Supportive care for child and family
Provide educational materials for child, parents, teachers
Give information about support groups for children and parents
Offer psychologic counseling for depression, denial and noncompliance
Expect reactive self-manipulation of medication dosages and diet
Nutritional support
Correct deficits of macronutrients and micronutrients
Deliver 125 percent of calories for height age
Recommend routine multivitamin and mineral supplements
Discourage “quick cure” diets and fads
Administer intravenous nutrition to patients with intractable Crohn's disease or fistula and before surgery
Consider consumption of an elemental diet as primary therapy in patients with small bowel Crohn's disease
Anti-inflammatory/immunomodulatory medication
Prednisone (oral, intravenous, topical enema)
	Valuable in all forms, but use must be balanced against side effects
	Useful as chronic alternate-day therapy in adolescent patients with Crohn's disease
Salicylates: sulfasalazine (Azulfidine), mesalamine (Asacol, Pentasa, Rowasa), aminosalycylic acid (Paser Granules)
	Valuable in treating mild to moderate colitis
Metronidazole (Flagyl; possibly ciprofloxacin [Cipro] as well in older children)
	Useful in treating Crohn's perianal or fistula disease
	Also useful in treatment of complicating Clostridium dificile infection
Azathioprine (Imuran)/6-mercaptopurine (Purinethol)
	Valuable in treating moderate to severe Crohn's colitis, ulcerative colitis
Fish oil (EPA, Sea Omega, Promega)
	Valuable in treating mild ulcerative colitis
Surgical resection
Total colectomy is curative in cases of ulcerative colitis
Useful in cases of toxic megacolon, and dysplasia in patients with ulcerative colitis
Useful in treating Crohn's obstruction, fistula, abscess
Useful when medical therapy fails or side effects of medication are intolerable