What Teachers Should Know Inflammatory bowel disease (IBD) refers to two chronic diseases that cause inflammation of the intestines: ulcerative colitis and Crohn's disease. Ulcerative colitis is an inflammatory disease of the large intestine, or colon. In ulcerative colitis, the inner lining of the intestine becomes swollen and develops sores (ulcers). Ulcerative colitis is often the most severe in the rectal area. Crohn's disease can involve any part of the digestive tract. It causes inflammation that extends much deeper into the layers of the intestinal wall and generally affects the entire bowel wall. The most common symptoms of ulcerative colitis and Crohn's disease are diarrhea and abdominal pain. Diarrhea can range from mild to severe, requiring frequent trips to the bathroom. Persistent diarrhea can lead to weight loss, poor growth, dehydration, and malnutrition. Also, continual loss of small amounts of blood in the stool can lead to anemia. Students with IBD may: need to use the bathroom frequently throughout the day require seating closest to the bathroom or door need to carry a water bottle to prevent dehydration need to eat frequent small snacks feel tired throughout the day need to go to the school nurse for medicine, medical attention, or to change clothes need extra time for class assignments and homework need to miss school or come in late due to flare-ups and doctor appointments feel embarrassed about their symptoms Certain foods can trigger IBD symptoms. It's important for students with IBD to eat healthy foods and drink plenty of fluids. Most students with IBD know what they can and should not eat. What Teachers Can Do Students may miss a lot of class time for bathroom breaks or school days due to flare ups. Make sure they have a bathroom or hallway pass to use at will, and allow for extra time for assignments or assign make-up work to be completed at home. Students with IBD can participate in physical education and other activities, but should be allowed to opt out if they are not feeling well. Stress can play a part in IBD. Understanding your students' symptoms, diet, and concerns can help. Back to Articles Related Articles Inflammatory Bowel Disease It's normal to get a stomachache once in a while, but some kids have something more serious called inflammatory bowel disease (IBD). Find out more about it. Read More Inflammatory Bowel Disease Inflammatory bowel disease is an ongoing illness caused by an inflammation of the intestines. There are two kinds of IBD: Crohn's disease and ulcerative colitis. Read More 504 Education Plans If your child has special needs in the classroom, he or she may be eligible for a government-supported learning plan. Read More Inflammatory Bowel Disease Inflammatory bowel disease (IBD) refers to two chronic diseases that cause intestinal inflammation: ulcerative colitis and Crohn's disease. Although they have features in common, there are some important differences. Read More Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. © 1995-2021 KidsHealth®. All rights reserved. Images provided by The Nemours Foundation, iStock, Getty Images, Veer, Shutterstock, and Clipart.com.