Flare triggers and relief
Disease flares can be hard to avoid, however, they are made worse by any of the following:
- missing IBD medications or taking the incorrect dose
- having an infection and/or taking antibiotics
- having a fever greater than 38 degrees whilst on an immunosuppressant
- being dehydrated or stressed.
Diet and fluids during a flare
- During a disease flare, it can help to avoid greasy, fried and spicy foods as these can cause increased gas and diarrhoea
- Limiting high fibre foods may be helpful as are small frequent meals
- It is important to encourage your child to continue to drink adequate fluids to avoid dehydration. It is recommended to offer small amounts of fluids often
- Ensure/Pediasure can also be given if previously tolerated and the patient has an existing supply of these at home.
Pain relief during a flare
- The only pain relief recommended for children with IBD is paracetamol. Give your child the dose that is recommended on the packaging for their age and weight
- Avoid using non-steroidal anti-inflammatories (NSAIDS) such as Nurofen, Ibuprofen and Aspirin can lead to inflammation and irritation of the bowel
- For anal soreness or painful bowel movements due to an anal fissure or fistula, bathe in warm salt water or use a Sitz bath.
Flare prevention
Unfortunately, it is not always possible to prevent a disease flare, however the following tips are recommended to help you manage your disease.
- See your Specialist regularly. It is the responsibility of parents/carers to ensure their child is reviewed in the IBD clinic every 3-4 months, especially if they are on immunosuppression medication
- Follow recommendations for IBD related tests and procedures including regular blood tests, drug levels and stool tests
- Monitor and track your disease 鈥� there are a variety of Apps available for download
- Exercise regularly 鈥� at least 30mins three times a week
- Reduce stress.