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Diagnosing Inflammatory Bowel Disease

You should suspect inflammatory bowel disease if a child or teen has any of the following symptoms:
  • Abdominal pain combined with a positive family history of IBD

  • Persistent rectal bleeding not associated with hard stool.

  • Recurrent perianal fissures, infection, or abscess.

  • Significant weight loss.

  • Fall-off in height percentiles of more than one channel.

  • Pronounced pubertal delay, or absent or delayed menstrual periods.

  • Unexplained joint swelling or skin rash or erythema nodosum.

  • Unexplained fever, anemia, low albumin, or elevated erythrocyte sedimentation rate.
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