Nutrition with Crohn's-Colitis, Short-bowel Syndrome, or IBS/IBD
Do you have Crohn's-Colitis, Short-bowel syndrome, or IBS/IBD? Learn how changes in food preparation and avoiding trigger foods can help you.
Some foods may trigger cramping, bloating, and/or diarrhea. Many of these “trigger foods” should also be avoided if you have recently had surgery or been diagnosed with a stricture (a narrowing of the intestine caused by inflammation or scar tissue). Certain foods are easier to digest and can provide you with the necessary nutrients your body needs.
It’s also important to maintain a diverse and nutrient-rich diet even when you are in remission and your symptoms have subsided or even disappeared. Introduce new foods slowly. Remember to stay hydrated with water, broth, tomato juice, and rehydration solutions. Consult with your doctor or dietitian before making any changes to your diet.
These foods can help you stay healthy and hydrated:
Here are some helpful hints for you:
|SBS occurs when portion of intestin (small bowel and large bowel or colon) has been removed and not able to absorb enough fluids and nutrients to have healthy hydration and nutritional status.
|Symptoms: diarrhea, steatorrhea (fat in stools, causing oily/greasy appearance), dehydration, eletrolyte issues (especially low potassium or magnesium) and unintended weight loss.
|Over time (months to years) remaining bowel may start to work harder and improve absorption and decrease symptoms- adaptation. Eating can help promote adaptation.
|Management may include diet changes, vitamin/mineral supplements, medications, fluids (IV or oral) and parenteral nutrition (IV nutrition).
|Depending on remaining length of bowel and symptoms, Dr might decide you need less IV fluid or IV nutrition as bowel adapts.
|Eat small, frequent meals and snacks (5-6 times a day).
|Chew foods well.
|Have drinks between meals, not with meals or snacks.
|Eat salty foods and use table salt frequently, especially if you do not have a colon.
|Avoid foods and drinks high in sugar.
|Avoid stimulants such as caffeine and alcohol.
|Limit sugar alcohols (sorbitol, mannitol, xylitol) found in many sugar-free products.
|Only limit dairy products if lactose intolerant or if they have sugar added.
|You may need to eat as much as 2-4 times more food than you did before SBS dx to maintain weight.
|Choose diet moderate in complex carbs (40-50% of total calories), moderate to high in fat (30-40% of total calories), and adequate in protein (20% of total calories).
|Foods high in fat provide additional calories but should not increase stoma output.
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When you pay attention to nutrition, you are ensuring that you maintain adequate levels of essential vitamins and nutrients to help keep your body healthy.
The launch of the Alliance's Integrative Health and Wellness program comes after a survey conducted earlier this year showed that patients, survivors, and caregivers receive inconsistent information about integrative health and wellness, if they receive any information at all. The survey also showed that most individuals who have participated in these activities have noticed a positive difference in their quality of life.
There are various steps you can take to check your hydration levels, and to remedy them if you’re suffering the effects of a lack of fluid.