Bowel Disease: Changing Your Diet

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Actionsets help people take an active role in managing a health condition.  Bowel Disease: Changing Your Diet

Introduction

Crohn’s disease and ulcerative colitis are types of inflammatory bowel disease. They cause inflammation and sores (ulcers) in the digestive tract Click here to see an illustration.. This can lead to symptoms such as diarrhea, belly pain, loss of appetite, fever, bloody stools, and weight loss. Often symptoms are worse after eating.

If you have an inflammatory bowel disease, it may be hard to get important nutrients such as vitamins, minerals, and protein. Your intestines may not be able to take all the nutrients from the food you eat. You may lose nutrients through diarrhea. This can lead to problems such as anemia or low levels of vitamins, such as vitamin B12 and folic acid.

To control their symptoms, some people eat only bland foods, like pasta, and they avoid fruits and vegetables. But you need to eat a variety of foods to get the nutrients you need for good health. This topic can help you learn more about how to eat so you can manage your symptoms but still get the nutrition you need.

Key points

  • Inflammatory bowel disease can make it hard to get the nutrients you need.
  • It is important to eat a healthy, varied diet to help you keep your weight up and stay strong.
  • Some foods can make symptoms worse. Not eating these foods may help reduce your symptoms.
  • No one diet is right for everyone with an inflammatory bowel disease. Keep a food diary to find out which foods cause problems for you. Then you can avoid those foods and choose others that supply the same nutrients.
  • Because you may not be absorbing all the nutrients from the food you eat, you will need to eat a high-calorie, high-protein diet. This may be easier to do if you eat regular meals plus 2 or 3 snacks each day.
  • You may need to take vitamin and mineral supplements to help you get the nutrients you need.

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References

Other Works Consulted

  • Beyer PL (2008). Inflammatory bowel diseases section of Medical nutrition therapy for lower gastrointestinal tract disorders. In LK Mahan, S Escott-Stump, eds., Krause's Food and Nutrition Therapy, 12th ed., pp. 689–695. Philadelphia: Saunders Elsevier.

  • Botoman VA, et al. (1998). Management of inflammatory bowel disease. American Family Physician, 57(1): 57–68.

By: Healthwise Staff
Medical Review: Kathleen Romito, MD - Family Medicine
Arvydas D. Vanagunas, MD - Gastroenterology
Last Revised: October 8, 2010

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