I've heard that Crohn's stays the same, but I don't believe it myself. Severe disease can go into remission for 20 years. Mild disease can turn into moderate to severe disease. That said, there is a certain percentage of folks with chronic aggressive disease. They're the ones who end up having several bowel resections and short gut syndrome. However, they are also in the minority (about
10-15%). At the other end of the spectrum, there are folks with mild disease which will always stay mild. The vast majority fall somewhere in between, with periods of flare-ups and remissions. Most of those will have surgery at some point, but not surgery after surgery; their colon and most of their small bowel will still remain intact.
Please don't be scared of surgery. It's not a cure, but it has given many people years of remission.
PS: The occasional glass of wine will have no effect whatsoever on the course of your disease. In fact, a daily glass of wine wouldn't. It is *sometimes* possible to manage Crohn's disease with a strict diet, but I believe that almost any strict diet would work - it doesn't necessarily have to be SCD. It could be the Paleo diet, GAPs, the Maker's Diet etc. (Google will tell you what they are.) It could even be an elemental or liquid diet - and in fact, an elemental or liquid diet is occasionally prescribed by GIs, but such a diet is too impractical and miserable to follow long-term, although it can be effective for getting people into remission in the short term.
In the end, most folks with Crohn's end up devising their own diets, according to which foods suit them and which don't. It's trial and error, finding the foods which appear to irritate your gut. Personally, for me, I have never found it makes that much difference what I eat. I have tended to control my symptoms by simply eating less and less, eventually dropping to a BMI of 16. As a way of managing your disease, that's not great. Always eat enough, even if it's only a few foods you feel safe with. But if you are that terrified of eating, then you probably need better medical management anyway.
Post Edited (NiceCupOfTea) : 5/19/2012 10:04:43 AM (GMT-6)