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Writer's pictureLila Sullivan

Navigating Nutrition and Diet When You Have IBD

Updated: Feb 19, 2023


Living with inflammatory bowel disease (IBD) can be challenging, and managing symptoms often requires a multifaceted approach. One key element of managing IBD is paying attention to what you eat. For many people with IBD, certain foods can trigger symptoms like diarrhea, abdominal pain, and bloating. But figuring out which foods to avoid and which to include in your diet can be a process of trial and error.


As someone who's been living with IBD for several years, I've learned a lot about how nutrition and diet can impact my symptoms. Here are some of the things I've found most helpful.


1. Keep a food diary


When you're trying to figure out what foods are triggering your symptoms, keeping a food diary can be a helpful tool. In your food diary, write down everything you eat and drink, along with the time of day and any symptoms you experience. Over time, you may start to notice patterns and be able to identify certain foods that seem to be causing issues. For example, I discovered that I have trouble with dairy products and anything too high in fiber.


2. Focus on nutrient-dense foods


When you have IBD, it's important to make sure you're getting enough nutrients to support your body's needs. Focus on foods that are nutrient-dense, meaning they contain a lot of vitamins and minerals relative to their calorie content. Good choices include leafy greens, lean proteins, and healthy fats like avocado and olive oil. If you're having trouble getting enough nutrients from food, talk to your doctor or a registered dietitian about whether supplements might be a good option for you.


3. Experiment with different cooking methods


How you prepare your food can also impact how it affects your IBD symptoms. Some people with IBD find that cooking vegetables until they're well-done or using a slow cooker can make them easier to digest. Other people find that raw or lightly cooked vegetables are easier on their gut. It's also a good idea to experiment with different seasonings and spices, as some people with IBD find that spicy or heavily seasoned foods can trigger symptoms.


4. Consider a low-FODMAP diet


A low-FODMAP diet is a type of elimination diet that can be helpful for people with IBD who have trouble tolerating certain types of carbohydrates. FODMAPs are short-chain carbohydrates that can be poorly absorbed in the small intestine, leading to symptoms like bloating and gas. Foods high in FODMAPs include wheat, onions, garlic, and some fruits like apples and pears. A low-FODMAP diet involves eliminating these foods for a period of time and then slowly reintroducing them to see which ones you can tolerate.


5. Don't be too restrictive


While it's important to be mindful of what you eat when you have IBD, it's also important not to be too restrictive. If you cut out too many foods, you could end up depriving your body of important nutrients. Instead, focus on finding a balance of foods that work for you and that you enjoy eating.


Remember that everyone with IBD is different, and what works for one person may not work for another.

6. Talk to a professional


Finally, if you're struggling with figuring out the best nutrition and diet plan for your IBD, it's a good idea to talk to a professional. A registered dietitian who specializes in IBD can provide personalized advice and support to help you find the foods that work best for your body.


Managing IBD can be challenging, but paying attention to your nutrition and diet can make a big difference in managing your symptoms and improving your quality of life.


Remember to be patient with yourself, as finding the right balance of foods can take time.

By keeping a food diary, focusing on nutrient-dense foods, experimenting with different cooking methods, considering a low-FODMAP diet, avoiding overly restrictive diets, and seeking professional support, you can take control of your nutrition and diet and feel your best. Don't forget to also stay hydrated, avoid smoking and alcohol, and get regular exercise to support your overall health and well-being.


By taking a holistic approach to managing your IBD, you can thrive and live a fulfilling life.

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