11-year-old daughter just diagnosed

Crohn's Disease Forum

Help Support Crohn's Disease Forum:

Joined
May 13, 2014
Messages
47
Hi all. I'm Rachael and my 11-year-old daughter L has Crohn's disease. We are still in the very early stages of dealing with this-she just had the endoscopy and colonoscopy last week. We meet with the GI on Thursday to start treatment-most likely prednisone, followed by an immunomodulator and remicade. Unfortunately I already know quite a bit about Crohn's disease as my younger sister was diagnosed with it about 6 years ago in her 20's.

As I'm sure it was for everyone, this diagnosis came as a complete shock. L is having very few outward symptoms of Crohn's disease, just some random fevers and occasional stomach pain and fatigue. We found her disease because I took her to the ped. for some blood work because I thought her blood sugar might be low. It was normal but she was extremely low in protein, iron, and calcium and her CRP and sed rate were elevated. Ugh. Her growth is also delayed and we should get the bone growth scan results on Thursday as well. We always just thought she was petite for her age.

Anyway, I've been lurking around here for a few weeks since the doctors first mentioned Crohn's and I thought I'd say hi. I'm sorry to have to be here but grateful to find a community of people who understand what we are going through.
 
Welcome to the club, ChicagoMom :ghug:

If you have any questions, ask away. While IBD can be very different for everyone, there's probably another child or two here going through the same thing.

Keep us posted on how things go this week.
 
Hi. Sorry you are here. My 13 yr old boy was diagnosed just a couple weeks before you. We are on week two of prednisone, and I'm completely shocked/pleased at the turn around with my boy. He is back to his previous happy and alert self. Hoping for similar results for your daughter as well.
 
It is a good place for support. My girl is 11 too. 😝

Let us know how we can support you.

J.
 
My son is 12 and was diagnosed in December. This forum has been extremely helpful for guidance and support. Definitely my go to when I have a question, or just to feel we are not alone in our fight against this disease.

We also live in the Chicago area and see the Pediatric GI group out of Lutheran General.
 
Your daughter's symptoms sound a lot like my daughter's (age 13). So I'll recap our "story thus far" for you because of that similar presentation. A change in diet has been a remarkable success with her.

This fall, our daughter had fevers and stomach aches and fatigue and weight loss. Pediatrician kept saying it was probably a virus, but I insisted on bloodwork, and that showed pretty much the same things as you described. High inflammation levels in CRP and Sed rate, low protein, low iron, low Vitamin D. Pediatric gastroenterologist suspected Crohn's, to our astonishment. No family history of inflammatory bowel disease.

Endoscopy and colonoscopy and biopsies and MRE confirmed the Crohn's diagnosis despite her not having the kind of severe symptoms such as diarrhea that we thought were the markers of Crohn's.

The doctor started her on Pentasa, no effect noticed. Prednisone helped but did not have the enormous benefit that Malorymug's son experienced (above) and that I had heard about anecdotally elsewhere. Doctor started urging us to start giving her 6MP.

We did a ton of online research, mostly in the medical journals. My husband is a health care researcher by profession, and I know a lot of people, so between us we came across a lot of alternative treatments. Early on, someone told me about the Specific Carbohydrate Diet, and we bought the book about it, "Breaking the Vicious Cycle" by Elaine Gottshall, but it sounded so goofy, we didn't take it seriously.

We tried a lot of dietary supplements such as turmeric, tart cherry juice, probiotics, cat's claw, wormwood, and some others. Also supplemented with B vitamins, zinc, Vitamin D3, and lactoferrin, because of her anemia and malabsorption. Wheat seemed to be a problem so we cut that out. Somewhere along the line she had a week on an antibiotic called Rifaximin, and that seemed to help, but she was still sick.

We went so far as to fill the 6MP prescription, but couldn't quite bring ourselves to start administering a chemotherapy drug to our daughter without trying one last thing. With no great expectation, but considerable desperation, we started the whole family on the Specific Carbohydrate Diet.

It worked.

Our daughter had had a fever essentially every day for four months. Sometimes as high as 103. She had stomach aches and fatigue every day. Weight loss. Facial flushing. No appetite even though she was on 40 mg of Prednisone.

She was better after only one day on the Specific Carbohydrate Diet. Four days after starting the diet -- no fever, no stomach ache, both completely gone. Tons of energy and appetite. It was like a miracle.

After two weeks, all the inflammatory markers in her bloodwork were back to normal. In fact, low normal. After another month, virtually everything else in her bloodwork was completely normal as well.

She's now been on SCD for three months. We tapered her off the Prednisone and other supplements, and now all she's taking is the Pentasa and zinc and Vitamin D3. (Not sure if the Pentasa is doing anything at all, but we will reassess when it comes time to renew the prescription.) The only aspect that has not resolved is a certain amount of facial flushing, and we have no idea what that is all about.

We spent a week in England over Spring Break, and she was perfectly fine the whole time. Eating was a bit difficult, but we had rented a flat that had a kitchen, and thanks to good restaurant advice from some Paleo blogs, we worked it out OK and stayed meticulously on the diet.

SCD doesn't work this well for everybody, but it does seem to help a lot of people. We have become SCD evangelists, spreading the word that this is something that is worth a try. At the very least, we think doctors should give the information to their newly-diagnosed patients, even while they are waiting for the first appointment or the endoscopy, or for prescription meds to start working. "This diet helps, for many people, and it's very healthy, and if it works for you it will be obvious within a month," they could say.

We know there will be some bumps in the road, that's the nature of this disease. Still, for now she's doing well, and we are continuing to educate ourselves.

There is a lot of information online about SCD, and you should definitely read Gottshall's book. (My husband complained that the science behind the diet is not explained very well, but that's OK.) The story of Elaine Gottshall and her determination to help her young daughter recover from Ulcerative Colitis, is quite inspirational. She then devoted her life to studying how and why the diet works, and spreading the word in order to help others suffering with inflammatory bowel disease.

There have not been any large well-run medical studies yet. Because -- who would pay for it? Not the drug companies! But some studies are in the works, I understand.

All I can say is, it's worth a try. It worked for us.
 
Thanks everyone. I really appreciate the support. I'll update after our appointment tomorrow as I'm sure I'll have lots more questions.

myboy12: That's the Ped. GI group we are seeing too!
 
Late to the party, but Welcome ChicagoMom. My son had similar presentation when he was diagnosed at 10, he is 14 now.
 
ChicagoMom,
I am also new to this forum and the world of Crohn's. I'm still learning and I am not familiar with immunomodulators, but our dr is talking about Remicade, also.
 
Welcome to the forum, but sorry to hear of your daughter's dx. My 9 yo son was dx'd last yr at age 8. His disease came on suddenly after having had the flu. I hope you get your daughter on the road to feeling better very soon. Take care!
 
My son was suspected of having crohns in kindergarten... After having bronchitis and being on an antibiotic. I was in a bit of denial. (the crohns symptoms seemed to go away-but not the failure to grow-which I didn't realize was a big symptom) It was confirmed when he was 9 when he flared again with cramps and diarrhea. I found this forum then and it has really helped me. Its the only place that people really 'Get it' and can actually help!! And hearing what other people's GI doctors are doing is really valuable. You are now your child's advocate. You ask a question here... and you get lots of really smart advice. And support when you just need a hug too!!
 
Welcome to the forum. Sorry you had to find us but so glad you did! The diagnosis is so often a shock. It was funny when my daughter was diagnosed I had thought about UC but not crohns at all. There is a lot of great info on this forum. I highly recommend reading through the treatment forum. There is a lot of really good information there.
 
ChicagoMom,

We had our first infusion of Remicade yesterday and everything went really well. I am amazed that my son got up this morning with a smile on his face wanting to eat breakfast:) Don't know if it is psychological, or the treatment worked that quickly, but we'll take it!

I just wanted to let you know that please feel free to contact me if you have any questions regarding our experience with the GI docs at Lutheran. BTW their IBD coordinator is awesome, he always calls back same day and is so kind and knowledgeable.

Keep us posted!
 
ChicagoMom,

We had our first infusion of Remicade yesterday and everything went really well. I am amazed that my son got up this morning with a smile on his face wanting to eat breakfast:) Don't know if it is psychological, or the treatment worked that quickly, but we'll take it!

That's the way it was for us as well - 5 months later and he is still eating like a normal teenage boy after 4 years of just picking at food. He is always starving the day after his infusion. He went from 89 pounds the day of his first infusion and is now at 106 pounds. Love seeing him eat.
 
ChicagoMom,

We had our first infusion of Remicade yesterday and everything went really well. I am amazed that my son got up this morning with a smile on his face wanting to eat breakfast:) Don't know if it is psychological, or the treatment worked that quickly, but we'll take it!

I just wanted to let you know that please feel free to contact me if you have any questions regarding our experience with the GI docs at Lutheran. BTW their IBD coordinator is awesome, he always calls back same day and is so kind and knowledgeable.

Keep us posted!

I know, isn't the IBD coordinator amazing! I spent quite a bit of time on the phone with him yesterday getting some things squared away (our pharmacy wouldn't fill the Pentasa prescription because it was such a high dosage) and he was just as you say, kind and knowledgeable. The binder they gave us at the appointment from him was so nice too!

So, they've started L on Prednisone, Pentasa and 6-mp. I'm terrified about all of it, but I know that we aren't left with many options right now, so we'll have follow-up bloodwork in 3 weeks and go from there. In the meantime L also has to have a barium x-ray of the small bowel as they weren't able to scope it at her colonoscopy because her IC valve was too swollen and ulcerated to pass the scope through.

I'm feeling as calm as I can at this point, just glad to be going in a forward direction rather than just waiting. Thanks everyone for your support! I really appreciate all of your kind words and helpfulness.
 
Chicagomom-
Did the drs explain why they chose that drug combo over Remicade? We are still exploring options and expect to start treatment within 2 wks.
 
Next time ask for an MRE ( MRI with barium plus contrast) - it will give a better view of the small bowel and less radiation of a small bowel follow through ( barium with X-rays) - no one really uses those with kids anymore.
 

Latest posts

Back
Top