Crohn's Diseaseenteenshttps://kidshealth.org/EN/images/headers/Crohns_Disease_enHD_1.jpgCrohn's disease is a condition that causes parts of the intestine (bowel) to get red and swollen. It can be challenging to deal with, but many teens find that they're able to feel well and have few symptoms for long periods of time. crohn, crohn's chrons, chrones, crones, IBD, inflammatory bowel disease, CD, UC, ulcerative colitis, colitis, bowel disease, 10/16/201710/26/201709/02/2019J. Fernando del Rosario, MD10/06/20170253f3a0-810f-467c-9ec8-1fa4187e8179https://kidshealth.org/ws/RadyChildrens/en/teens/crohns-disease.html/<h3>What Is Crohn's Disease?</h3> <p>Crohn's disease is a condition that causes parts of the intestine (bowel) to get red and swollen. It's a chronic condition, which means it lasts a long time or constantly comes and goes.</p> <p>Crohn's disease is an <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/ibd.html/">inflammatory bowel disease (IBD)</a> that can affect any part of the gastrointestinal tract from mouth to anus (where poop comes out). It's most commonly found at the end of the small intestine and the beginning of the large intestine. The inflammation of Crohn's disease damages the entire bowel wall.</p> <h3>What Are the Signs &amp; Symptoms of Crohn's Disease?</h3> <p>The most common symptoms of Crohn's disease are <strong>belly pain</strong> and <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diarrhea.html/"><strong>diarrhea</strong></a>. Other symptoms include:</p> <ul> <li>blood in the toilet, on toilet paper, or in the stool (poop)</li> <li>nausea or vomiting</li> <li>fever</li> <li>low energy</li> <li>skin tags, sores, or drainage around the anus</li> <li>mouth sores</li> <li>weight loss</li> </ul> <p>Because Crohn's disease damages the whole bowel wall, there can be scarring, narrowing of the bowel, and fistulas. A fistula is an abnormal connection between the bowel and skin, bladder, vagina, or other loops of bowel. A fistula may leak stool (poop), pus, or blood.</p> <p>Crohn's disease can cause other problems, such as rashes, eye problems, joint pain and arthritis, and <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/kidney-stones.html/">kidney stones</a> and gallstones. Kids with Crohn's disease may not grow as well as other kids their age and puberty may happen later than normal.</p> <h3>What Causes Crohn's Disease?</h3> <p>The exact cause of Crohn's disease is not clear. It is probably a combination of genetics, the <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/immune.html/">immune system</a>, and something in the environment that triggers inflammation in the gastrointestinal tract. Diet and stress may make symptoms worse, but probably don't cause Crohn's disease.</p> <h3>Who Gets Crohn's Disease?</h3> <p>Crohn's disease tends to run in families. But not everyone with Crohn's disease has a family history of IBD. Crohn's disease can happen at any age, but is usually diagnosed in teens and young adults. People who <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/smoking.html/">smoke</a> are more likely to get Crohn's disease.</p> <h3>How Is Crohn's Disease Diagnosed?</h3> <p>Crohn's disease is diagnosed with a combination of <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/video-bldtest.html/">blood tests</a>, stool (poop) tests, and X-rays. Medical imaging tests, such as CT scans and <a class="kh_anchor">MRIs</a>, might be done too.</p> <p>The doctor will check your stool for blood, and might look at your colon with an instrument called an <strong>endoscope</strong>, a long, thin tube attached to a TV monitor. In this procedure, called a <strong>colonoscopy</strong>, the tube is inserted through the anus to let the doctor see inflammation, bleeding, or ulcers on the wall of the colon. During the procedure, the doctor might do a biopsy (taking small tissue samples for further testing).</p> <h3>How Is Crohn's Disease Treated?</h3> <p>Crohn's disease is treated with medicines, changes in diet, and sometimes surgery. The goal of treatment is to relieve symptoms, prevent other problems, and prevent future flare-ups.&nbsp;</p> <p>Your doctor may recommend:</p> <ul> <li>anti-inflammatory drugs to decrease the inflammation</li> <li>immunosuppressive agents to prevent the immune system from causing further inflammation</li> <li>biologic agents to block proteins that cause inflammation</li> <li>nutrition therapy to give the bowel a chance to heal</li> </ul> <p>Because some medicines make it harder to fight infections, it's important that you be tested for <a class="kh_anchor">tuberculosis</a> and have all the recommended vaccines before starting treatment.</p> <p>Surgery may be necessary if:</p> <ul> <li>the bowel gets a hole</li> <li>the bowel becomes blocked</li> <li>a fistula forms</li> <li>bleeding can't be stopped</li> <li>symptoms don't respond to treatment</li> </ul> <h3>What Else Should I Know About Crohn's Disease?</h3> <p>Poor appetite, diarrhea, and poor digestion of nutrients can make it hard for teens with Crohn's disease to get the calories and nutrients the body needs.</p> <p>Be sure to eat a variety of foods, get plenty of fluids, and avoid foods that make your symptoms worse. Some teens may need supplements, like <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/calcium.html/">calcium</a> or <a class="kh_anchor">vitamin D</a>. Someone who isn't growing well may need other nutrition support.</p> <h3>Looking Ahead</h3> <p>Dealing with the symptoms of Crohn's disease can be challenging. But many teens find that they're able to feel well and have few symptoms for long periods of time. Talk to your doctor about ways that you can feel better during the times you have flares. If you feel sad or anxious about your symptoms, it may also help to talk to a therapist or other mental health professional.</p> <p>As you get older, you can take on more responsibility for <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/medical-care.html/">managing your health care</a>. Getting treatment for Crohn's disease, managing your symptoms, and keeping a positive attitude can help get you back on track.</p> <p>The Crohn's and Colitis Foundation is a good resource for more information and support.</p>Enfermedad de CrohnLa enfermedad de Crohn es una afección que hace que partes del intestino se enrojezcan y se inflamen. Se trata de una afección crónica, lo que significa que dura mucho tiempo o que va y viene constantemente.https://kidshealth.org/ws/RadyChildrens/es/teens/crohns-disease-esp.html/716a4db9-49d8-4a9f-9a83-7462ae3aab6d
Celiac DiseasePeople who have celiac disease, a disorder that makes their bodies react to gluten, can't eat certain kinds of foods. Find out more - including what foods are safe and where to find them.https://kidshealth.org/ws/RadyChildrens/en/teens/celiac.html/fcdcb5b3-ce65-464f-9113-0252fc505fde
Digestive SystemMost people think digestion begins when you first put food in your mouth. But the digestive process actually starts even before the food hits your taste buds.https://kidshealth.org/ws/RadyChildrens/en/teens/digestive-system.html/c0f765e4-a9d9-43fc-983b-b0b49ed76cfd
Inflammatory Bowel DiseaseInflammatory bowel disease is an ongoing illness caused by an inflammation of the intestines. There are two kinds of IBD: Crohn's disease and ulcerative colitis.https://kidshealth.org/ws/RadyChildrens/en/teens/ibd.html/c57ab671-d60f-4706-887c-a02296112ad7
Irritable Bowel SyndromeSome teens get stomachaches and diarrhea often. Read about irritable bowel syndrome (IBS), a common intestinal disorder that affects the colon.https://kidshealth.org/ws/RadyChildrens/en/teens/ibs.html/48a0c74d-aff9-429c-89ed-8429b1d28d2b
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-teenThirteenToNineteenkh:age-youngAdultEighteenPluskh:clinicalDesignation-gastroenterologykh:genre-articlekh:primaryClinicalDesignation-gastroenterologyDigestive System (for Teens)https://kidshealth.org/ws/RadyChildrens/en/teens/diseases-conditions/digestive/758bedbb-d957-430e-b079-f7142e6eadd6