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Teens may be self-conscious of their delayed puberty a complication of Crohn’s disease. Additionally, a colostomy if required alters the teen’s identity because their appearance and body image becomes different from that of their peers. The overwhelming sensation of embarrassment that colostomy brings may be more difficult to deal with that the pain of the disease itself. Adolescents are conscious that they cannot just go swimming or participate in something as innocent as a sport where one team is skins and one is shirts, for the fear they will be on the skins team Crohn’s: Patient Education Plan 4 (Mackner, Sisson, & Crandell, 2005). The humiliation can be overwhelming