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Crohn's & Children

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Crohn's Disease
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JoanneRN
New Member
Joined : Feb 2019
Posts : 1
Posted 2/6/2019 12:27 PM (GMT -8)
Hi. I'm new to the group. My 12 yr old (will be 13 in April) daughter is starting to go through testing for Crohn's disease. She is having severe, extremely painful reoccurring sores inside her mouth that last for 10 days or so. They are large (over 1cm in diameter)shallow and very painful. It affects her appetite when they flare up. I call them canker sores but the doctor said a biopsy will tell him more. She also is being seen by a endocrinologist due to poor weight/ height gain. She is 4'7 and 66 lbs. The doctor said the mouth sores can occur months to year or more before the other Crohn's symptoms occur. Does anyone have experience with their child or themselves starting off with mouth sores before Crohn's diagnosis? Thanks for any input.
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beave
Veteran Member
Joined : Mar 2007
Posts : 2314
Posted 2/6/2019 2:15 PM (GMT -8)
Has she had extensive blood tests done? CRP, ESR along with the usual CBC with diff and metabolic panel?

How about stool tests for fecal calprotectin?

My brother with UC had mouth sores like that (but not as bad) for years before developing UC. They can happen with Crohn's, with UC, or by themselves with nothing else wrong.

They, along with the poor weight/height gain, are definitely good reasons to investigate for Crohn's.

What tests are they planning to do first?
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Labradorite
Veteran Member
Joined : Sep 2009
Posts : 1339
Posted 2/6/2019 2:54 PM (GMT -8)
Yes, as beave said they can happen on their own or with other conditions. I have had them be my first warning sign before some major crohns flare ups though too.
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73monte
Veteran Member
Joined : Mar 2007
Posts : 2415
Posted 2/6/2019 4:44 PM (GMT -8)
Does she have any other of what we would call "typical" symptoms? Any lower right side pain? Any noticeable protrusion on her lower right side? Extremely tired, even lethargic? Fevers?

Definitely get a thorough check. Full blood screening especially for Crohn's markers. Upper and lower scopes with biopsies as well.

Try not to get anxious, as there is a lot of things that it could be other than Crohn's. Keep us posted.
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cyclinglady
Regular Member
Joined : Aug 2015
Posts : 267
Posted 2/6/2019 8:54 PM (GMT -8)
While they are runnings the tests, have them include a celiac panel as well. Both Crohn’s and celiac disease are autoimmune disorders.

https://www.beyondceliac.org/celiac-disease/symptoms/

I suffered from anemia my whole life. No GI issues. Turns out I had celiac disease. In retrospect, I now know that it damaged my bones (osteoporosis), caused teeth issues, short stature and I was tiny. Never gained weight. Celiac disease is a like a chameleon. Symptoms can wax and wane and patients present differently (like you can be overweight and constipated).

I thought my little niece had Celiac Disease, but a pill camera finally revealed Crohn’s beyond the reach of both scopes (and 4 Ped GIs). She knows that she can develop celiac disease in the future as it is the one Autoimmune Disorder that the genetic components have been identified.

Good luck! Keep up the great work advocating for Her!
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Uniform Charlie
Veteran Member
Joined : Jul 2015
Posts : 1104
Posted 2/17/2019 5:10 PM (GMT -8)
Cyclinglady, out of curiosity, how were your niece's genetic components identified? Through her doctors?
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