How to Help Your Kid Deal with Crohn's or Colitis at School

Plus, tools to educate teachers about Inflammatory Bowel Disease

How to Help Your Kid Deal with Crohn's or Colitis at School

How to Help Your Kid Deal with Crohn's or Colitis at School

Back-to-school can be a tough time of transition for a lot of kids. Will my best friend be in my class? Will I like my new teacher? How much homework will I get this year? But for children who are also dealing with a chronic illness, back-to-school season can feel like a nightmare.

Kids with Crohn’s disease and ulcerative colitis, the two main kinds of Inflammatory Bowel Disease (IBD), struggle because these diseases are unpredictable and embarrassing, which can lead to a lot of stress. Essentially, IBD causes inflammation and ulceration, or sores, in the digestive tract. It can cause pain, diarrhea, and blood loss. Children living with IBD often need to use the bathroom urgently and unexpectedly.

I bet you remember how difficult it was to be a kid, especially during the awkward middle school and high school years. Imagine how hard it is for a child who experiences unpredictable diarrhea, abdominal pain, or bloody bowel movements at the most inconvenient times. Say, during gym class? Or...silent reading time? 

Bathroom access and other sources of distress

Because of the nature of their illness, children with IBD need to have immediate access to a bathroom. But at school there are potential barriers to this. Teachers, hall monitors, playground patrol—these adults may be well-meaning and simply upholding school rules, but anyone who stops a student with IBD from going to the bathroom is causing that child extreme distress, physically and emotionally. 

Bathroom access isn’t the only issue. Children with IBD may not absorb nutrients properly, which means they can often feel tired or unwell. What’s more, the potent medications used to treat IBD can cause side effects, like a weakened immune system, puffy cheeks, and severe acne. Some of these can lead to physical issues like secondary infections, and some can badly damage a kid’s self-esteem.

Empower the teachers to support your child

If you have a child with IBD, you have probably learned a lot about the disease out of necessity. Unfortunately, your child’s teacher may know little to nothing about it, and may not have the first idea how to help. They likely won’t even know what problems may arise in the first place. Your child is probably feeling anxious and apprehensive about going to school and having to explain the disease to grownups—an embarrassing and difficult subject for anyone, let alone for kids. 

That’s why the Blackboards and Bathrooms tool, a new IBD education resource, can be such a lifesaver. Developed by the Canadian Digestive Health Foundation in collaboration with Robbie’s Rainbow, Blackboards and Bathrooms offers teachers a quick and easy way to learn all the key facts and issues surrounding IBD.


  • how to handle frequent absences or lateness
  • how to support a kid academically
  • how to anticipate and support their unexpected needs
  • how to know if a student is experiencing pain but is reluctant to talk about it

My recommendation is to have a chat with your child’s teacher and the school principal right at the beginning of the school year. Print off and provide the principal, resource teachers and/or teachers with the Blackboards and Bathrooms resource. Encourage them to keep a copy on file and post it in staff rooms.

The best part of this kit, in my opinion, is the all-access bathroom pass. This is something a student with IBD can carry with them to hand to any grownup who may not understand the urgency of their request to use the bathroom.

For a child anticipating the stress of going back to school, it’ll be a big relief to know that the teachers will be aware and informed about IBD, and won’t hinder bathroom access. You can reassure your child that the school staff will be able to understand and help support him or her.

Then, maybe instead of worrying about being allowed to go to the bathroom when diarrhea strikes, she’ll be able to simply focus on the other stuff—the things a kid should be thinking about. 

Like whether or not her best friend will be in her class this year.


The Healthy Breakfast Option You May Be Overlooking

Why You Need to Give Your Kids a Healthy Start to their Day

The Healthy Breakfast Option You May Be Overlooking

The Healthy Breakfast Option You May Be Overlooking

Every day, you have an opportunity to give your kids a great start to their day. Yep, I’m talking about breakfast. Because mornings can be somewhat...chaotic, no matter how frenzied things get, you never want to skip that all-important first meal of the day. For one thing, breakfast fills kids with energy and helps them be productive and focused all day long. 

Here are some of the other benefits of breakfast:

  • people who eat breakfast are less likely to be obese than people who skip breakfast
  • kids who eat breakfast have more energy for physical activity and sports
  • kids who eat breakfast perform better in school
  • kids who eat breakfast regularly are more likely to get all their recommended daily nutrients (like calcium, potassium and fibre)
  • breakfast can boost your kids’ short-term memory
  • breakfast eaters are more likely to have steady blood sugar levels through the day
  • breakfast eaters tend to be less hungry later in the day—and consume fewer calories per day, compared to breakfast skippers

But what kind of breakfast is best? 

It’s easy to be confused by all the breakfast choices out there. One quick look at Pinterest can make even the most confident mom feel inadequate. But I have a suggestion—an old-school option from your own childhood that you might have overlooked: breakfast cereal

Breakfast cereal has been around a long time. Cereal has been a staple food since the beginning of the agricultural age, and many of the grains used back then are the same ones farmers grow for our cereal now: corn, oats, rice, rye, wheat, and barley.

And here’s why cereal can be a wholesome, healthy choice for your family:

  • Even among regular breakfast eaters, kids who eat cereal, in particular, are more likely to get all their daily nutrients than non-cereal eaters.
  • Because cereal is almost always served in a bowl of milk, kids have a better shot at meeting Canada Food Guide’s target of three milk servings a day (a recommendation that more than 50 percent of kids don’t meet)
  • A kid’s growing body needs a lot of iron, and many kids don’t get enough. Cereals are fortified with a well-rounded assortment of many vitamins and minerals, and can provide more iron (plus folic acid, zinc, and B vitamins) than other common non-cereal breakfast choices. Iron happens to be something I pay a lot of attention to with my own kids, and giving them fortified breakfast cereal in the morning is one of my strategies for making sure they get enough iron. 
  • Studies show that cereal eaters are more likely to have a healthy body weight than non-cereal eaters
  • Cereal can help you get more dietary fibre. Many Canadians don’t reach their recommended daily fibre intake, and a single bowl of some cereal brands can provide a quarter of your day’s target of fibre. 

And What About Sugar?

As a doctor who believes in the power of healthy living and good nutrition, I know people are paying more attention than ever before to what they’re eating. And that’s a great thing! But a concern about sugar is not a good enough reason to dismiss all the potential health benefits of breakfast cereal. 

Reading labels carefully and controlling portions are two strategies that will help you make healthy choices when it comes to breakfast cereal. And you can feel reassured by a recent Stats Can study: when looking at overall dietary intake, sugar from breakfast cereals accounts for less than five per cent of the total sugar intake in our diets.

I’m always talking to people about the importance of breakfast. Personally, professionally, and as a mom, I love breakfast cereal—as I was writing this article, I checked my kitchen and, sure enough, I have no fewer than 12 boxes of cereal in my kitchen cupboard right now. I guess we can call that walking the walk!