Probable inflammatory bowel disease in a child: assessment and conservative management.
OBJECTIVE
This case presentation describes a method of evaluation and a conservative management plan for a child with probable inflammatory bowel disease (Crohn's Disease). Possible causes for this clinical presentation and a brief review of the literature are offered.


METHODS
A 9-year-old female had a history of headaches, stomach ache, foulsmelling soft stools, canker and cold sores, dry skin, stuffy nose with postnasal drip, difficulty concentrating in school, mood swings and growing pains with leg cramps. She also had a trace of fecal blood. A Urine OrganiX Profile and the Food Antibody Assessment was ordered demonstrating metabolic changes and food sensitivities.


RESULTS
In this case, following a clinical laboratory assessment, treatment was initiated using nutrients and dietary changes. Fourteen months after consultation, the patient was symptom-free and her final laboratory assessment was essentially negative. She learned to work with her diet and the consequences resulting from breaking it.


CONCLUSIONS
There is the need for a conservative approach to evaluation and treatment of inflammatory bowel disease before considering other more aggressive and potentially hazardous approaches. The patient's signs and symptoms responded to a unique method of evaluation and conservative management when other approaches had failed.
Williams
Jonathan
J
Associate Professor, Northwestern Health Sciences University, Bloomington, MN.
Bergmann
Thomas
T
Br Med J (Clin Res Ed). 1984 Jun 23;288(6434):1859-62
6428577
Nutr Hosp. 2003 Mar-Apr;18(2):57-64
12723376
Nurse Pract. 1991 Aug;16(8):27-30, 35-6, 38-9
1923008
Ann Nutr Metab. 1996;40(3):137-45
8862696
Aliment Pharmacol Ther. 2000 Mar;14(3):281-9
10735920
J Pediatr Gastroenterol Nutr. 2000 Jul;31(1):8-15
10896064
Baillieres Clin Gastroenterol. 1997 Sep;11(3):593-610
9448917
Scand J Gastroenterol Suppl. 1992;192:117-22
1439562
Nutr Clin Pract. 1992 Apr;7(2):53-60
1294879
Acta Paediatr. 2001 Apr;90(4):400-5
11332930
Can J Surg. 1982 Sep;25(5):495-8
7116250