Why Can't Johnny Poop? Or Stop Pooping? Pediatric Bowels are Broken.
Posted Nov 01 2012 12:00am
Managing Editor's Note: Why Can't Johnny Poop? Those of us in the autism world already know about the epidemic of life altering constipation, skin burning diarrhea, gut pain induced behavior. "Better diagnosis" -- that cop out answer to pediatrician induced disease -- strikes again. Here's more Betty Boop oopsie doopsie eyelash batting golly gee willikers we just don't know reporting from The Star in Ontario, Canada.
Inflammatory bowel disease is on the rise in Ontario, most notably in children.
The number of kids under 18 living with the chronic disease has increased by about 50 per cent, rising from 1,034 in 1995 to 1,621 in 2005, according to a report released Thursday by the Crohn’s and Colitis Foundation of Canada.
Unpublished statistics from the Institute for Clinical Evaluative Sciences, a non-profit health-research group, show those figures have increased even more, jumping to 2,070 in 2009. “I think it’s troubling and very concerning,” said Dr. Eric Benchimol, a pediatric gastroenterologist at the Children’s Hospital of Eastern Ontario, who contributed to the report, The Impact of Inflammatory Bowel Disease in Canada. “It reflects what we see in clinics and hospitals. Answers need to be found. We need to know why.”
The rate of new cases in Ontario has been stable in preadolescents and adolescents, but in children under the age of 10 it has increased by 30 per cent, said Benchimol, also an assistant professor at the University of Ottawa. In other countries there have also been a sharp rise in pediatric cases, while the adult rates have levelled off.
“This is no longer a disease of adulthood. It used to be something we talked about happening to people in their 20s and 30s, but it’s becoming much more common in children, specifically in children under 10, which used to be unheard of.
“We need more research to figure out why it’s affecting (children) more and how we can treat them better, how to improve their outcomes and their quality of life. And we’re just at the infancy stage in conducting that kind of research in pediatric IBD.”
IBD — a group of inflammatory disorders that includes Crohn’s disease and ulcerative colitis — causes sections of the gastrointestinal tract to become severely inflamed and ulcerated. Symptoms include chronic diarrhea, blood in the stool, abdominal pains and weight loss. In addition, children face long-term complications, such as problems with their physical growth and osteoporosis.
Researchers know that IBD, which is becoming more prevalent in the western world, is related to genetics and environment. But they still haven’t been able to pinpoint what triggers it. To date, no cures have been found.
In Canada, incidence rates have been on the rise since 2001. About 233,000 Canadians have IBD, up from 201,000 in 2008. About 5,900 of those with the disease are children.
Scientists are still trying to answer the question of why IBD is growing.
Part of the rise is due to physicians getting better at identifying the disease, but researchers believe the spike is also related to undetermined environmental factors and increased immigration of people from developing countries, said Benchimol. For instance, people from South Asia are at low risk in their native countries, but once they arrive in Canada they are at increased risk for developing IBD, compared with the general population.
According to the report, the economic costs for IBD in Canada are estimated at $2.8 billion for 2012, about $11,900 per person. Direct medical costs, such as medications, hospitalization, physician visits, total $1.2 billion and indirect costs, such as work absences and out-of-pocket expenses amount to $1.6 billion.