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How to Ease Ulcerative Colitis Symptoms With Diet?

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Ulcerative colitis is a chronic inflammatory bowel disease. This article illustrates the different diet plans to ease ulcerative colitis symptoms.

Written by

Dr. Vidyasri. N

Medically reviewed by

Sumiya Sulthana

Published At June 22, 2022
Reviewed AtSeptember 8, 2022

Introduction:

A person with ulcerative colitis is advised to follow a diet to manage the symptoms. Ulcerative colitis is a chronic disease that causes bowel inflammation, leading to digestion issues. A modified diet helps to ease the symptoms.

What Are the Steps Followed to Ease the Symptoms?

Dietary Advice:

Although there is no specific diet that plays a role in causing ulcerative colitis, some changes in the diet can help ease the condition.

  • Eat Small Meals:

Splitting up meals can help to control the symptoms. Eating five or six meals a day rather than three main meals aids in easing the symptoms.

  • Drink Plenty of Fluids:

A person with ulcerative colitis is more likely to lose a lot of fluid through diarrhea, and water is the best source to keep well hydrated. Caffeine and alcohol should be avoided as these can make diarrhea even worse. As fizzy drinks also cause flatulence, it is better to avoid them.

  • Take Food Supplements:

As enough vitamins and minerals are not obtained through diet, it is advisable to take food supplements as per the gastroenterologist’s recommendations.

Maintain Food Diary:

  • Tracking and maintaining a food diary also helps in monitoring which foods can be taken and evaluating the tolerance level to foods that suit well and what makes the symptom worse.

  • By keeping a record, it is easy to identify the foods that cause the problem and eliminate them from the diet.

  • In case of trying new food, try one food a day because it is easy to spot foods that can cause problems.

Stress Relief:

Though stress is not responsible for causing ulcerative colitis, managing stress levels can result in reducing the symptoms. The following steps are helpful in reducing stress;

  • Relaxation Technique:

Meditation, yoga, and breathing exercise are good ways to relax.

  • Exercise:

Exercising regularly is one of the best-proven methods to reduce stress and boost mood.

  • Communication:

Living with this condition can be more frustrating and isolating; talking with friends and family members can help to alleviate stress.

Diet Plans:

Patients with ulcerative colitis have found that constantly sticking to a certain diet can help in limiting flare-ups and prolong remission. There are some common diets followed for these patients which can decrease inflammation and help them be symptom-free for a longer period.

FODMAP diet:

  • The term FODMAP refers to the fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.

  • These are different types of carbohydrates (sugars) that are absorbed minimally by the small intestine and may cause digestion problems.

  • The FODMAP diet is specially indicated for people with medical conditions such as small intestinal bacterial overgrowth and irritable bowel syndrome (IBS).

What Is a Low FODMAP diet?

The low FODMAP diet refers to a short-term diet plan in which so many foods are restricted and eliminated. It helps in relieving the digestive symptoms and increases the levels of intestinal bacteria in people with small intestinal bacterial overgrowth. It is followed as a three-step elimination process which includes-

  • Step 1:

Avoid eating certain foods (high FODMAP foods).

  • Step 2:

Gradually reintroduce those foods to check the food causing problems.

  • Step 3:

Identify the food causing the symptoms and avoid them or take them with limitations.

What Are the Foods in a Low FODMAP Diet?

The foods that can be taken in a low FODMAP diet include:

  • Almond milk.

  • Grains such as rice, quinoa, and oats.

  • Fruits such as oranges, strawberries, blueberries, grapes, and pineapple.

  • Some Vegetables such as potatoes, tomatoes, cucumber, zucchini, and eggplant.

  • Eggs and meat.

  • Cheese.

Low-Residue Diet or Low-Fiber Diet:

  • During flare-ups, temporarily adopting a low-residue diet or low-fiber diet can help in improving symptoms of ulcerative colitis.

  • The foods that can be taken as a part of a low-residue diet include:

  • White rice, refined pasta, and noodles.

  • White bread.

  • Refined breakfast cereals such as cornflakes.

  • Lean meat and fish.

  • Eggs.

  • Cooked vegetables.

  • Fruit juices with no pulp.

  • Canned fruits and apple sauce, not including pineapple.

  • Raw lettuce, cucumber, onion, and zucchini.

  • Milk, cottage cheese, pudding, or yogurt.

  • Smooth peanut and nut butter.

  • Raw and ripe bananas, melon, cantaloupe, plums, peaches, and apricots.

  • Cooked spinach, pumpkin, seedless yellow squash, eggplant, carrot, potatoes, and green beans.

  • Plain cakes, cookies, and pies.

  • Butter, margarine, smooth sauces.

  • Mayonnaise, whipped creams.

Eating During Flare-UPS:

  • The symptoms of ulcerative colitis during flare-ups include:

  • Urgent bowel movements.

  • Rectal bleeding.

  • Fatigue.

  • Frequent diarrhea.

  • It is important to be aware of foods that need to be limited during flare-ups and foods that help to provide nutrition without making symptoms worse.

  • Foods Recommended to Eat:

  • Low fiber fruits like bananas, cooked fruits, and honeydew melon.

  • Cooked vegetables like potatoes, asparagus, and cucumber.

  • Lean protein sources like lean pork, chicken, tofu, and eggs.

  • Refined grains like white rice, white pasta, oatmeal, and bread.

  • Omega-3 fatty acids mainly found in fish.

  • Sugar-free or unsweetened apple sauce.

  • Homemade protein shakes.

  • Nut butter.

  • Foods That Trigger Symptoms:

  • Dairy products.

  • Fruits with seeds and skin.

  • Spicy foods.

  • Caffeine.

  • Alcohol.

  • Nuts.

  • Raw vegetables.

  • Fatty and fried food items.

  • Food with excess sugar or non-absorbable sugar.

  • Alcohol.

  • Carbonated beverages, including soda.

  • Some foods that are helpful in feeling good and hydrated during the remission phase include:

  • Fiber-rich foods like nuts, beans, and oats.

  • Protein-rich food, including lean meats, eggs, and fish.

  • Healthy fats include olive oil, nuts, and seed butter.

  • Vitamin D supplements.

  • Whole wheat bread, brown rice, and pasta.

  • Whole fruits and vegetables.

Specific Carbohydrates Diet:

This was developed particularly to treat celiac diseases but also promoted to heal gastrointestinal issues. In this, the intestines cannot digest or use certain sugars and grains very well. Hence eating food with these ingredients allows bacteria in the gut to multiply too quickly, which causes excess mucus production. This, in turn, results in a cycle of intestinal damage that produces ulcerative colitis symptoms.

The foods that are included in the specific carbohydrate diet include-

  • Milk and other milk products that are low in sugar tolerance.

  • Nuts and nut flours.

  • Most fruits and vegetables.

  • Meat and eggs.

  • Butter and oils.

The foods that are limited or to be restricted in this diet include-

  • Legumes.

  • Potatoes.

  • Processed meat.

  • Grains.

  • Soy-based products.

  • Milk.

  • Table sugars.

  • Margarine.

  • Chocolate.

  • Corn sugar.

Gluten-Free Diet:

Gluten is a protein found in grains like wheat, barley, and rice. The report suggests that cutting out gluten helps in improving the symptoms.

The foods that can be taken in this diet include-

  • Eggs, fish, poultry, and meat.

  • Fruits and vegetables.

  • Most low-fat dairy products.

  • Grains like quinoa, buckwheat, corn, flax, and Amaranth.

  • Beans, seeds, and legumes.

Foods to limit or avoid:

  • Wheat, rye, barley, and oats.

  • Processed products like beer, cake, pasta, bread, and gravies are made with these grains.

Mediterranean Diet:

The Mediterranean diet helps to bring down inflammation in general. It is often recommended by health officials over a specific carbohydrate diet because of its health benefits and nutrition.

The foods that can be taken in this diet :

  • Vegetables and legumes.

  • Nuts and seeds.

  • Whole grains.

  • Fruits.

  • Fish, poultry, eggs.

  • Dairy products.

  • Red wine.

  • Olive oil and other healthy fats.

This diet does not restrict any food, but it includes red meat only in limited amounts.

Conclusion:

Some ulcerative colitis diets can shorten or lessen the symptoms for a shorter period, while others may provide longer periods of relief. Creating an ulcerative colitis diet plan is not the same all the time and for all individuals; they are modified and curated depending upon the individual needs, restrictions, and symptoms. Ensuring the right diet balance is always mandatory to ease the symptoms.

Frequently Asked Questions

1.

Which Is the Best Diet for Ulcerative Colitis?

No specific diet is mentioned. But, a low-residue or low-fiber diet helps relieve the symptoms of ulcerative colitis during flare-ups. This type of diet help in reducing the amount and frequency of the stools. Some changes in the regular diet plan also support controlling the condition. Maintain a food diary to keep track of good and bad foods that trigger or worsen colitis.

2.

Which Foods Are Not Recommended for Ulcerative Colitis?

Certain food items are not suitable for people with ulcerative colitis. These include spicy foods, refined sugar, seeds, raw fruits and vegetables, meat, rich fiber content foods, carbonated drinks, dairy products, caffeine, popcorn, dried fruits, and products containing sorbitol and sulfur.

3.

What Are the Foods That Can Induce or Trigger Colitis?

Some foods that trigger colitis may include raw green vegetables, caffeine, whole grains, sugar, alcohol, and fat-rich foods. Intake of these foods should be restricted or limited to avoid further problems.

4.

Is Banana Good for Ulcerative Colitis?

Yes, bananas are a perfect option as a healthy food for patients with ulcerative colitis. Bananas are rich in potassium and easily digestible. As people with ulcerative colitis are deficient in this mineral, intake of bananas serves good nutrition.

5.

What Are the Ways to Calm Colitis Flare-UPS?

Following specific changes in food and lifestyle helps manage the colitis condition smoothly. These measures include staying hydrated, taking easily digestible foods, taking medicines as directed, trying not to skip the medications, taking probiotics, and doing mild exercises, which all help manage colitis flare-ups.

6.

Can Eggs Be Taken for Ulcerative Colitis?

Eggs are enriched with essential nutrients, including omega-3 fatty acid content. In addition, they contain a good source of protein and healthy fats. Eggs are easy to digest and serve as a healthy food for people with ulcerative colitis.

7.

How Does the Colitis Poop Looks Like?

The changes in the poop are due to inflammation. Based on its appearance, it is classified into seven types. The stools may appear as hard lumps, lumpy, and sausage, like a smooth and soft sausage, with a mushy and liquid consistency.

8.

Can Bed Rest Help in Ulcerative Colitis?

Bed rest is essential as a part of recovery. Taking good rest can help in reducing the symptoms of inflammation, cramping, and abdominal pain. Sleep can also help in relieving stress.

9.

What Are the Steps Followed to Cure Colitis?

The treatment of ulcerative colitis includes drug therapy or surgery. In addition, anti-inflammatory drugs and immunosuppressants help relieve the pain and symptoms.

10.

Which Organs Are Affected by Ulcerative Colitis?

Ulcerative colitis primarily affects the large intestine and rectum. The colon is the majorly involved part of the large intestine. As the intestines have a significant role in digestion, it is commonly affected.

11.

Which Food Is Good for Breakfast in Ulcerative Colitis Patients?

Easily digestible foods are always preferable. This includes oatmeal with peach, scrambled eggs with unsweetened apple sauce, low-fat cottage cheese with a cup of fruits, and smoothies made with rip[ened banana, almond milk, yogurt, and frozen peaches.

12.

Can Pasta Be Taken for Ulcerative Colitis?

Pasta is a good alternative for patients with ulcerative colitis as it helps relieve colitis symptoms. In addition, it is safer and can be easily digestible. Sauteed mushrooms, roasted carrots, and cooked peas are added as toppings for pasta.

13.

Can Colitis Patients Take Potatoes?

Potatoes are soft, bland, and can be easily digestible. Soft mashed potatoes always serve as a good snack for ulcerative colitis patients. A small quantity of Shredded cheddar cheese or non-dairy cheese can be added as a topping over a baked potato

14.

Is Chicken Good for Colitis Patients?

A baked or cooked chicken breast is rich in lean protein and suitable for colitis patients. This can be taken during flare-ups and symptom-free conditions too. Avoid overcooking, frying, and adding spices. A bland diet works well for colitis.

15.

Which Soups Are Good for Ulcerative Colitis?

Chicken noodle soup is a good choice for colitis patients. It is enriched with lean protein and low-fiber carbohydrates. Avoid chili content in the soups, as it can cause diarrhea, bloating, and pain.

16.

What Meals Are Good to Cook for Colitis Patients?

 
A soft, bland, low-fiber diet works well for patients with colitis. A small amount of cheese, pudding, milk, and yogurt can be taken. In addition, refined white pieces of bread, pasta, dry cereals, crackers, smooth peanut butter, and fruit juices serve as easily digestible foods.

17.

Are Avocados Ok for Colitis?

 
Avocados are enriched with nutrients and healthy fats that aid in easy digestion. In addition, it contains a rich source of heart-healthy monounsaturated fats, which help healthily nourish the body.

18.

Is Salmon Okay for Colitis?

Salmon contains omega-3 fatty acids, which are suitable for the colon and help reduce inflammation. Adding more fish like salmon to the diet can provide a good source of protein and minimize colitis symptoms.

19.

Is Sweet Potato Ok for Colitis Patients?

Sweet potatoes are highly rich in anti-inflammatory properties and are easy to digest. It is an excellent alternative to legumes with high fiber content and is challenging to digest. Including baked sweet potatoes ease digestion and alleviate symptoms of colitis.
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Sumiya Sulthana
Sumiya Sulthana

Nutritionist

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