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 – there are a variety of Apps available for download
  • Exercise regularly – at least 30mins three times a week
  • Reduce stress. 
Last updated Friday 15th December 2023