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Gwo-tzer Ho, Reader and Honorary Consultant Gastroenterologist, The University of Edinburgh

Crohn's disease: bacteria in the mouth may be a cause – here's why

We swallow millions of bacteria each day in our saliva. Maxx-Studio/ Shutterstock

Crohn’s disease affects four million people worldwide. The condition causes debilitating symptoms such as chronic fatigue, diarrhoea, abdominal pain, weight loss and malnutrition. Once symptoms develop, Crohn’s is a lifelong condition – and while there are ways to manage symptoms during flare-ups, there’s currently no cure.

The exact causes of Crohn’s disease are unknown and are probably due to a number of complex and overlapping factors – such as genetics, environmental cues (such as smoking) and an immune system that’s overactive in the gut. Research has also shown that the gut microbiome plays a crucial role in the disease.

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