Dietary Management in Ulcerative Colitis: A Comprehensive Guide

Evidence-based nutrition recommendations for UC patients

Gastroenterology

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Last updated: Mar 24, 2025

Understanding Diet's Role in UC

Impact on Symptoms and Flares

Diet plays a crucial role in managing ulcerative colitis (UC) symptoms and potentially reducing flare frequency. While food choices don't cause UC, they can significantly impact your comfort and quality of life.

Recommended Foods

During Remission:

  • Lean Proteins:

    • Fish (especially salmon, mackerel)
    • Skinless poultry
    • Tofu and tempeh
  • Low-Fiber Fruits:

    • Bananas
    • Cantaloupe
    • Honeydew
    • Cooked fruits
  • Cooked Vegetables:

    • Carrots
    • Squash
    • Sweet potatoes
    • Well-cooked green beans

During Flares:

  • Easy-to-Digest Foods:
    • White bread
    • White rice
    • Plain pasta
    • Low-fiber cereals

Foods to Avoid

Common Trigger Foods:

  • Dairy products (if lactose intolerant)
  • High-fiber foods
  • Nuts and seeds
  • Raw vegetables
  • Spicy foods
  • Caffeine
  • Alcohol

Nutritional Considerations

Key Supplements:

  • Calcium: 1000-1500mg daily
  • Vitamin D: 800-1000 IU daily
  • Iron (if prescribed)
  • B12 (if prescribed)

Eating Habits

Best Practices:

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

When to Seek Help

Consult your healthcare provider if:

  • Experiencing sudden weight loss
  • Developing new food sensitivities
  • Noticing increased symptoms despite dietary changes

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