Dietary Management in Crohn's Disease: A Comprehensive Guide

Evidence-based nutrition recommendations for patients with Crohn's Disease

Gastroenterology

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Last updated: Mar 24, 2025

Understanding Diet's Role

  • Diet doesn't cause Crohn's disease
  • Proper nutrition helps manage symptoms
  • Individual tolerance varies

Recommended Foods

Well-Tolerated Proteins

  • Lean meats (chicken, turkey)
  • Fish rich in omega-3s
  • Well-cooked eggs
  • Tofu and smooth nut butters

Safe Carbohydrates

  • White bread and pasta
  • White rice
  • Peeled potatoes
  • Low-fiber cereals

Recommended Fruits and Vegetables

  • Bananas
  • Melons
  • Well-cooked, seedless vegetables
  • Peeled cucumbers

Foods to Avoid

Common Trigger Foods

  • High-fiber whole grains
  • Raw vegetables
  • Seeds and nuts
  • Spicy foods
  • Dairy (if lactose intolerant)

Eating Strategies

Best Practices

  1. Eat smaller, frequent meals
  2. Stay well-hydrated
  3. Keep a food diary
  4. Cook foods until soft

Special Considerations

During Flares

  • Switch to low-residue diet
  • Avoid high-fiber foods
  • Choose easily digestible foods

Supplements

  • Vitamin D
  • Vitamin B12
  • Iron (if prescribed)
  • Calcium

When to Seek Help

  • Unexplained weight loss
  • Severe abdominal pain
  • Signs of malnutrition
  • Difficulty maintaining hydration

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