Diet and Nutrition Guidelines for Inflammatory Bowel Disease

Evidence-based dietary recommendations for IBD management

Gastroenterology

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Last updated: Mar 24, 2025

Understanding IBD and Diet

Diet plays a crucial role in managing inflammatory bowel disease (IBD), including both Crohn's disease and ulcerative colitis. While diet doesn't cause or cure IBD, proper nutrition can help:

  • Reduce symptoms during flares
  • Maintain remission
  • Prevent nutritional deficiencies
  • Support overall health

Key Dietary Recommendations

During Flares

  1. Low-Fiber Diet

    • Choose refined grains over whole grains
    • Avoid raw fruits and vegetables
    • Cook vegetables until soft
    • Remove skins and seeds
  2. Easy-to-Digest Foods

    • Lean proteins (chicken, fish)
    • Well-cooked eggs
    • Smooth nut butters
    • Low-fat dairy (if tolerated)

During Remission

  1. Gradually Increase Fiber

    • Introduce whole grains slowly
    • Add variety of fruits and vegetables
    • Monitor tolerance
  2. Focus on Nutrient-Dense Foods

    • Iron-rich foods
    • Calcium sources
    • Vitamin D-rich options
    • Omega-3 fatty acids

Foods to Avoid

  • Caffeine
  • Alcohol
  • Spicy foods
  • High-fat processed foods
  • Known trigger foods (individual)

Hydration Guidelines

  • Drink 8-10 cups of water daily
  • Avoid carbonated beverages
  • Consider electrolyte replacement when needed

Special Considerations

  • Work with a registered dietitian
  • Keep a food diary
  • Take prescribed supplements
  • Eat small, frequent meals

When to Seek Help

Contact your healthcare provider if experiencing:

  • Significant weight loss
  • Persistent diarrhea
  • Signs of dehydration
  • Severe abdominal pain

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