Nutrition therapy is way to treat health conditions or their symptoms with a special diet. Sometimes, nutrition therapy is used instead of standard treatments, such as medicine. A doctor or registered
can create these diets.
Nutrition therapy is also called medical nutrition therapy.
of the intestines. Enteral (EN-tur-ul) nutrition therapy uses a drinkable
formula, such as Boost or Pediasure, to control inflammation and promote healing in Crohn’s disease.
Enteral nutrition therapy is an alternative to steroids and other medicines that ease the symptoms of Crohn’s disease. Steroids can have serious side effects, including poor growth and increased chance of infections.
Enteral nutrition therapy can help improve nutrition and growth, ease inflammation, and heal the gastrointestinal tract (or “gut”).
The two types of nutrition therapy used to manage Crohn’s symptoms are:
Some kids drink the formula, while others get it through a nasogastric (NG) tube that runs from the nose into the stomach.
Enteral nutrition therapy helps improve nutrition for people with Crohn’s disease. But it’s not clear why and how it works. Providing balanced nutrition with these formulas might give the gut a chance to heal. It may also work by changing the mix of
that live in the gut. Good bacteria in the gut can help protect the intestinal lining and regulate the immune system.
Kids with Crohn’s disease will need to follow this diet for at least 8–12 weeks. Enteral nutrition therapy can begin at the time of diagnosis or during flare-ups (when symptoms get worse). This is called induction therapy. Its goal is to relieve symptoms.
After induction therapy, food is slowly added to the child’s diet. The amount of formula decreases as more food is given.
When symptoms are under control, you’ll make a plan with your child’s doctor to help keep symptoms under control and prevent flare-ups. On maintenance therapy, your child may:
Your child’s doctor and dietitian will help you choose the diet that works best for your child.
Enteral nutrition therapy is very safe. But it can be hard for kids and teens to stick with the diet because:
Children with Crohn’s disease may become malnourished because:
Not eating enough food or getting enough nutrients from food can lead to poor growth. So doctors check all children with Crohn’s disease for malnutrition.
Children with severe malnourishment have shifts in fluids and electrolytes during nutrition therapy. Rarely, this can lead to a problem called refeeding syndrome, which causes:
To help prevent this, these children get enteral nutrition therapy in a hospital, where the care team can watch them closely.