Is Crohn's Disease a Contraindication for Zeltiq?

Hello, I am a 47 year old woman considering Zeltiq (CoolSculpting)for lower abdomen and love handles. I am very slim (5'6, 120 lbs) and very fit. I have Crohn's Disease (in full remission over 5 years)and am worried about all patients who have abdominal pain and cramping etc. post-procedure. Is this normal and is Crohn's Disease contraindicated? Thank you for your assistance.

Doctor Answers 4

Crohn's Patients Can Have CoolSculpting

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Crohn's disease is not a contraindication to cryolipolysis. Most patients only experience some swelling, bruising and soreness after CoolSculpting. The applicator suctions the skin and fat, not muscles or organs. However, if your skin is extra sensitive or your abdomen or intestines have been weakened from disease and surgeries, you may not be able to tolerate the procedure. I'd advise you to work hand in hand with your gastroenterologist and board-certified dermatologist to be sure CoolSculpting is right for you.

San Diego Dermatologist
4.9 out of 5 stars 51 reviews

Contraindication to CoolSculpting

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Thank you for your question.

There hasn't been any documentation that shows Crohne's Disease to be a contraindication to having CoolSculpting.  The abdominal pain and possible cramping after the procedure are limited to the area treated and are self limiting.  I would recommend that your doctor communicate with your GI doctor to make sure all is well prior to having the CoolSculpting.

Best Wishes!

CoolSculpting for fat reduction and Crohns disease

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As the Zeltiq CoolSculpting is targeting the fat above the muscle wall of the abdomen, unless you have had surgery with weak scars on the skin's abdomen, or colostomies (openings from the intestines to the skin of the stomach), there shouldn't be a problem with having the Zeltiq.  IF you are having pain though from the Crohns, and it hurts to just touch the stomach's skin because of referred pain, then the negative suction of the CoolSculpting could make the treatmetn unbearable for you.  You should definitely have your physician who is planning to do the CoolSculpting treatment discuss it with your gastroenterologist to get clearance should there be any concern.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

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Coolsculpting and Chrohn's disease

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Currently there is no contraindication between Chrohn's disease and Coolsculpting. The abdominal pain is a neuropathic pain that really is localized to the fat, dermis and potentially epidermis versus no affect on the intestines. However, before treating I would advise that you discuss with your physician further.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.