Hi emmac and :welcome:
I’m so very sorry to hear about your lad. :ghug:
Delayed growth does indicate that disease has present for some time and unfortunately the development of an abscess is considered a complication of Crohn’s and so immediately takes him out of the mild stakes and puts him into the category of moderate to severe disease, perhaps with a leaning to severe, as does the weight loss if it is greater than >10% and in a boy your son’s age I would imagine that would be the case.
This disease has so many and varied presentations and you will find that a lack of overt symptoms is no guarantee of the severity of the disease. It can be cyclic in nature as it is with your son and it was with my daughter and depending on the location of the disease even the tell tale signs that most docs look for are absent, that being blood and diarrhoea. Neither of my two had those symptoms.
Jacqui is spot on with her comments about my son. My daughter went undiagnosed for a lengthy period of time and received her diagnosis on the operating table, she had not seen a GI as Crohn’s wasn’t on the radar due to the lack of ’normal’ symptoms. When she did she a GI post op he was able to tell by looking at her finger nails that inflammation had been present for about two years and on refection at the time I could confirm symptoms from about 18 months previously. With this in mind I fully believed that my daughter’s severity of disease and the need for her surgery was based on the fact that she was undiagnosed. She was 14 at this time.
Then 4 years later my son, then 17, developed very, very mild symptoms of a stomach bug that lasted a week, that was it. Looking back I did find other symptoms…fatigue and darkness under his eyes that we could easily attribute to a very heavy study and sport load but no pain, bleeding, diarrhoea, weight loss and so on. I asked that the GP do inflammatory markers, never in my wildest dreams expecting anything to come of it. As it was one of his inflammatory markers was raised and it snowballed from there, within two weeks we had a diagnosis of Crohn’s. The results from the scope rated his disease as mild to very mild and I honestly thought that with that we had a dodged a bullet and he would not face the outcome my daughter had. However within three weeks of that scope he developed complications, a fistula and abscess and he too ended up with surgery. It only takes one deep ulcer to create what happened to him regardless of the overall look of the mucosa.
We were initially presented with Prednisone and Imuran as a course of action with the latter addition of EN. If he did not have very clear clinical and objective markers of response after six weeks then he would move to Humira. Had that been the case, as much as I hated the thought of it, I would have welcomed it with open arms but then I am coming from a very different history and I well understand anyone feeling the way you do. As it was all those choices were taken out of our hands and surgery was our only option.
I do firmly believe that diet can and does play a role for many in gaining remission (EEN), helping maintain a remission (some do find particular diets assist with their health and well being) and alleviating symptoms when flaring (Low Residue diet). Not everyone has obvious foods they need to avoid and sometimes it may just come down to avoiding what doesn’t agree with you, much as it is for those of us without Crohn’s.
I think the main thing to remember with this disease is to never say never. Don’t become so enamoured with a treatment, whether it be traditional or alternative, that you refuse to believe what you see in front of you. Be flexible and open minded and be prepared to change tack when needed. This disease can be both complex and frustrating and you may well find that a blending of many philosophies is the best way to go as they compliment each other…modern medicine, diet, supplementation, exercise, counselling and so on.
Where is your son’s disease located?
Good luck and welcome aboard!
Dusty. xxx