Navigating IBD as a Teen

If your teen has just been diagnosed with Crohn’s disease or ulcerative colitis, you likely have a lot of questions.

Learning all you can about your inflammatory bowel disease is the first step toward helping your child living the life they want. We can help by answering some of the most common questions and concerns that teenagers have about living with IBD.

What Do Teens Need to Know About IBD?

Let’s talk basics. Inflammatory bowel disease (IBD) is a chronic, lifelong disease that causes inflammation of the gastrointestinal (GI) tract. The two main types of IBD are Crohn’s disease and ulcerative colitis.

Your GI tract is responsible for digestion of food, absorption of nutrients, and elimination of waste from your body. The GI tract starts with your mouth and continues down your throat into your esophagus, and through your stomach, small intestine, large intestine, and rectum, ending with your anus. Inflammation caused by IBD makes the affected GI organs work improperly.

Read more about symptoms, causes, and treatments of IBD:

We wrote a Guide for Teens with IBD to answer more questions your teen may have and to help them live well with IBD.

Some important information to remember:

  • Nothing your child ate or did gave him/her IBD.

  • Most people who live with IBD are healthy more often than they are sick.

  • Ask your child’s doctor questions so you and your teen can learn more about managing their IBD.

  • Encourage your teen to keep working towards their goals. Remember there are successful doctors, lawyers, business people, celebrities, and professional athletes with IBD.

What You Need to Know About Diet and Nutrition

Many IBD patients worry that they will no longer be able to go out to eat with friends or enjoy their favorite foods. Learning about proper nutrition is the best way to stay healthy and even alleviate some of those concerns.

Did you know “diet” and “nutrition” are two different things?

  • Diet refers to the foods we eat.

  • Nutrition means properly absorbing food to stay healthy.

Because IBD affects the organs responsible for absorbing vitamins, nutrients, and water, it is important for your teen to maintain a healthy diet with proper nutrition.

What Should My Teen Eat?

When your child is experiencing Crohn’s disease or ulcerative colitis symptoms, or when their disease is in a flare, these food tips may help:

  • Eat smaller meals more often.

  • Reduce the amount of greasy or fried foods they eat.

  • Avoid foods that have made their symptoms worse in the past.

  • Limit certain high-fiber foods such as seeds, nuts, popcorn, beans, green leafy vegetables, wheat bran, and raw fruits and vegetables.

  • Limit milk or milk products if they are lactose intolerant.

  • Avoid caffeine in coffee, tea, soda, and other caffeinated beverages. Caffeine can act as a stimulant to “rev up” the bowel resulting in diarrhea.

  • Ask their doctor about taking vitamin and mineral supplements, such as vitamin D and calcium.

  • Encourage your teen to drink as much water as they can. Their symptoms during a flare could make them dehydrated.

IBD Nutrition Equation

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IBD Nutrition Equation For kids with IBD, nutrition can be a complex subject. Good nutrition is important and can lead to overall better health.

 

La Nutrición en la enfermedad de Crohn y colitis ulcerosa

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La Nutrición en la enfermedad de Crohn y colitis ulcerosa La nutrición es un tema complicado para niños con enfermedades inflamatorias intestinales (EII). Este video explica la importancia de mantener una dieta saludable y de hablar con su equipo de atención médica sobre las necesidades nutricionales de sus hijos.

Daily Life with IBD

Crohn’s disease and ulcerative colitis affect almost every part of their life, from school and work, to sports and hobbies, to staying healthy. But there are many things you can do as a family to make your teen’s life easier.

The most important thing to remember is that they can accomplish their goals with IBD!

  • Many people with IBD need to take medication for the rest of their lives.

  • Their symptoms may range from mild to severe.

  • They will have times when they have flares with active symptoms.

  • They will have periods of remission and good health.

What if they forget to take their medication?

It’s important that you they  your hardest to take your medication as your doctor prescribed. You can help set them up for success by creating a medication journal, a calendar or an app on their phone to remind them.

Will they be able to go to school, hang out with their friends, or play sports?

Yes. This is a common concern for teens with IBD. They will be able to do many of the same activities they did before. They may need to take certain precautions, however, such as rearranging their plans when they are not feeling well or they are too tired.

Who should they tell about their IBD and how much should they disclose?

The easy answer is that they should tell whoever they want, and as much as they want. But that isn’t always easy for teens to figure out.

Some people will need to know the details, like their school nurse. If they are away from home, maybe at college or summer camp, someone needs to be their healthcare point person that can help your child when their doctor isn’t available. That point person will need to know your child’s history, symptoms, and the emergency care that works.

Other people, like their teachers and their boss, only need to know some details to understand how your teen’s IBD symptoms can affect their daily life.

How will my teen’s IBD affect their education?

Whether it’s middle school, high school, or college, your teen spends a lot of time at school. Because IBD is unpredictable, they will need a backup plan with someone who knows their medical situation and can help you if they have an emergency.

Their IBD and treatments might affect their school attendance or performance. Your teen might have to miss school when they have medical appointments or if they’re not feeling well during a flare. It’s good to remind your teen that they are still responsible for learning the required subject matter. You can help by requesting a 504 plan which is a document that will give your child certain accommodations or special services they may need. This could include extra time to take your tests if they have to go to the bathroom, or getting to take home some of their work during a flare or if they are hospitalized.

Being Prepared for Bathroom Accidents

Unfortunately, IBD can be unpredictable. There will be times when your teen’s Crohn’s disease or ulcerative colitis is deep in remission and they feel great. Other times, their symptoms may cause them to have to urgently and immediately use the bathroom.

Help your teen by prepared with some emergency bathroom supplies. They should carry the basics in a small bag or a backpack.

Here are a few things to consider for your teen’s emergency supply bag:

  • Toilet paper

  • Wet wipes

  • Powder

  • Hand sanitizer

  • Small can of air freshener

  • Disposable gloves, to handle any soiled clothes

  • Large-sized freezer bags to store the soiled clothes until they get home

  • Clean underwear

  • Clean clothes they can wear until they get home, such as shorts, pants, or leggings

Helping Your Teen Cope with IBD

Your teen’s IBD symptoms may come and go, so you never know when they’re going to become a problem. If they are prepared and your child’s learns to properly care for themselves, these symptoms won’t limit their life.

Remind your teen that  that their mental health and emotional well-being are just as important as their physical health. Tell your teen to talk to you, or their doctor or another trusted adult if they are feeling anxious, sad or depressed.

  • Your teen is more than their IBD. Help them accept their illness, so they can continue to do what they enjoy.

  • Encourage them to continue the activities they enjoyed before IBD and try something new! They can modify their activities if they have to, so they can participate fully.

  • Encourage your teen to form friendships with people who understand and support them.

  • Talk to them about the importance of a regular exercise routine, with their doctor’s approval. Exercise can improve their overall health, reduce stress, and help to maintain and improve bone strength.

Related Resources

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Just Like Me IBD

"Just Like Me IBD," a site for young adults with IBD, connects you with the information and resources you need to enjoy life and all that comes with it.