Discussing the Uptick in Pediatric IBD
by Jennifer Mitchell Wilson B.S. Dietetics, Dietitian, Health Professional
Children comprise as many as 100,000 of the cases of inflammatory bowel disease (IBD) in the United States. An estimated 25 percent of all cases of IBD are diagnosed in childhood.
The Cedars-Sinai Pediatric Inflammatory Bowel Disease (IBD) Program notes that pediatric IBD is on the rise, and more funding in the areas of genetics and immunology are needed in order to better determine the exact reason for the increased incidence.
One study done in Canada also saw an increased incidence in childhood IBD, which the researchers theorized could be due to changes in gut bacteria.
Signs your child may be at risk for IBD
Family history of IBD, especially in a first-degree relative
Unexplained anemia
Blood in the stool
Abdominal pain
Loss of appetite or what seems like picky eating (in younger children)
Unexplained fever or fatigue
Growth delay
Joint pain, swelling, or rash (in the absence of injury or arthritis)
IBD testing in children
There are several tests that your physician will want to run if he or she suspects that your child has IBD. Some might include:
Blood tests
Stool testing
Upper GI (gastrointestinal) testing
CT (computerized tomography) scan or MRI (magnetic resonance imaging)
Endoscopies (either colonoscopy, upper endoscopy, or video capsule endoscopy)
Treating IBD in children
Children are not just tiny adults, and doctors tailor IBD treatments accordingly, keeping specific side effects in mind as well as the challenges the child will face dealing with a chronic illness in a school setting. Some of the most common treatments used are:
Nutrition therapy
Corticosteroids
Anti-inflammatory medications
Immune-system suppressors
Biologics
If you still have questions about your child’s symptoms and whether IBD might be the cause you should set up an appointment with your pediatrician. The Crohn’s and Colitis Foundation also has a lot of resources that can he helpful to parents or anyone with a new diagnosis.
