Crohn Disease in Children and Teens (cont.)
IN THIS ARTICLE
Crohn's Disease in Children and Teens Diagnosis
The child's evaluation will start with a medical interview and physical examination. The parents or caregivers will be asked questions about the child's:
The physical examination will include careful touching of the abdomen and possibly of the rectum. The child's physical growth and sexual development will be assessed. At any time during the evaluation, the child may be referred to a gastroenterologist (a doctor who specializes in diseases of the digestive tract).
There is no lab test that can absolutely confirm that a child has Crohn's disease. Blood tests may be done to look for evidence of the disease, such as inflammation, anemia, or nutritional deficiencies. A stool sample may be collected to look for blood or signs of infection.
The child may undergo imaging studies to detect the extent of the disease and any complications that may have developed.
Endoscopy is always necessary to make a definite diagnosis.
Endoscopic retrograde cholangiopancreatography (ERCP) is helpful for both diagnosis and treatment in people who have Crohn's disease of the pancreas or bile ducts.
Medical professionals who care for people with Crohn's disease use various systems for tracking symptoms and responses to treatment over time. The Pediatric Crohn's Disease Activity Index (PCDAI) was developed for children and adolescents in 1990 from a similar scale used for adults. The child's health care professional may use this scale to find patterns in disease severity and adjust treatment.
Medically Reviewed by a Doctor on 7/9/2013
Andrew B. Grossman, MD
Petar Mamula, MD
Bhupinder Anand, MD
Venkatachala Mohan, MD
Must Read Articles Related to Crohn Disease in Children and Teens
Patient Comments & Reviews
The eMedicineHealth doctors ask about Crohn's Disease in Children and Teens:
Crohn's Disease in Children and Teens - Experience
Please describe your child or teen's experience with Crohn's disease.
Crohn's Disease in Children and Teens - Treatment
What treatments have been effective in treating your child or teen's Crohn's disease?
Crohn's Disease in Children and Teens - Home Care
What home care treatments and remedies has your child or teen found helpful in managing the symptoms of Crohn's disease?
Crohn's Disease in Children and Teens - Medications
What medications have been effective in treating Crohn's disease in your child or teen?
Crohn's Disease in Children and Teens - Surgery
Please describe your child or teen's experience with surgery and Crohn's disease.
Crohn's Disease in Children, Teens - Symptoms
What symptoms did your child or teen experience with Crohn disease?
Crohn's Disease Resources
- Are You Getting Enough Vitamin B12?
- Creating a Crohn's Disease Diet Plan
- How Much Do You Know About Crohn's Disease?