool samples collected on three different days. This helps make sure that your diagnosis is correct.

Most people with cryptosporidiosis get better without treatment. It usually takes about one to two weeks. It's important to drink plenty of fluids to prevent dehydration if you are pregnant. Infants and young children should also get extra fluids. They should get extra fluids. If you are pregnant or if you think that you or your child are severely dehydrated, contact your provider about how to get enough fluids. Some people who are dehydrated may need to get intravenous (IV) fluids in a hospital.

Over-the-counter anti-diarrheal medicine might help slow down diarrhea, but do not take it without first asking your provider. There is a medicine to treat diarrhea caused by Crypto in people with healthy immune systems. You and your provider can talk about whether that medicine is right for you.

To lower your chance of getting or spreading Crypto:

• Wash your hands often with soap and water, especially after using the toilet, changing diapers, or touching animals. You also need to wash your hands before eating or preparing food. Alcohol-based hand sanitizers are not effective against Crypto.
• Only drink water that you know is safe.
• Only drink milk and apple cider that have been pasteurized.
• Don't eat uncooked foods when traveling in countries where the food supply might be unsafe.
• Never go swimming when you have diarrhea.
• Don't swallow water when you go swimming.
• Use condoms or dental dams every time you have sex. This will also help prevent other sexually transmitted infections.

Centers for Disease Control and Prevention