MONITORING, DIAGNOSIS, AND TREATMENT OF IBD IN CHILDREN: PREVENTING DELAYED PUBERTY AND STUNTED GROWTH

MONITORING, DIAGNOSIS, AND TREATMENT OF IBD IN CHILDREN: PREVENTING DELAYED PUBERTY AND STUNTED GROWTH

Inflammatory Bowel Disease (IBD) is a condition characterized by inflammation of the intestines due to abnormal immune system activity. In children, IBD can lead to severe health issues and significantly impact their quality of life.

According to Associate Professor Dr. Nguyen Quang Duat from the Gastroenterology and Hepatology Department at Hanoi French Hospital (HFH), there are two main types of IBD: Crohn’s Disease (CD) and Ulcerative Colitis (UC). Key symptoms of IBD in children include frequent abdominal pain and diarrhea. Other symptoms are:

• Blood in stools, prolonged diarrhea
• Fatigue, restlessness, and night sweats
• Poor appetite
• Unexplained weight loss
• Abdominal bloating

Children with chronic IBD may face challenges in absorbing the necessary calories and nutrients, potentially leading to stunted growth or delayed puberty. If inflammation is not well-controlled, the disease can worsen over time and cause severe complications such as:

• Intestinal obstruction
• Anal fistulas
• Toxic megacolon or intestinal perforation
• Primary sclerosing cholangitis
• Colorectal cancer

Children presenting with symptoms of IBD at HFH undergo comprehensive evaluations that include:

• Clinical examination: Detailed assessment of symptoms.
• Medical and family history: Review of the child’s medical history and family predisposition.
• Medication history: Analysis of any current or past drug use.
• Blood tests: To check for anemia and inflammation markers such as CRP and PCT.
• Stool tests: To detect blood or calprotectin in stool samples.

Imaging and endoscopy: X-rays or ultrasounds, along with gastroscopy or colonoscopy, may be conducted to identify inflammation, bleeding, or ulcers in the digestive tract. Biopsies may also be taken for further examination.

The diagnostic approach is tailored to each child’s specific condition to ensure accurate and effective treatment planning.

Dr. Duat emphasizes that at HFH, treatment plans are personalized and multidisciplinary, often including:

• Nutritional guidance: Expert advice from nutritionists and gastroenterologists plays a crucial role. Adjustments to lifestyle and diet can help control symptoms, reduce flare-ups, and even lead to remission.
• Medical therapy: The primary approach for managing IBD symptoms and preventing relapses.
• Surgical intervention: For severe cases that do not respond to medication, surgical options are considered following a multidisciplinary consultation.

Regular follow-ups are essential for all IBD patients. This includes clinical evaluations, stool tests (FOB, Calprotectin), and annual colonoscopies. In cases of complications such as abscesses, perforations, or intestinal strictures, combined surgical and endoscopic interventions may be required.

For more information or to schedule an appointment with our specialists, please contact us via HOTLINE 024.35771100, message our Fanpage "Hanoi French Hospital," or connect with us on Zalo OA at zalo.me/2008009049335817955.