Crohn's disease in infants: what parents should know

Crohn's disease can affect any part of the digestive tract. An infant may have frequent loose stools, abdominal discomfort, vomiting, reduced interest in feeds, tiredness or difficulty gaining weight. These features also occur with infections, feeding problems and other conditions, so they do not identify Crohn's disease by themselves.

A clinician may ask about stool changes, feeding, wet nappies, growth and family history. Examination and tests can help separate inflammation from other causes. Read more about Crohn's Disease, Abdominal Pain and Diarrhoea.

Arrange a GP Consultation if symptoms keep returning, feeding is difficult or growth seems slower than expected. Keep a simple record of stools, vomiting, feeds, wet nappies, temperature and behaviour. Do not remove major foods or start supplements without clinical advice, because an infant's nutritional needs are precise.

The clinician may arrange a Blood Test or other investigations and decide whether specialist review is needed. Bring the infant's feeding history and any medicines to the appointment.

Seek urgent medical help if an infant is unusually sleepy, has signs of dehydration such as very few wet nappies, cannot keep feeds down, has severe or worsening abdominal pain, blood in the stool, a swollen abdomen, breathing difficulty or a high fever. These signs need prompt assessment regardless of the cause.

Ask what pattern of symptoms is concerning, how feeding and growth will be checked, which tests may be useful, and what changes should prompt same-day care.