Question: Food's effect on colitis

I definitely find that the food I eat or don't eat plays a huge part in how my gut responds. I have had IBD for 50 yrs and now have just started on Entyvio. In particular gluten, diary, spices, fresh esp acidic fruit and fresh veg are difficult for me. However doctors don't help much, if at all, with this aspect and yet I find it one of the main aspects of my life with colitis. How can we be helped to feel less isolated in this aspect of the disease?



Community member


Diet has an important impact on everyone's lives, particularly people with diseases that affect the digestive system such as Crohn's and ulcerative colitis. Although doctors know this, it's difficult for us to provide specific guidance to patients about which foods to eat or not eat because sensitivities to foods are specific to each patient. In addition, diet is a difficult area to study in clinical trials so there isn't much research for doctors to base specific dietary recommendations on. As a result, we aren't able to tell patients what to eat and what not to eat.

There are two things I encourage people with Crohn's or ulcerative colitis to do with respect to their diet. First, it's important to keep a food and symptom journal to help identify foods that cause issues. Second, consider seeing a registered dietitian who can help analyze your journal and modify your diet accordingly.

I hope this helps.


Dr. Brian Bressler


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