Crohn’s disease is a self-inflammatory disease of the digestive tract of unknown origin. During the active phase of the disease, ulcers develop in the affected digestive tract, which is more commonly referred to as “rotten bowel” disease. Children who are unfortunate enough to have this disease have many dietary restrictions, and it becomes very difficult to get proper nutrition. A proper diet and nutrition is very important for children with Crohn’s disease. Not only can some mild cases be relieved by proper nutritional treatment, but even moderately severe cases can be slowed down and relapses reduced by proper nutritional treatment. In addition, proper nutrition is also necessary for the growth and development of the child. For children who are still in the active phase of the disease, it may be necessary to completely avoid the daily diet for a period of time and rely on a special enteral nutrition preparation called total gastrointestinal nutrition. Unless the child is allergic to milk proteins, free amino acid formulations of nutritional powders are not recommended, but rather short peptide or whole protein lactose-free nutritional formulations should be used. Many studies suggest that this approach can promote healing of the intestinal mucosa in children with Crohn’s disease, reduce calcium loss from the bones and promote growth and development in children with Crohn’s disease. Therefore, this method of treatment using EEN has been adopted as one of the preferred methods of relief by several pediatric gastroenterology societies in China, Europe, Japan and North America. How long does EEN take to treat? It usually takes 6-8 weeks. Until the disease begins to remit, it is generally not recommended to add other daily diets. Many children with Crohn’s disease and their families are not very receptive to this method of eating due to perceptions, economics, and the taste of enteral nutrition, and always prefer to “supplement” their children with their own porridge and soup. This is a big misconception. Congee soup does not have special nutritional value as many people think, and eating in this way is not only detrimental to the remission of the disease, but also increases the risk of malnutrition in children. After the disease has been remitted, the diet should also be careful to avoid the relapse of the disease. 1. Eat less and more meals. Increase the number of meals (4-5 times a day) and reduce the amount and type of food eaten at each meal, which can reduce the burden on the gastrointestinal tract. 2. Avoid foods that may aggravate symptoms. Although we cannot be sure which foods are good for Crohn’s disease, the following foods are at least detrimental to disease control and need to be avoided: fried and grilled foods, margarine, butter, mayonnaise, salad dressing, full-fat dairy products, raw fruits and vegetables, alcohol, caffeine, strong tea, tobacco products, including second-hand smoke. Daily diet 1. There is no problem with fine rice and pasta as the main food, you need to avoid eating coarse grains with high fiber content and whole wheat products, such as whole wheat bread. 2, and for fruits and vegetables, although for the average person this is very healthy food, but because of the high fiber content, it is not recommended to eat fruits with skin and raw vegetables, try to use fruit juice and cooked vegetables instead. For protein supply, choose from eggs, poultry, fish and tofu, and avoid red meat with high fat content (pork, fatty beef, lamb, etc.). 3. Dairy products should be lactose-free and low-fat milk as much as possible, or soy milk instead, avoiding whole milk as well as butter and cream foods. Do not drink other beverages except water, especially those containing sugar, caffeine and alcohol. 4. In the process of processing food, it is also necessary to avoid the addition of various spices and sugars, such as cane sugar, mustard, chili, pepper, ginger, garlic, onion, curry, etc. Parents need to understand that the control of diet is very individual. This means that a certain food can cause a relapse or worsening of your child’s disease, but the same food may not have the slightest effect on another child with Crohn’s disease. Therefore, it is important for parents to keep a detailed diet diary to record their child’s reactions to each food and to avoid foods that aggravate the disease. Finally, it is important to make clear that diet management is only one important part of the fight against Crohn’s disease, but it is not enough to rely on diet alone to overcome the disease.