Strictures can be scar tissue or active inflammation (or a mix of both.)
My doctor took a similar approach as kazbern is asking about
: A course of steriods to see if the flare resolves. Steriods would reduce inflammation, making the strictured area a little wider. If it responds to steriods, it means that medicine could help (but cannot stay on steriods long-term), hence another maintenance treatment like Humira could be helpful. However, if it is scar tissue, steriods won't reduce that. Steriods made me feel better at higher doses, but as I weaned off, the stricture symptoms came back. It makes it more likely that it is scar tissue, which may lead to an operation.
After struggling with my symptoms for a few months in the latter half of 2010, I had to also substantially alter my diet to a mostly liquid diet. Over half my calories at the beginning of 2011 were liquid calories. I started eating yogurt once or twice a day. Gatorade/Powerade. and Ensure or Boost as a calorie supplement/replacement. My doctor recommended starting at one a day and working up to 4-6 per day (that's 1000-1500 calories per day.) I found that this did help my energy levels a little bit and also helped lessen my symptoms (because I wasn't eating as much.) I did eat other stuff, but I stuck to small, easy to digest foods.
I did eventually have surgery in the summer of 2011. The diet above didn't alleviate symptoms 100%, it just made the less intense and less frequent. My doctor said that in her opinion, I was eventually going to need surgery. I wanted to have a planned surgery with a doctor recommended by my GI, not risk an emergency surgery by whoever was on call at the time of my emergency. After surgery, my surgeon was amazed how narrow my stricture was and how I was able to eat much of anything.
Diagnosed in Feb 1989 at age 14Just diagnosed, worried about future?Tips on recovery from 1st surgery
1 Resection: 4" at terminal ileum + 24" of jejunum - June 2011
Current med: Humira (since Mar 2011)
Also take: monthly B12 injection, Calcium, Multivitamin