Mother of Son aged 18 years of Age with Crohns needing advice in how best to help son

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Joined
Feb 5, 2012
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Hi Everyone,

First of all my apologies if I have posted this in the wrong section as I am new to this forum, My son is 18 years of age and has been suffering from Crohns disease for the past 14 years. Four weeks ago he had 2 foot of his jejunum removed due to him completly obstructing. I am having trouble in getting my son to have enough calories. He is definetly under eating by at least 1000 calories a day and in fact I feel he should be having extra calories so he can gain in weight. I understand what he is saying that when he was younger and he had to just have the polymeric diet on its own for 8 weeks at a time he had to convince his himself/brain that he no longer liked solid food to get through the hard time of the polymeric diet. He says he just doesn't like food and he forgets to eat at times. I am currently supplementing him with at least 4 ensure+ just to get some calories down him and even that is hard. I also know that its not just the calories that matter but the right nutrition that matters too. He is so underweight. I am at my witts end with worry. Feel so helpless of how to help other than being there for him but sometimes that is just not enough and that is why I have to be pro-active for him and this is one of the reasons I have joined this forum. He does not see the Gastroenterologist until the 13th March 2012. He has not had any followup appointment from the surgeon. Nor has he received any appointments from the specialist dietician which is definetly one of the next things on my list as I can't just sit back and do nothing. I am sure if I can get some more nutrition down him it will help improve his energy levels too. I realise also that it is still early days post surgery.

Any advice would be greatly appreciated as even though I try by best to understand where he is coming from the botton line is I don't have Crohns so I know can't truly understand how it feels. Apologies for this long winded post. I have also asked my son if he wants to join the forum for some support but at the moment he is not keen.

Thank you for taking the time to read this post.
All the Best to you
Julie:
 
Hi Julie and :welcome:

Goodness me, you and your boy are having a hard time of it...:hug:

Is it possible for him to have overnight tube feeds as a way of getting extra calories and nutrition into him? Assuming he doesn't want or desire to have it in 24/7.
We have other parent's on here that are doing that with their children, as a way of keeping inflammation under control and providing added nutrition.

You have posted in the right section but you might like to also have a look at the Enteral Nutrition Forum, the Diet Forum and the Parent's Forum.

Is your son on any medications or supplements?

Dusty. xxx
 
Hi DustyKat,

Thank you so much for replying. I have mentioned to him about feeding him via the naso gastric tube route. The passing of a naso gastric won't be a problem for me but obviously not nice for him as I use to be a Staff Nurse.

I am currently giving him Humira 40mg injections fortnightly. It was weekly prior to surgery. He is not on any other medications permanently except if he has any symptoms which he has Buscapan and sometimes Odanestron for the nausea and regular pain killers. He also has the Enusre+.

I have also thought about asking about getting some Calogen supplement just to help him gain some weight. He is nearly 5Ft 9 and weight just over 7 stone so you can see why I am so worried.

Thank you again
Julie
 
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Hi Maisy,

My son is 17 and his treatment has been EN therapy via NG tube since May. He has very few problems with the tube, inserts it himself each evening and removes it during the day. The initial 6 week treatment was the EN treatment with no food; his maintenance treatment since has been 1/2 the dose, 5 nights per week with all other foods added in. Prior to diagnosis, he had lost approx. 20 lbs, within three months he gained 30 lbs and stabilized at that weight.

He's had much success with this, perhaps it's something to suggest to your son.

Good luck! :)
 
Hi Tesscorm,

Thankyou so much for replying. The nasogastric will definetly will be an option if his appetite does not improve soon. Your son does very well passing his own NG tube. I am pretty sure my son will not be able to pass the NG tube himself as he is pretty sqeamish. I have tried to encourage him to give his own Humira injections which he has been having for 18 months now to no avail.

I am pleased for you and your son that he is doing well with the NG feeds.

Thanks Again,
Julie
 
Hi Julie ,

I don't have any advice for that the other ladies haven't already given.
I just wanted to say Welcome to the forum and I'm sorry your son is having such a rough time right now :(
We're glad to have you here, and as Dusty said, come on over to the Parents section and have a look. There are a ton of caring parents here and quite a few that are doing EN :)

Best of luck ! :hug:
 

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