Crohn's disease treatment in children: What are the concerns?

Crohn's disease treatment in children is similar to that of adults. However, unlike with adults, nutrition and growth are of critical importance in children with Crohn's disease.

Crohn's disease can cause malnutrition and stunted growth as a result of diminished appetite and decreased ability to absorb nutrients. Because Crohn's is an inflammatory disease, nutrient requirements are increased. These factors can lead to weight loss, slower growth, smaller stature and delayed sexual maturation. Children may also have problems with psychological development and maturity.

The key to minimizing these effects is to keep the disease in remission with medications. Parents need to make sure that their children take their medications as directed. Unfortunately, some medications used to treat Crohn's disease — such as corticosteroids, sulfasalazine and cholestyramine — can interfere with nutrition and growth.

It is very important for children with Crohn's disease to find a gastroenterologist — preferably a pediatric gastroenterologist — who has experience in treating the disease in children. Crohn's disease treatment also may involve dietitians, endocrinologists, surgeons, psychologists and disease support groups for the children and their families.