Abdominal pain diarrhea cramping remission/exacerbation antiinflammatory immunosuppressive antidiarrheal nutrition therapy may require surgery high protein/high

carb joint pain

BLOOD IN STOOL PAIN RELIEVED BY PASSING STOOL OR GAS -MAY INVOLVE ENTIRE LENGTH OF BOWELS ULCERATION, HEMORRHAGE, EDEMA 1ST SYMPTOM DIARRHEA DIARRHEA SEVERE

Ulcertive colitis inflammation of intestine and rectal mucosa. Limited to mucosa

fistulas between loop of bowels;--+mucosal ulcer in small locations-+grow in size and depth into mucosal wall subtle onset 1st sign cramping followed by diarrhea anemia common GROWTH RETARDATION SEVERE WEIGHT LOSS ANOREXIA ANAL LESIONS CANCER RISK

Crohns disease: inflammation throughout GI(illium,colon,rectum most affected) goes deep into the bowel wall

NURSING INTERVENTIONS: ADDRESS SIDE EFFECTS OF CORTICOSTEROID THERAPY (GROWTH RETARDATION/SEXUAL MATURATION) -REINFORCE MEDICATION NEEDS TO CONTINUE EVEN WHEN NO SYMPTOMS ARE PRESENT -IMMUNIZATIONS ARE DELAYED UNTIL SYSTEMIC CORTICOSTEROIDS ARE DISCONTINUED -TEACH RELAXATION TECHNIQUES;DEEP BREATHING ETC -ENCOURAGE SCHOOL AGE CHILD/TEENS TO REMEMBER TO MAKE TIME FOR REST /RELAXING -FREQUESNT SMALL FEEDING BETTER THAT THREE A DAY -PEEL FRUIT, AVOID WHOLE GRAINS,NUTS -LOW FIBER! -IF MANY ABSENCE FROM SCHOOL ARRANGE FOR TUTOR AND MAINTAIN CONTACT WITH FRIENDS -Liquid dietary supplement to ensure adequate nurtition