According to research, smoking is one KNOWN trigger for crohn's (including second-hand smoke) I too started smoking when I was 14 yrs old, it was probably sometime after that when I started getting the perianal crohn's skin tags but absolutely no other crohn's symptoms...the tags would come and go with no rhyme or reason that to this day I can think of...docs all told me they were just hemmies so I didn't have a proper DX of CD at that time so I count 18 yrs of having CD when my disease became active internally in my small and large intestines as well as my rectom.
My CD affects my colon mainly (has for the entire 18yrs that I've been fully sick, I became fully sick internally with it when I was 23 going on 24 and going through a very stressful period in my life), right after I got DX it was my colon and rectom surgeon that told me about
smoking aiding inflammation in the colon. Back then he advised me against quitting (rare, I know) but I did eventually quit about
8 yrs ago for about
3 yrs and it really turned my constant flare (never been in full remission, keeping in mind that my CD mainly affects my colon) into a very severe flare, I finally started smoking again (6/day is my max to date since then) and it certainly calmed things down enough to make me decide to just keep on with the 6/day. It hasn't brought the CD back in my my small intestines from starting again and that's usually where smoking affects CDers, in the small intestine. Weird eh, but whatever works I'm sticking with it.
Researchers thought it was the nicotine that aided with inflammation in the colon (they aslo found that often when people quit smoking they developed ulcerative colitis, menaing smoking was keeping their disease at bay) of course that's not a rule written in stone either, many UCers still develop UC even while smoking...it's also highly suspected those UCers were predisposed to getting UC.
They have recently learned that it's actually the carbon monoxide that aids with inflammation in the colon and apparently are working on a med that mimics this without the harmful effects of smoking.
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.