FAQ's on Inflammatory Bowel Disease/IBD in Children

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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INFLAMMATORY BOWEL DISEASE (IBD)

Related topics

What is Inflammatory Bowel Disease and It's Types

Causes of Inflammatory Bowel Disease/IBD

IBD Symptoms and Diagnosis

IBD Treatment,Cure and Complications

Prof. (Dr) Sharad C Shah
Consultant Gastroenterologist
Ex Head Department of Gastroenterology
Sir J J Hospital & Grant Medical College
Hon Gastroenterologist - Sir H N Hospital
Hon Gastroenterologist - Jaslok Hospital
Hon Gastroenterologist - Breach Candy Hospital

Q My child aged 12 years old has bloody stools since past 2 months. He had been treated for diarrhea, dysentery, but to no avail. What to do?
A. The bloody stools which have remained since two months in a 12 year old child is a matter of concern, particularly so because he has clearly been treated for diarrhea and dysentery. In such a situation one should make a determined effort to make the diagnosis.

One of the common conditions that mimic this would be POLYP. Sigmoidoscopy / colonoscopy will definitely give the diagnosis.

If truly the bloody stools have not subsided inspite of routine treatment, child must be examined (by sigmoidoscopy) to exclude inflammatory bowel disease.

Q When do you suspect a child has IBD?
A. One should suspect a patient to have IBD:

UC : Child will complain of diarrhea, rectal bleeding, passage of mucus and abdominal pain. Child can also have nausea, anorexia and in severe cases may even vomit. There may also be fever, anemia and weight loss.

Crohn's disease : Child may have pain in right lower Quadrant which is recurrent and colicky in nature. There may also be pain during defecation and pain may increase after defecation. Diarrhea, fever, weight loss, bleeding PR may be other manifestations.

Q. How often does a patient require to undergo endoscopy (colonoscopy/ sigmoidoscopy)?
A. After the initial endoscopy (sigmoidoscopy or colonoscopy), patient would require undergoing repeat endoscopies in the initial stages every 3-6 months or depending on the clinical course (improvement of the disease).

Q. When is surgery required? What is the surgery done?
A. Surgery is necessary if the disease does not come under control with medical treatment and or there are life-threatening complications.

Surgical treatment consists of removing Large intestine in Ulcerative colitis and or affected part of large or small intestine in Crohn's disease.

Q. If the intestine is removed, can the patient survive?
A. Patient can survive very well when the large intestine is removed and can also survive if small portion of small intestine removed.

Q. Does a special diet help in IBD?
A. There is no special diet that can help IBD. However, it is prudent to avoid chillies, fried feeds and outside food.

Q. What is the prognosis of a patient with IBD?
A. By and large prognosis of IBD is reasonably good. If patient understands the illness and accepts the illness, they remain happy.

Last created on 23-02-2001
Last updated on 10-05-2007

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