Category Archives: An Apple a Day…

What You Need to Know About Inflammatory Bowel Disease and Your Teen

80,000 kids and #teens are treated for #IBD each year: What You Need to Know About Inflammatory Bowel Disease and Your Teen. | Sisterhood of the Sensible Moms | #parenting #teens #health #wellness

Trust me when I say this is information every parent should know; it’s why I agreed to partner with Med-IQ to spread the word. But first, let’s talk about what exactly inflammatory bowel disease is because I am a stickler for defining terms. It must be all of that time I spent in medical school.

It’s important to understand that inflammatory bowel disease (IBD) is NOT the same as irritable bowel syndrome (IBS). The “I” stands for very different things, but I often hear people using “inflammatory” and “irritable” interchangeably.

IBD (remember, “I” = inflammatory) is actually a collection of diseases, the two most common of which are Crohn’s disease (CD) and ulcerative colitis (UC).

  • CD is inflammation that can affect any part of the gut, from the mouth all the way down to the anus. It can progress from mainly superficial inflammation in the lining of the intestine to a deeper inflammation that burrows into nearby organs or through to the skin. There can also be scarring that narrows the intestines and causes blockages that can lead to hospitalizations and surgeries.
  • UC is inflammation that is confined to the large intestine (colon). Complications can include toxic megacolon (an emergency condition where the colon dilates), and in the long-term, colon cancer.

IBS (remember, “I” = irritable) does not involve inflammation, and having IBS does not make you more likely to develop other colon conditions like UC, CD, or colon cancer. Although IBS can produce cramping, abdominal pain, and diarrhea like IBD, it does not have the IBD symptoms of bloody stool, lack of appetite, weight loss, and fatigue.

So now that we know exactly what we are talking about, let’s discuss why it should be on your radar as the parent of a teen.

  • Nearly 25% of people with IBD are diagnosed during childhood or the teen years.
  • In 2015, 1.6 million people were treated for IBD, and 80,000 of those were under the age of 18.

Taking these numbers into consideration, it is important to also understand that adolescents have a way of adjusting to a “new normal” when they don’t realize what they are experiencing is unusual. For instance, they may have diarrhea so routinely (and associate it starting with something they ate so completely) that it’s just a way of life for them that they never think to mention. If you hear frequent complaints like “my stomach hurts,” it’s time to dig a little deeper.

80,000 kids and #teens are treated for #IBD each year: What You Need to Know About Inflammatory Bowel Disease and Your Teen. | Sisterhood of the Sensible Moms | #parenting #teens #health #wellness

Ask about the following symptoms, and remember these can fluctuate over time:

  • Diarrhea
  • Rectal bleeding
  • Urgent need to move bowels
  • Abdominal cramping and pain
  • Sensation of incomplete evacuation (feeling like you have to “go” even after you “go”)
  • Constipation

There are also non-specific symptoms associated with IBD including fever, loss of appetite, weight loss of 5% of body weight, fatigue, night sweats, and loss of a normal menstrual cycle. You can also experience joint pain, eye inflammation (uveitis), painful lumps on the shins, and mouth ulcers.

If your child appears to have even one of these symptoms, it’s time to make an appointment with your doctor because fast and aggressive treatment with immunomodulators or biologic agents can induce remission, heal the bowel wall, and reduce the number of future hospitalizations and surgeries. Starting with these agents improves the overall quality of life more than past therapeutic strategies in which treatment would start with less-intensive therapies and only “step up” if symptoms didn’t improve. Common prescription medications to treat IBD can be found here.

To prepare for your appointment:

  • Be aware of any pre-appointment restrictions (like fasting)
  • Write down symptoms
  • List all medications
  • Schedule a family member or friend to bring along
  • Write down questions to ask the doctor

There is a fantastic app for tracking symptoms called GI Buddy.

More general information about IBD and preparing for appointments can be found on the Mayo Clinic website.

Useful information is presented during this Q&A Session with IBD expert, Dr. Hanauer. I especially found the probiotic discussion informative.

 

If your child is diagnosed with IBD, support groups are available:

Specific resources geared toward teens can be found here:

Remember, knowledge is power and early, intensive treatment can not only improve your child’s quality of life right now, it can reduce complications later down the road.

-Ellen

I was compensated by Med-IQ through an educational grant from Takeda Pharmaceuticals U.S.A., Inc. to write about the signs and symptoms of inflammatory bowel disease. All my opinions are my own.

Furthermore, this post does not constitute medical advice or diagnosis. Contact a medical professional with any symptoms, questions, or concerns.

Links are being provided as a convenience and for informational purposes only; they are not intended and should not be construed as legal or medical advice nor are they endorsements of any healthcare provider or practice. Med-IQ bears no responsibility for the accuracy, legality, or content of the external site or for that of subsequent links. Contact the external site for answers to questions regarding its content.

 


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Stop Skin Cancer Because You Can

May is Skin Cancer Awareness Month and we are shouting it from the mountaintops or maybe we should say, blogging it from the molehills. Get it? Mole. Hills. While skin cancer is no laughing matter, we are willing to use whatever means necessary to kick you into gear to get your skin checked.

Stop Skin Cancer Because You Can - Early Detection is Key

Prevention + Detection = Health

When it comes to skin cancer, prevention is key: staying covered up with hats, shirts, and sunglasses, slathering on sunscreen, and never using tanning beds. However, the skin cancer you get today is from the exposure you had in your past. Everyone needs a professional skin check. If you are not convinced yet, here are a seven reasons to make that appointment today.

Skin Cancer Sucks - Early Diagnosis is Key

There are free resources in your area. Please take advantage of them.

The Skin Cancer Foundation and Rite Aid are providing free skin screenings in a mobile unit through The Road to Healthy Skin Tour.

The American Academy of Dermatology has a locator for you to find free screenings in your state.

The American Society for Dermatologic Surgery also offers a locator for free screenings.

Check with your local health department, they often have free health screenings.

 

Wishing you health and peace,

Ellen and Erin

 

 

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