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Nutrition Tips for Inflammatory Bowel Disease

MCh, MS - General Surgery, MBBS
Gastroenterologist, Kanpur
Nutrition Tips for Inflammatory Bowel Disease


What is inflammatory bowel disease?

Inflammatory bowel disease, also known as ibd, describes a group of conditions that are chronic and cause inflammation in the digestive system.

Types of inflammatory bowel disease?

There are two primary forms of ibd. They are:



Ulcerative colitis: this type of ibd is characterised by inflammation and ulcers in the inner lining of the colon and rectum, which can cause bloody diarrhoea, abdominal pain and cramping.


Crohn s disease: this kind of ibd may affect any area of the digestive system, from the mouth to the anus, causing inflammation, discomfort, diarrhoea, weight loss, and tiredness.



What are the signs and symptoms of inflammatory bowel disease?



Abdominal pain and cramping: people with ibd often experience abdominal pain and cramping, usually in the lower-right part of the abdomen. The pain may come and go or be persistent, depending on the severity of inflammation.


Diarrhoea: diarrhea is a frequent ibd symptom that may vary from mild to severe.


Fatigue: fatigue is a common symptom of ibd and can be caused by anaemia (an iron deficiency) as well as by the inflammation itself.


Unexplained weight loss: weight loss can occur due to malabsorption, which is when the body fails to absorb enough nutrients from food due to inflammation in the intestines, or due to a lack of appetite as a result of illness or medication side effects.


Fever: a fever can be an indication of infection, which can occur in people with ibd due to complications from inflammation in the intestines.


Rectal bleeding: rectal bleeding can occur when there is inflammation in the rectum or large intestine, which is common in people with ibd.



What are possible complications of inflammatory bowel disease?



Perforation: this is a serious complication of ibd that occurs when a hole forms in the intestine, leading to infection of the abdominal cavity. This can be caused by inflammation and weakened areas of the intestines.


Malnutrition: patients with ibd can experience malnutrition due to the inability to absorb nutrients from food properly and due to loss of appetite. Malnutrition can lead to other complications such as anaemia, fatigue, and weight loss.


Bowel obstruction: this is a blockage in the intestines that prevents food from passing through, leading to abdominal pain and cramping. It can be caused by inflammation, scar tissue build-up, or narrowing of the intestines due to crohn's disease or ulcerative colitis.


Fistula: this is an abnormal connection between two organs or parts of the body that occurs due to inflammation in ibd patients and can cause infection or abscesses in rare cases.


Kidney stones: these are small, hard deposits that form in the kidneys due to mineral buildup from dehydration, which can be caused by ibd-related diarrhoea and vomiting.



Nutrition tips for inflammatory bowel disease



Eating a balanced diet with plenty of nutrients is important for people with inflammatory bowel disease (ibd).


Smaller, more frequent meals may aid with symptom management.


Include probiotic-rich foods such as yoghurt, kefir and kombucha in your diet to support gut health and reduce inflammation.


By consuming more fish, especially mackerel and salmon, you may increase your intake of omega-3 fatty acids.


Be hydrated throughout the day by consuming enough fluids to support regular bowel movements.



Here are some ayurvedic remedies to cure ibs:



Kshara sutra therapy: this ayurvedic treatment involves the insertion of medicated threads made up of herbs like haritaki and pippali into the affected areas of the intestine to reduce inflammation and heal ulcers.


Abhyanga: this ayurvedic massage with herbal oils can help improve digestion and provide relief from some of the symptoms associated with ibd, such as cramps, bloating, and abdominal pain.


Panchakarma: this detoxifying therapy helps in clearing toxins from the body through emesis, purgation, enemas and nasal drops. It also helps in reducing inflammation and relieving pain associated with ibd.


Diet modifications: a diet that is low in fat, high in fibre, and full of fresh vegetables, fruits and whole grains can help reduce inflammation in the gut and also provide essential nutrients for healing. Avoiding spicy food, caffeine and alcohol is also advisable for people suffering from ibd.


Herbal remedies: herbal remedies such as amalaki, ashwagandha, guduchi, turmeric, ginger etc, can be used to reduce inflammation caused by ibd as well as strengthen the digestive system to fight off infection or parasites that may be contributing to its symptoms.


Yoga: certain yoga poses such as paschimottanasana (forward bend), siddhasana (perfect pose), balasana (child's pose) etc, help stimulate digestion and reduce stress which can aggravate some of the symptoms associated with ibd like diarrhoea or constipation.


Steam therapy: steam therapy helps relax the digestive system leading to better digestion which helps reduce abdominal pain caused by ibd.


Basti treatment: in this treatment an herbal decoction or oil is administered via enema into the rectum which helps reduce inflammation in the bowels caused by ibd as well as relieve abdominal discomfort due to gas or constipation associated with it.


Jatyadi oil massage: massaging with jatyadi oil helps increase blood circulation in the abdomen area which provides relief from cramps & pain resulting from inflammation caused by ibd.


Nasya karma: it involves administering medicated oils into the nose which help clear toxins accumulated in the head & neck region due to poor digestion leading to reduced stress levels & improved immunity which ultimately helps manage inflammatory bowel disease.



If none of the aforementioned approaches work, you could think about having surgery.

What are the surgical treatments for inflammatory bowel disease?



Laparoscopic ileocolic resection: typically, crohn's disease is treated with this procedure. It entails removing a section of the large intestine as well as the ileum, the last part of the small intestine.


Colectomy: both crohn's disease and ulcerative colitis, two forms of inflammatory bowel disease, are treated with this operation. It entails removing the whole or a portion of the large intestine.


Ileostomy: this procedure is used to treat both crohn s disease and ulcerative colitis and involves creating an artificial opening in the abdomen to allow waste material to exit from the body into an external pouch.


Strictureplasty: this procedure is used to treat crohn s disease and involves widening a narrowed or structured area in the intestines so that food can pass through more easily.


Bowel resection: this procedure is used to treat both crohn s disease and ulcerative colitis and involves removing a section of damaged intestine from either the small or large intestine due to inflammation or obstruction caused by scar tissue and adhesions.



Best doctors to consult for inflammatory bowel disease?



Gastroenterologist: a gastroenterologist is an expert in digestive system illnesses including inflammatory bowel disease (ibd). They can assist you in managing your symptoms and developing an individualised treatment plan as they've obtained specialised training in the diagnosis and management of ibd.


Primary care physician: your primary care physician is a great place to start if you think you may have ibd. They can provide general advice on managing your symptoms, refer you to specialists if needed, and coordinate care with other health professionals involved in your care.


Colorectal surgeon: a colorectal surgeon specialises in surgeries related to the digestive system, including those for ibd. If you require surgery to treat your ibd, a colorectal surgeon can provide the best possible care tailored specifically to your condition.


Nutritionist or dietitian: a nutritionist or dietitian can help you create an individualised diet plan that meets your nutritional needs while helping to manage symptoms of ibd. They can also provide guidance on food choices that may help reduce inflammation or other digestive issues related to ib.



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7 people found this helpful

I am having liver cirrhosis for last 5 yrs. Presently facing ascites in abdomen and my spleen is also enlarged. Suggest homeopathic medicine.

BHMS
Homeopathy Doctor, Gonda
I am having liver cirrhosis for last 5 yrs. Presently facing ascites in abdomen and my spleen is also enlarged. Sugge...
Chelidonium mother tincture tds i e times a day in half cup of water followed by ceonsthus mother tincture 5 drops in half cup of water thrice a day for 1 month get your investigation checked follow strict home prepared meals with no oily n spicy or very rich proteinous diet be avoided follow bland diet with xtra intake of salads n water also avoid milk esp the full cream or toned milk !
1 person found this helpful
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Can liver cirrhosis be cured completely? Fibroscan results: - splenomegaly - grade 3 fatty changes, severe fibrosis/cirrhosis (metavir stage f-4)

BHMS, MD - Homeopathy
Homeopathy Doctor, Bhubaneswar
Can liver cirrhosis be cured completely?
Fibroscan results:
- splenomegaly
- grade 3 fatty changes, severe fibrosis/c...
Dear Lybrate user, It may be curable if you change your lifestyle and diet habits. But you should very be strict to change your lifestyle. Only medicine can never cure your disease.
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My name is swarup das age is 41 years I wanted to ask that is there assurance of that in ayurvedic treatment will work for liver cirrhosis I am suffering from liver cirrhosis please let me know if it works I am literally confused what to do.

B. Sc., BAMS
Ayurvedic Doctor, Madurai
My name is swarup das age is 41 years I wanted to ask that is there assurance of that in ayurvedic treatment will wor...
Dear Mr. lybrate-user today due to a spam of information is available over the internet about liver cirrhosis. First of all, I would like you to calm down as the more you worry, the worse will be the case. Stress causes the liver and also our entire body system to collapse. About cirrhosis, we need to asses it is in which grade. Ayurveda along with dietary changes with positive living can improve the overall health status of yours. To start with, you may lower alcohol, too much of starchy or fatty food in the diet. Yoga and also walking can improve the body's defense and metabolic functions. Ayurvedic liver supplements can protect the liver and give you a better quality of life. But all set and done, it is better to come in for a phone consultation for a deeper understanding of your problem with customized herbal plan. If you wish to consult, then there are a few things you need to keep in mind: 1. Fix or schedule an appointment. 2. Pay the fee 3. Keep all your reports ready or it can be shared over whatsapp. 4. Set aside atleast 30-45 minutes as I require that much time for understanding your system and offer a sincere and honest advice. Hope this suffices your query. Hope to hear from you soon.
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My husband is 31 years old. Last year he was diagnosed with pancreatitis but after treatment he is fine with that. Now he is suffering with severely gastric problem. Gas and pain remain every time before and after meal. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Zirakpur
H2 blockers and ppis are widely used world wide for prompt relief and is good for short duration. Regimen being given for years together also do not cure permanently, rather cause side effects (of grave concern also). However exceptions are there. On the other hand ayurvedic herbals cure, heal, improves permanently but may be unpalatable, slow in action because no chemicals are used. Some very good classic combos are available but some details are required for choosing the medicine of choice according to case. Pl consult by private Lybrate chat or call and start the treatment immediately. Some Lybrate patients from abroad also have found years long ailment solving easily and felt obliged and emotional. Pl consult.
1 person found this helpful
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Male, 34, weight -98 kg, alcoholic. 2 days back I go through my regular check up and found that my ast level is -133 & alt level is 125. Ast/alt ratio- 1.064. I report says that I have cirrhosis. I just want to know is this a matter of concern or what I have to do.

BHMS, PGD PPHC, BMCP, Trained in USG
Homeopathy Doctor, Kolkata
Male, 34, weight -98 kg, alcoholic.
2 days back I go through my regular check up and found that my ast level is -133 ...
Stop alcohol first. You are overweight. Avoid oil and ghee. Give details of blood test done. So that I can guide you further.
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Dear sir, I am from bangladesh. My mother, age 64 is suffering from liver cirrhosis with hepatitis b positive. Which hospital I will contact? She needs liver transplant but we have no donor. Searching alternative better treatment with affordable medical cost. Please suggest me.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Kanpur
Follow these herbal combinations sootshekhar ras 1 tablet twice a day pittari avleh 10 gm twice a day vyadhi har rasayan 125 mg twice a day send your reports.
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My mother is 50 years old diagnosed with liver cirrhosis fibroscan report 61kpa. Elevated liver enzymes, anemia ,ascites with portal hypertension. Is there any treatment? How long it will take to cure the disease?

BHMS, Training In Emergency care, Certificate in Good Clinical Practice, PG Diploma in Public Health Management, SPR (Skills for Psychological Recovery), Certification in Human Rights & Health
Homeopathy Doctor, Delhi
My mother is 50 years old diagnosed with liver cirrhosis fibroscan report 61kpa. Elevated liver enzymes, anemia ,asci...
Fibroscan measures scarring by measuring the stiffness of your liver. The fibrosis result is measured in kilopascals (kpa) it's normally between 2 and 6 kpa. The highest possible result is 75 kpa. Your mother's readings are very bad however with the right homoeopathic treatment along with allopathic management there is still hope. About time I can not say with absolute period, but may be 2-3 years to recover. Chances of recovery? I would say about 15-20%. Send us the reports and details of ongoing treatment along with arranging a communication with her current allopathic physician, that will be the best I can help you along. Take care.
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Sir how much cost please tell me and I am suffering from mild cirrhosis can I use this.

BHMS, B.Sc(I)
Homeopathy Doctor, Kolkata
Sir how much cost please tell me and I am suffering from mild cirrhosis can I use this.
Dear sir, treatment starts wtih first two things. First consultation and 2nd a detail case history. So to get rid of cirhosis of liver you need to consult the doctor. As of now you should avoid the oily rich food.
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I have decompensated liver cirrhosis. I am non alcoholic. My liver size has gone down from 13.0 to 7.8 cms and is still shrinking. I am diabetic too. I have been advised bilypsa. Is the shrinking of liver normal or should I be seriously worried?

BHMS
Homeopathy Doctor, Pune
I have decompensated liver cirrhosis. I am non alcoholic. My liver size has gone down from 13.0 to 7.8 cms and is sti...
lybrate-user sir kindly check your lft & bun sr amylase usg reports & your hba1c & bsl f & pp along with this you need to change diet & habbits for which we need to have a word no need to worry .you can reverse your condition with homoeopathic medicines. Consult a homoeopathic doctor and take your personalised medicine. Arsn healthcare polyclinic.
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