PMID: 9656811Jul 10, 1998Paper

Children and adolescents with ulcerative colitis and Crohn disease

Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
P M Kleveland

Abstract

The diagnosis and treatment of children and young people with ulcerative colitis and Crohn's disease follows the same guidelines as for adults, but several important and unique problems related to the diseases in young age groups deserve attention. Since ulcerative colitis and Crohn's disease are relatively rare at a young age, there is often a lack of awareness among people in general, parents and general practitioners. There is therefore often an unnecessarily long delay before the young patient is seen by a general practitioner and then referred to a specialist centre where the diseases can be properly diagnosed, evaluated and treated. Chronic gastrointestinal symptoms caused by inflammatory bowel disease at an age where physical and mental growth are at a peak could result in serious negative effects not only on young patients' physical and mental development, but also on their self-esteem. The diseases adversely affect the quality of life of many young patients and their families and are a source of anxiety, emotional, behavioural, and psychological morbidity. Patients' organisations can help by providing additional information and support through special groups for young patients with inflammatory bowel disease.

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