Ulcerative colitis is a common form of inflammatory bowel disease (IBD). It is an immune-mediated disease that affects the large intestine, causing ulcers and bleeding. However, the signs and symptoms of the disease can occur in other parts of the body.
While IBD is often diagnosed in young people, ulcerative colitis can also be diagnosed in children. Ulcerative colitis is more common in children, especially in children under 5 years of age.
Children with ulcerative colitis have different needs than adults. Some of the challenges include being different from your peers, such as being absent from school for appointments or the need to eat different foods. Working with teachers նոր in a new way is also a factor that can affect the whole family.
Learn more about how this disease affects children մասին Unique ways to manage pediatric ulcerative colitis.
Symptoms of ulcerative colitis
Signs and symptoms of ulcerative colitis may include:
- Abdominal pain
- Abdominal pain
- Blood in the stool
- Mouth ulcers
- Mucus in the stool
- Urgent need to move intestines (tenesmus)
- Weight loss
People with ulcerative colitis may also have symptoms outside the digestive tract. Delayed growth may occur in ulcerative colitis, but it is less common than in other major horses of IBD, Crohn’s disease.
These are called external symptoms և may include:
Emotional aspects of the symptoms
Children and adolescents with ulcerative colitis may find the symptoms embarrassing. It is more difficult to explain the restriction of food choices or going to the toilet than friends.
Mayers may want to play a role with the child to learn how to deal with these issues. Suggesting a language to children about the symptoms պարզ A simple explanation of ulcerative colitis can be helpful աց invigorating.
Guardians may also want to talk to classroom teachers, their child’s friends’ parents about symptoms, and bathroom needs.
Ulcerative colitis is considered an immune-mediated condition. It is believed that the disease may be caused by a link between genetics, the environment, the immune system and the bacterial composition of the digestive system.
It has been shown that people with IBD have different digestive tract bacteria than people who do not live with the disease.
There are more than 150 genes linked to IBD. However, not everyone who has genes will continue to develop IBD. It is not entirely clear how all the factors lead to the development of ulcerative colitis.
For children with ulcerative colitis, the first signs that parents may need to see a doctor include bloody diarrhea and abdominal pain. Several different types of tests can be used to diagnose the cause of the signs and symptoms.
Laboratory tests include:
Imaging tests may include:
Treatment of ulcerative colitis in children may include medication, lifestyle changes, diet adjustments, and surgery. For adults, some treatments may not be acceptable for children, such as medicines that come in the form of suppositories or poultices.
The pediatric gastroenterologist will help you choose the best treatment for each child with ulcerative colitis.
Medicines for ulcerative colitis will be prescribed based on a number of factors. Some of these may include patient և parent նախ preference, disease severity, child’s age, value և availability.
Some medications are prescribed for a short period of time to help control the inflammation. Others are used long-term to prevent future ulcers of ulcerative colitis.
Some medications that may be used include:
Children with IBD should also monitor their diet carefully. One-third of children with ulcerative colitis may lose weight. Therefore, it is important to work with a dietitian as well as a gastroenterologist to maintain a diet.
No formal diet is recommended for people with IBD. A commonly used program is the Mediterranean diet, which can be adjusted with the help of a dietitian.
Surgery can be used to treat ulcerative colitis in 8% to 26% of children in the first five years after diagnosis. Colectomy, which removes the colon, is a surgical procedure.
Patients may choose an ileostomy with a stoma (a small piece of bowel that is inserted through the abdomen). A device is worn on the stoma to collect the chair.
Another option available to some patients is ileal pouch-anal anastomosis (IPAA). In this procedure, commonly called j-pouch surgery, the last part of the small intestine is used to create a rectum-like structure. It is then attached to the anus so that the stool can come out of the body. This usually results in two or three separate surgeries.
Surgery for ulcerative colitis in children
It is difficult for children և parents to talk about surgery to treat ulcerative colitis. However, surgery may be a good option for some patients, especially when they have a serious illness that causes complications or a poor quality of life.
Having a planned operation, rather than an emergency operation, gives a better chance of a good result. It is possible to talk prematurely about the operation with a gastroenterologist, a colon surgeon. They can answer your questions և help you as a family make decisions about when surgery should be considered.
Hospital treatment for children with Disease disease or complications is possible. There, medications can be given intravenously with fluids. Extraintestinal or intestinal complications can also be managed with other treatments or procedures.
Unfortunately, the incidence of IBD is increasing worldwide. However, existing treatments are becoming more effective. Patients do not always use medications, especially more expensive ones (such as biological ones).
With a greater perception of ulcerative colitis և receiving more treatment, there is a greater hope that the disease will subside կունենա have a better quality of life. Work is being done to understand which patients can do better or worse based on a number of factors related to their illness.
Mayers may want to ask their child’s doctor about tests that have been performed to predict the likelihood of children with a serious illness or complication.
Diagnosis of ulcerative colitis is difficult for both the child and his family: caregivers. IBD is stigmatizing, tends to leave patients alone, isolated. For these and other reasons, it can affect a child’s mental health.
Management of life with ulcerative colitis
Things to try.
- Think about a summer camp for children with IBD or other chronic illnesses.
- Children ողները caregivers can benefit with patient և family support groups.
- Talk to family և friends about how family life will change to provide a healthier environment.
- Ask your health care professional or mental health professional about stress relief techniques such as meditation or mindfulness.
- Assign someone at the school to find out about absences or accommodation (for example, a school nurse, social worker or counselor).
Children and adolescents with IBD have higher levels of depression and anxiety than children with other chronic illnesses. Symptoms of an active illness, sleep disturbance ունենալ Medication side effects can contribute to depression և anxiety.
Working with a mental health professional may be recommended. Some clinical psychologists are trained to help people with gastrointestinal or other chronic illnesses deal with their condition.
Children and families with ulcerative colitis can find work with a psychologist or other mental health professional who can help them make significant changes in their lives.
Parents and guardians will also want to consider school facilities. This can be in the form of a 504 program. Some things that can be planned include going to the bathroom, time to drop out of school, or need extra help or tutoring.
A child with ulcerative colitis should be part of this planning to help determine who is receiving information about their illness at school and when they are being told.
Ulcerative colitis is more common in children than before, especially in children under 5 years of age. Bloody stools, abdominal pain և Abdominal pain is a common symptom. Diagnosis may include physical examination, laboratory tests, and imaging. Treatment is by lifestyle changes, medication, and sometimes surgery.
Word from Verywell
IBD is often referred to as a “familial disease” because it affects not only different parts of a patient’s life, but also their caregivers, siblings. One of the most important parts of treating ulcerative colitis in children is to get the disease out of remission and prevent future outbreaks.
There is still a lot of unknown about IBD, but in recent years the most important issue in pediatric research has been understanding. Assembling the best possible health care team, including a pediatric gastroenterologist, dietitian, and mental health professional, will help.
Frequently Asked Questions
Do children have ulcerative colitis?
All IBD eggs, including ulcerative colitis, are chronic ահ lifelong. Symptoms may appear և disappear during treatment, և patients may be in remission for a long time (with little or no symptoms). People with ulcerative colitis should see their healthcare provider regularly to manage their symptoms.
Is ulcerative colitis hereditary?
Ulcerative colitis genes are passed on to families. However, more than 150 genes have been identified so far, making it a complex disorder. The risk of a child having IBD when one parent has IBD is low, estimated at about 3%.
When is ulcerative colitis usually diagnosed?
Children and adolescents make up about 20-30% of IBD patients. However, some studies have shown that ulcerative colitis in children may increase in recent years. The largest increase is observed in children under 5 years of age.
What can a parent do to help their child with UC?
Ce helpers can help their children with ulcerative colitis by helping them take their prescribed medications, making sure they eat a diet that supports their growing bodies, and providing emotional support.
IBD is associated with stigma, as the general public may think it is a disease that only affects going to the toilet. Parents can listen to their children’s concerns և protect them with their healthcare professionals, school management, friends և family.
You can also get hints from your child about how they prefer to discuss their IBD (for example, keeping some things secret).