Living Well with Crohn's Disease: A Comprehensive Diet Guide

Nutritional Management Strategies for Crohn's Disease Patients

Gastroenterology

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Last updated: Mar 24, 2025

Introduction

Managing Crohn's disease requires careful attention to diet and nutrition. This guide will help you make informed dietary choices to minimize symptoms and maintain optimal nutrition.

General Dietary Principles

Foods to Include:

  • Lean Proteins:

    • Fish (especially salmon, tuna)
    • Skinless chicken breast
    • Turkey
    • Eggs
  • Low-Fiber Fruits:

    • Bananas
    • Cantaloupe
    • Honeydew melon
    • Cooked fruits without skin
  • Well-Cooked Vegetables:

    • Carrots
    • Sweet potatoes
    • Squash
    • Peeled cucumber

Foods to Avoid During Flares:

  • High-fiber foods
  • Raw fruits and vegetables
  • Nuts and seeds
  • Dairy products (if lactose intolerant)
  • Fatty or fried foods
  • Spicy foods

Meal Planning Strategies

During Remission:

  1. Gradually introduce fiber
  2. Eat smaller, frequent meals
  3. Stay well-hydrated
  4. Consider vitamin D and B12 supplements

During Flares:

  1. Choose low-residue foods
  2. Avoid trigger foods
  3. Consider liquid nutrition
  4. Monitor hydration carefully

Important Considerations

  • Keep a Food Diary
  • Stay Hydrated
  • Work with Healthcare Team
  • Monitor Nutritional Status

Special Circumstances

Post-Surgery:

  • Follow physician's guidelines
  • Gradually reintroduce foods
  • Monitor for malabsorption

Supplementation:

  • Calcium
  • Vitamin D
  • Iron
  • B12

When to Seek Help

Contact your healthcare provider if you experience:

  • Unexpected weight loss
  • Severe abdominal pain
  • Signs of malnutrition
  • Persistent diarrhea

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