Nutrition Therapy and Crohn's Diseaseenparentshttps://kidshealth.org/EN/images/headers/Nutrition_Therapy_Crohns_Disease_enHD_2.jpgNutrition therapy is an alternative to medicines that doctors use to ease the symptoms of Crohn's disease. It can help improve nutrition and growth, ease inflammation, and heal the gastrointestinal tract.Nutrition therapy, nutrition for crohn's, nutrition, crohn, crohns, crohn's, chrohns, medical nutrition therapy, IBD, inflammatory, bowel, disease, inflammatory bowel disease, bowels, bowel disease, ulcerative colitis, UC, colitis, crohn's diet, nutrition, special diet, IBD diet, what should people with crohn's eat, exclusive enteral nutrition, EEN, total enteral nutrition, TEN, nasogastric, NG tube, feeding tube, formula, malnourished, malnourishment, enteral nutrition, refeeding syndrome10/16/201709/25/201809/25/2018J. Fernando del Rosario, MD07/26/2018e6eefd90-7375-4845-b5dc-d8f028dd7e6bhttps://kidshealth.org/ws/RadyChildrens/en/parents/nutrition-crohns.html/<h3>What Is Nutrition Therapy?</h3> <p>Nutrition therapy is a way to treat health conditions or their symptoms with a special diet. Sometimes, nutrition therapy is used instead of standard treatments, such as medicine. A doctor or registered dietitian can create these diets.</p> <p>Nutrition therapy is also called <strong>medical nutrition therapy</strong>.</p> <h3>What Is Enteral Nutrition Therapy for Crohn's Disease?</h3> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/crohns-disease.html/">Crohn's disease</a> is a type of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ibd.html/">inflammatory bowel disease (IBD)</a> that causes inflammation of the intestines. Enteral (EN-tur-ul) nutrition therapy uses a drinkable enteral formula, such as Boost or Pediasure, to control inflammation and promote healing in Crohn's disease.</p> <h3>Why Is Enteral Nutrition Therapy Done for Crohn's Disease?</h3> <p>Enteral nutrition therapy is an alternative to steroids and other medicines that ease the symptoms of Crohn's disease. Steroids can have serious side effects, including poor growth and increased chance of infections.</p> <p>Enteral nutrition therapy can help improve nutrition and growth, ease inflammation, and heal the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/digestive.html/">gastrointestinal tract</a> (or &quot;gut&quot;).</p> <h3>How Does Enteral Nutrition Therapy Work?</h3> <p>The two types of nutrition therapy used to manage Crohn's symptoms are:</p> <ul class="kh_longline_list"> <li><strong>exclusive enteral nutrition (EEN)</strong>, also called <strong>total enteral nutrition (TEN):</strong> Formula is used for all meals. Plain water and some other liquids may be allowed.</li> <li><strong>partial enteral nutrition (PEN):</strong> Some food is allowed along with the formula. This makes the diet easier to follow.</li> </ul> <p>Some kids drink the formula, while others get it through a nasogastric (NG) tube that runs from the nose into the stomach.</p> <p>Enteral nutrition therapy helps improve nutrition for people with Crohn's disease. But it's not clear why and how it works. Providing balanced nutrition with these formulas might give the gut a chance to heal. It may also work by changing the mix of bacteria that live in the gut. Good bacteria in the gut can help protect the intestinal lining and regulate the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/immune.html/">immune system</a>.</p> <h3>How Long Do People Need Enteral Nutrition Therapy?</h3> <p>Kids with Crohn's disease will need to follow this diet for at least 8–12 weeks. Enteral nutrition therapy can begin at the time of diagnosis or during flare-ups (when symptoms get worse). This is called <strong>induction therapy</strong>. Its goal is to relieve symptoms.</p> <h3>What Happens After Enteral Nutrition Therapy?</h3> <p>After induction therapy, food is slowly added to the child's diet. The amount of formula decreases as more food is given.</p> <p>When symptoms are under control, you'll make a plan with your child's doctor to help keep symptoms under control and prevent flare-ups. On <strong>maintenance therapy</strong>, your child may:</p> <ul> <li>have a balance of regular food, special diets, and formula</li> <li>take maintenance medicines</li> </ul> <p>Your child's doctor and dietitian will help you choose the diet that works best for your child.</p> <h3>Are There Any Risks From Enteral Nutrition Therapy?</h3> <p>Enteral nutrition therapy is very safe. But it can be hard for kids and teens to stick with the diet because:</p> <ul class="kh_longline_list"> <li>They have to drink the same thing every day without much variety. Allowing some food may help to keep kids on the diet.</li> <li>The formula might cause stomach upset, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vomit.html/">vomiting</a>, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/diarrhea.html/">diarrhea</a>.</li> </ul> <p>Children with Crohn's disease may become <a class="kh_anchor">malnourished</a> because:</p> <ul> <li>belly pain, nausea, and other problems decrease their appetite</li> <li>the body needs more calories, especially during flare-ups</li> <li>digestion is poor and nutrients aren't absorbed</li> </ul> <p>Not eating enough food or getting enough nutrients from food can lead to poor growth. So doctors check all children with Crohn's disease for malnutrition.</p> <p>Children with <strong>severe malnourishment</strong> have shifts in fluids and electrolytes during nutrition therapy. Rarely, this can lead to a problem called <strong>refeeding syndrome</strong>, which causes:</p> <ul> <li>irregular heartbeats</li> <li>breathing problems</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/seizure.html/">seizures</a></li> </ul> <p>To help prevent this, these children get enteral nutrition therapy in a hospital, where the care team can watch them closely.</p>Tratamiento nutricional y enfermedad de CrohnEl tratamiento nutricional es una forma de tratar las afecciones médica o sus síntomas con una dieta especial.https://kidshealth.org/ws/RadyChildrens/es/parents/nutrition-crohns-esp.html/44df24c7-befb-44c4-b472-017ea987b5cd
Celiac DiseasePeople with celiac disease can't eat gluten, which is found in many everyday foods, such as bread. Find out more by reading this article for kids.https://kidshealth.org/ws/RadyChildrens/en/kids/celiac.html/4f3ae152-bd9f-44f6-b1f2-b08d69188a95
ConstipationConstipation is a very common problem that usually happens because a person's diet doesn't include enough fluids and fiber. In most cases, making simple changes can help you feel better.https://kidshealth.org/ws/RadyChildrens/en/teens/constipation.html/081f841e-c4c9-493e-a8df-160a60905046
Crohn's DiseaseCrohn's disease is a chronic condition that causes parts of the bowel to get red and swollen. The goal of treatment is to relieve symptoms, prevent other problems, and avoid flare-ups.https://kidshealth.org/ws/RadyChildrens/en/parents/crohns-disease.html/c6890c84-bf8d-4215-b508-759c04cd4a62
Dealing With a Health ConditionIf you suffer from a chronic illness, you know it can be anything but fun. But you can become better informed and more involved in your care. Here are tips to help you deal.https://kidshealth.org/ws/RadyChildrens/en/teens/deal-chronic-illness.html/c77a2c8d-e05a-428e-b9a3-6478059d2cb9
DiarrheaMost kids battle diarrhea from time to time, so it's important to know what to do to relieve and even prevent it.https://kidshealth.org/ws/RadyChildrens/en/parents/diarrhea.html/38efbf41-ac94-4d02-be5d-365f9b03cc12
Digestive SystemThe digestive process starts even before the first bite of food. Find out more about the digestive system and how our bodies break down and absorb the food we eat.https://kidshealth.org/ws/RadyChildrens/en/parents/digestive.html/f2005e0d-6586-4e09-94e7-65388be2bb40
Inflammatory Bowel DiseaseInflammatory bowel disease (IBD) refers to two chronic diseases that cause intestinal inflammation: ulcerative colitis and Crohn's disease. Although they have features in common, there are some important differences.https://kidshealth.org/ws/RadyChildrens/en/parents/ibd.html/cb91f77f-42ea-4e8c-ba7b-df35e1cbc35e
Inflammatory Bowel Disease Factsheet (for Schools)What teachers should know about inflammatory bowel disease, and what teachers can do to help students with IBD succeed in school.https://kidshealth.org/ws/RadyChildrens/en/parents/ibd-factsheet.html/f7cf78dd-93fe-47af-a0ab-0eb024316599
Transition of Care: Crohn's Disease Most teens with Crohn's disease should transition to an adult health care provider when they're between 18 and 21 years old. Here's how parents can help them do that.https://kidshealth.org/ws/RadyChildrens/en/parents/toc-crohns.html/76fd49fe-28d4-445f-aef2-dfa7bfaef46a
Transition of Care: Inflammatory Bowel Disease Most teens with IBD should transition to an adult health care provider when they're between 18 and 21 years old. Here's how parents can help them do that.https://kidshealth.org/ws/RadyChildrens/en/parents/toc-ibd.html/b3aced0b-c6c4-4b88-9957-8067eb5d9d82
Ulcerative ColitisUlcerative colitis is a type of inflammatory bowel disease (IBD) that happens only in the colon. It causes the inner lining of the colon to get red and swollen with sores called ulcers.https://kidshealth.org/ws/RadyChildrens/en/teens/ulcerative-colitis.html/c5e230de-bc36-4c67-b0e1-4b1dfd74b216
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-gastroenterologyAndNutritionWeightManagementkh:genre-articlekh:primaryClinicalDesignation-gastroenterologySpecial Dietary Needshttps://kidshealth.org/ws/RadyChildrens/en/parents/nutrition-center/dietary-needs/c64057a7-a2a9-4dac-a646-104e43dba152Digestive Systemhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/digestive/226681c6-87ab-4259-ac66-0886c67d75a6