When Your Child Has Inflammatory Bowel Disease: Crohn's Disease
Crohn's disease is a type of inflammatory bowel disease (IBD). It causes swelling and sores in your child's digestive tract. The whole tract may be affected, from the mouth to the anus (where stool leaves the body). Swelling and sores make it harder for the body to get nutrients from food. This can make your child feel very ill. It can also lead to growth failure. No one knows what causes Crohn's disease. There is no cure, but your child's symptoms can be managed.
What Are the Symptoms of Crohn's Disease?
Common symptoms of Crohn's disease include:
- Abdominal pain
- Fever
- Diarrhea
- Growth failure (short stature)
- Nausea or vomiting
- Weight loss
- Fatigue (tiredness)
- Sores in the mouth or around the anus
- Bleeding from the rectum (where stool collects before leaving the body)
- Abscess (infection) or fistula (abnormal opening in the digestive tract)
How Is Crohn's Disease Diagnosed?
The doctor will start by examining your child and asking some questions. The doctor may order certain tests, such as:
- Upper GI series with small bowel follow-through: a series of x-rays of your child's upper digestive tract and small intestine.
- Blood and stool tests.
- CT scan or ultrasound: tests that take detailed pictures from outside your child's body.
- Endoscopy and colonoscopy: tests during which a flexible tube with a camera is used to view the inside of your child's digestive tract. This lets the doctor perform a biopsy (take a tiny tissue sample).
How Is Crohn's Disease Treated?
There is no cure for Crohn's disease. But there are ways to help your child feel better. These may include:
- Medications that control swelling and sores.
- Supplements to give extra nutrition.
- Bowel rest to give the intestines time to recover. If your child's symptoms have been severe, the doctormay suggest giving your child TPN (total parenteral nutrition). During TPN, nutrients are given through a vein in the arm or chest. This gives your child nutrition without going through the digestive tract.
- Surgery to relieve your child's symptoms. Taking medication may not be enough to prevent flare-ups. In this case, the doctor may talk to you about a surgery to help control symptoms.
Following Up With the Doctor
Once symptoms are under control (or "quiet"), the doctor will want to see your child 2-3 times a year for follow-up. The doctor will also see that your child's immunizations (vaccinations) are up to date. Tests may be done, including:
- Bone scans (painless tests that check the health of your child's bones)
- Eye exams
- Blood tests
Handling Flare-Ups
Flare-ups (times when your child feels symptoms) may still happen. These tips can help you and your child deal with flare-ups:
- Allow more time for your child to get ready in the morning. During a flare-up, your child may need longer bathroom time. Stress and pressure can make symptoms worse. Make sure your child has plenty of time and doesn't feel rushed.
- Talk to your child's teachers and school officials about your child's Crohn's disease. Talk with your child's teachers about flare-ups. Ask them to let your child use the bathroom as needed. This can help prevent accidents. Also, children with Crohn's may miss school more often during flare-ups. Work with your child's teachers to help your child keep up with schoolwork.
- Let your child beactive. Having Crohn's disease doesn't mean your child can't play sports or be active. During flare-ups, your child might not feel well enough to be active. Let your child decide how much activity feels okay during flare-ups. Encourage your child to be active when symptoms are quiet.
- Encourage good nutrition. A healthy diet provides good nutrition for growth. Talk to your child about making healthy food choices when away from home.
- Make sure your child takes all of his or her medications. This can help reduce the number of flare-ups.
- Look into Crohn's disease support groups and resources. If your child is feeling alone or different from peers, a support group can offer tips on helping your child lead a normal, active life.
