When preparing chicken, beware of marinades that may have spices or sugars that are difficult to digest.
Portion size is also important. According to the U. Department of Agriculture, a good portion size for chicken is 3 ounces, about half of a small chicken breast. To meet the recommended daily value about 1, milligrams for adults , aim for three to four servings of calcium-rich foods every day.
If you can tolerate dairy, Gilbert recommends live-culture yogurt, because it has the added benefit of probiotics , or good bacteria, which can aid in the recovery of the intestines.
Non-dairy sources of calcium include fortified orange juice and soy milk , tofu, salmon and kale. Sometimes you just want something sweet. Baked apples make for a healthy dessert while providing an easier-to-digest source of fiber when prepared without the skins. Once apples are peeled, the remaining fiber is soluble, so it is gentler on your digestive system. Raw fruits can be difficult to digest, Gilbert says, but peeling the skin and baking or cooking the fruit makes them softer.
Unsweetened applesauce is another good option. By subscribing you agree to the Terms of Use and Privacy Policy. Health Topics. Health Tools. You can read more about this in our information on Bones.
Fibre Fibre is a type of carbohydrate found in plants, which is broken down in the colon. It helps keep the bowel working by softening and bulking up stools, making them easier to pass.
Eating plenty of fibre can lower your risk of heart disease, stroke, type 2 diabetes and bowel cancer. It can also help treat and prevent constipation. For some people, fibre can help to reduce symptoms during a flare-up and can help them stay in remission. For others, fibre can make their symptoms worse. For example, they may suggest that some people cut down on fibre for a short time during a flare-up, before slowly adding it back in to the diet. Fibre-rich foods include:.
Healthy adults should eat 30g of fibre each day. Children under 16 need between 15g and 25g, depending on their age. Water, milk and herbal teas are healthier than sugary or fizzy drinks. This is to avoid fibre getting stuck in narrow parts of the bowel, which may increase the risk of a blockage. Low-fibre foods include:. Lactose intolerance Lactose is a sugar found in dairy products, such as milk, cream and cheese.
An enzyme in the gut, called lactase, breaks down lactose so it can be absorbed by the body. This can cause:. Following a low-lactose or lactose-free diet may help you manage your symptoms. You can buy lactose-free dairy products - try to choose ones that are fortified with calcium. Check the labels on pre-prepared foods as some have lactose added.
You may be able to digest small amounts of lactose, such as a little milk in your coffee. You can get an idea of how much lactose a product contains by checking the ingredients list. They can also check you're getting enough calcium and vitamins in your diet, which are important for bone health. Some of the symptoms of IBD and coeliac overlap, such as abdominal pain, bloating and diarrhoea.
If you think you may have coeliac disease or a sensitivity to wheat, barley or rye, speak to your doctor or dietitian before changing your diet. Also, if you cut down on foods containing gluten, you may not get enough fibre in your diet. You could use a table like the one below. Open a larger version to save or print. For some people, their diet has no effect on their diarrhoea. Others find that avoiding certain foods helps. You could use the food diary above to help you find out which foods might be causing your symptoms.
Foods which sometimes make diarrhoea worse include spicy or fatty foods, high fibre foods, foods containing gluten and dairy foods. Drinks containing caffeine, sweeteners or alcohol can also make diarrhoea worse. Your IBD team or dietitian can advise you on how to manage your diarrhoea.
In some cases, they may recommend medicines to help. Our information sheet Diarrhoea and Constipation has more information about what causes diarrhoea and possible treatments. You may be more likely to get dehydrated if:. Drinking water may not be enough to treat dehydration, because your body has also lost sugars and salts, which need replacing. You can buy rehydration solutions, like Dioralyte or Electrolade from pharmacies and supermarkets, but you may not be able to use these if you have kidney problems.
Some hospitals provide their own recipe for an electrolyte mixture that you can make at home. You could try adding salt to your food or eating a salty snack, like crisps, together with a drink of water or flat cola.
If you have a high-output ileostomy or a short bowel, drinking more water may increase your output and make you more dehydrated. Your IBD team can tell you if you should limit ordinary fluids and use an electrolyte mixture. If you have a short bowel or if your dehydration is severe, your GP or IBD team may give you medicine to slow the movements of your gut.
Our information sheet Dehydration has more information about avoiding and treating dehydration. Bloating and wind There are several possible causes of bloating and wind, such as constipation, a food intolerance or swallowing air when you eat or talk.
There is no one solution that works for everyone so it can take time to find what works for you. Keeping a food diary can help you find out which foods are causing your symptoms. You could try:. You can read more in our information sheet Bloating and Wind. You may need to strain on the toilet and your stools will be hard, lumpy or dry. You may also feel bloated and sick and not feel like eating much. Possible causes of constipation include inflammation in the rectum, a low fibre diet, not drinking enough fluids and some medicines, such as opioid painkillers and iron supplements.
If you have an ostomy, you may sometimes have constipation. Your stoma nurse or dietitian can help you choose foods to help manage the output of your stoma. These ideas may help you avoid or treat constipation:. Our information sheet Diarrhoea and Constipation has more about constipation.
If you eat less during a flare-up, you may lose weight and you may not get enough nutrients. You can help to keep your weight stable by:. Being overweight can cause health problems, such as type 2 diabetes and heart disease. Exercise that makes you breathe faster, like jogging or swimming, can help you lose weight. Eating a healthy, balanced diet can also help. Measuring your body mass index BMI and your waist can help you keep an eye on any weight changes.
The NHS website has information on how to do this. You may have mixed emotions about losing weight during a flare-up. But you may feel worried about not eating a healthy diet. You can read more about difficult relationships with food later in this guide.
You may be more likely to experience fatigue if you have anaemia or you have anxiety or depression. Some medicines can also cause fatigue. See the earlier information on getting a healthy, balanced diet and speak to your IBD team or dietitian if you need advice.
If anaemia is causing your fatigue, your IBD team may recommend taking an iron supplement or eating more iron-rich foods. To help keep your energy levels up, you could try eating five or six smaller meals throughout the day. Eating a light snack or having a milky or herbal caffeine-free drink before bed can prevent you waking up hungry during the night.
You can find out more about Fatigue. Here are some things you may want to try to help:. They may be shorter than their classmates, but they may catch up over time. Children and teenagers need more nutrients than adults, to help them grow.
This is especially important during puberty. Unlike steroids, enteral nutrition helps with growth. The IBD team may recommend your child takes an iron supplement by mouth if they have mild or moderate anaemia. Because of this, some people find it difficult to get the right diagnosis. The effect food has on your symptoms, together with needing to change your diet or take medicines like steroids that affect your weight, can change how you feel about eating.
They can offer support and refer you to a counsellor. A lack of vitamin B12 or folate the natural form of folic acid can cause fertility problems. This helps reduce the risk of spine problems in the baby. Your IBD team will give you information about how to get enough protein and energy from your diet. The Department of Health advises all pregnant women to think about taking a 10 micrograms vitamin D supplement every day during pregnancy and breastfeeding. The NHS website has information on diet and food safety during pregnancy.
If you have a stricture a narrowing in the intestine , you may need to change what you eat to help prevent the intestine getting blocked. You might be advised to avoid foods that could block the intestine, such as:. If you have a severe stricture, you may only be able to eat very soft or liquid foods. In some cases, they may recommend a vitamin and mineral supplement. Surgery to remove the ileum The ileum is the last part of the small intestine, before it joins the colon.
The ileum absorbs vitamin B12 from your food. If you have had a large part of your ileum removed, you may not be absorbing enough vitamin B12 and you could develop anaemia. Your GP will check this with a yearly blood test and may give you regular injections of vitamin B The ileum also absorbs bile salts. These salts are made in the liver and their job is to transport and absorb fat.
This can irritate the colon and cause watery diarrhoea. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. The high amounts of fiber in foods like whole-grain bread, whole-wheat pasta, popcorn and bran can cause a lot of traffic through the gastrointestinal tract.
But during a flare, their high fiber content and tendency to cause gas is a lose-lose. And avoid fruits and vegetables with skins and seeds intact. Many people find that bananas or canned pears are gentler than an apple or bowl of raspberries, for instance. Also steer clear of gassy veggies like broccoli, cabbage and Brussels sprouts. Nuts and seeds can be rough — literally.
Their sharp edges can be irritating to the lining of the GI tract. That goes for all types of drinks, Taylor says.
0コメント