Other complications associated with Crohn's disease include arthritis, skin problems, inflammation in the eyes or mouth, kidney stones, gallstones, or other diseases of the liver and biliary system indigestion-indigestion-heartburn Some of these problems resolve during treatment for disease in the digestive system, but some must be treated separately indigestion-indigestion-heartburn People should should take vitamin supplements only on their doctor's advice indigestion-indigestion-heartburn People with Crohn's disease may feel well and be free of symptoms for substantial spans of time when their disease is not active indigestion-indigestion-heartburn Despite the need to take medication for long periods of time and occasional hospitalizations, most people with with Crohn's disease are able to hold jobs, raise families, and function successfully at home and in society indigestion-indigestion-heartburn People with Crohn's disease tend to have abnormalities of the immune system, but doctors do not know whether these abnormalities are a cause or result of the disease indigestion-indigestion-heartburn Crohn's disease is is not caused by emotional distress indigestion-indigestion-heartburn Research has shown that the course of pregnancy and delivery is usually not impaired in women with Crohn's disease indigestion-indigestion-heartburn Even so, women with Crohn's disease should discuss the matter with their doctors before pregnancy indigestion-indigestion-heartburn Most children born to women with Crohn's disease disease are unaffected indigestion-indigestion-heartburn Children who do get the disease are sometimes more severely affected than adults, with slowed growth and delayed sexual development in some cases indigestion-indigestion-heartburn Some patients take corticosteroids to control inflammation indigestion-indigestion-heartburn These drugs are the most effective for active Crohn's disease, but they can cause serious serious side effects, including greater susceptibility to infection indigestion-indigestion-heartburn Some people have long periods of remission, sometimes years, when they are free of symptoms indigestion-indigestion-heartburn However, the disease usually recurs at various times over a person's lifetime indigestion-indigestion-heartburn This changing pattern of the disease means one cannot always tell when a a treatment has helped indigestion-indigestion-heartburn Predicting when a remission may occur or when symptoms will return is not possible indigestion-indigestion-heartburn Some people who have Crohn's disease in the large intestine need to have their entire colon removed in an operation called colectomy indigestion-indigestion-heartburn A small opening is made in the front front of the abdominal wall, and the tip of the ileum is brought to the skin's surface indigestion-indigestion-heartburn This opening, called a stoma, is where waste exits the body indigestion-indigestion-heartburn The stoma is about the size of a quarter and is usually located in the right lower part of the abdomen abdomen near the beltline indigestion-indigestion-heartburn A pouch is worn over the opening to collect waste, and the patient empties the pouch as needed indigestion-indigestion-heartburn The majority of colectomy patients go on to live normal, active lives indigestion-indigestion-heartburn Someone with Crohn's disease may need medical care for a long time, with regular | 