If your child has chronic, unrelentingdiarrheathat doesn’t get better with the usual treatments,there may be an underlying disorder affecting the cells that line the intestine, or enteropathy.We often suspect a genetic cause in infants under 6 months of age with severe diarrhea who require parenteral (IV) nutrition or hydration.
Our expertise in congenital diarrhea
The Congenital Enteropathy Program is one of the few centers in the world that specializes in congenital diarrhea. We care for children with severe diarrhea who may have had multiple previous tests that failed to identify a cause, and who may have been hospitalized because of severe dehydration and malnutrition.
Our gastroenterologists, dietitians, specialized nurses and other clinical providers involved in your child's care provide a supportive, family-centered approach. We aim to give every family a prompt, more precise diagnosis of the underlying cause of the child’s symptoms and improve long-term nutrition, growth and quality of life for every child.
How we evaluate and care for congenital enteropathies
We can provide comprehensive evaluations andsecond opinions, either in-person in our Boston location or through ourOnline Second OpinionPortal. Evaluations can include stool analysis, biopsy to observe features of intestinal tissue, studies of the immune system, and genetic studies to discover possible causative mutations. We recently published updated guidelines for evaluating congenitaldiarrheaand enteropathy.
Many patients need home parenteral nutrition (HPN) support in order to continue to thrive and grow. We partner very closely with theHome Parenteral Nutrition Programto provide additional resources for families should a child need HPN. If you or your child are eligible, the team will meet with you and provide in-depth training.