That's such a hard situation to be in.
We all love all our kids equally and it's heartbreaking when any one of them feels he or she is not being treated fairly by you. My kids were also older when my son was diagnosed so the maturity allowed for a greater level of comprehension by his sister.
I agree with FW and Clash… getting your younger ones involved in some way that will show them what Matt and Ryan deal with may help their understanding.
When my kids were growing up, situations did arise when one needed extra attention, although, none of these situations were as serious or demanding as caring for two IBD siblings. :ghug: If the demand on my time by one was something I considered important, I explained to the other why it was important, made it clear that, as a family, we would all be supportive, that I expected this support from them but that they could also expect the same support when/if they ever needed it. I think because I was fairly clear and firm, they just accepted whatever it was (wasn't always smooth sailing but they seemed to accept that's the way things would be). However, that's not to say that I didn't appreciate that the other was feeling slighted and hurt (kids only have so much comprehension and sympathy :ack
and I certainly went out of my way to 'thank' them when they showed support and to make them also feel special at times. (But, wow, it is a fine line to walk - you then don't want the first one feeling cheated on the 'extra' stuff simply because their illness, etc. is putting demands on your time. :ywow
And, I can appreciate it must be even tougher when you have more kids putting demands on your time. :ghug:
Given the age difference between Matt and Ryan and your younger two, have you ever tried speaking to Matt and Ryan as well and trying to make them understand that they also need to understand that the younger two simply don't yet have the same level of maturity and understanding and may act out for a number of reasons - jealousy, concern, etc.?
So sorry you have to deal with this extra burden on top of your concerns for Matt and Ryan.