* 1. Crohn's disease is a chronic inflammatory disease of the intestines that causes abdominal pain, vomiting, diarrhea, among other symptoms. It is often diagnosed by a gastroenterologist with a colonoscopy and biopsies, but sometimes requires other testing. If you have been given a diagnosis of Crohn's Disease then THIS CHECKLIST IS TO HELP YOU!

We designed this checklist to help you make sure you are getting all the care you need to control your disease and remain as healthy as possible!

IF YOU DON'T HAVE ANSWERS TO THESE, THAT'S OKAY! Use the information to help you ask questions at your next doctor's appointment or make a new appointment to discuss them further.

* 2. Have you been diagnosed with Crohn's disease?

* 3. People can be diagnosed with Crohn's Disease at any age, but those who are diagnosed early in life have a more serious risk of complications. How old were you when diagnosed with Crohn's disease?

* 4. Do you know what area of your body is affected by Crohn's disease? If so, indicate below.

* 5. Have you ever had surgery for Crohn's disease?

* 6. Have you ever had an intra-abdominal abscess (infection), abscess around your anus/rectum, or fistula?

* 7. Are you currently taking medication for Crohn's disease?

* 8. Using tobacco products can worsen the symptoms of Crohn’s disease. Do you smoke or use other tobacco products?

* 9. Symptoms of Crohn’s disease can be classified as mild, moderate, or severe depending on how many symptoms you have. 

Do you have any of the following signs or symptoms of active Crohn’s disease?

If you are having 2 or more of the following symptoms, you might need to discuss it with your gastroenterologist sooner.

* 10. Have you had the routine laboratory testing you need?

People with Crohn’s disease should have regular laboratory blood testing. Below are some lab tests which are commonly ordered for patients with Crohn’s.

* 11. Osteoporosis screening

Many Crohn's disease patients are at increased risk for bone loss (osteoporosis). If you have Crohn's disease and ANY of the following criteria, you should ask your doctor about screening for Crohn's disease.

* 12. Have you had all your vaccinations?

Patients with Crohn's disease are at increased risk of infection, and several of the medications used for Crohn's disease can increase this risk. It is important that you discuss vaccinations with your doctor.

Have you had the following vaccinations?

* 13. Have you been screened for other cancers?

Patients with Crohn's disease or who are on medication for Crohn's disease may need screening for other cancers.

Have you been screened for the following cancers?

* 14. Are you taking your medications?

It is very important that patients with Crohn's disease take all of their prescription medications as prescribed.

Which of these statements applies to you?

* 15. Are you getting the nutrition you need?

Patients who require medication for Crohn's disease have special nutritional requirements.
Please check off which statements apply to you.

* 16. This checklist is designed to help you keep track of your care and to help you ask questions at your doctor appointments. 

You can find additional information at the Wichita Falls Gastroenterology Associates website: http://www.wfgastro.com

Please tell us how helpful this checklist was to you.