Foods to eat & trigger foods to avoid in order to feel your best with Crohn’s disease. Diet plays a crucial role in managing the symptoms of Crohn’s disease. And while navigating the world of food choices can be challenging, when armed with the right information, you can take proactive steps towards easing symptoms, reducing flare-ups, and improving overall quality of life. In this guide, we'll dive into foods to eat and trigger foods to avoid in order to feel your best. What is Crohn’s? Crohn’s disease, also known as regional enteritis or ileitis, is an inflammatory bowel disease (IBD) that inflames and irritates the digestive tract. Although Crohn’s disease can affect any portion of the gastrointestinal tract, it most commonly affects the small and large intestine. IBD leads to an overactive immune system with excess TNF-alpha which, in turn, causes the immune system to attack healthy cells in the gastrointestinal tract. How diet can impact Crohn’s Anti-inflammatory diets Anti-inflammatory agents include corticosteroids (steroids that release hormones naturally produced by the adrenal glands), immunomodulators (substances that can influence the activity and functioning of the immune system), and biological agents (medications derived from living organisms or components of living organisms). These treatment options have been shown to help with reaching IBD remission. However, anti-inflammatory agents can’t be used for long, which is why anti-inflammatory diets (AID) are beneficial for IBD patients. Anti-inflammatory diets are rich in healthy fats, fiber-rich vegetables, and gut-friendly probiotics and prebiotics. Fiber A plant-based diet contains a high amount of dietary fiber and is beneficial for major chronic diseases. Fiber is effective for gut inflammation and also helps with the general health of IBD patients. A high amount of dietary fiber (32.4 grams of dietary fiber for every 2000 calories) can be quite favorable for IBD — although there is some conflicting evidence around this...more on that below. Low-FODMAP FODMAP (fermentable, oligo-, di-, monosaccharides, and polyols) refers to certain kinds of carbohydrates that can cause fermentation in the gut. It includes sugars like fructose and lactose, and sugar alcohols. FODMAP foods can trigger symptoms like bloating, cramping, and abdominal pain in some people with IBD, which is why a low-FODMAP diet is preferred. Low-FODMAP involves eating fruits that are easily absorbed by the digestive tract and that help manage the symptoms of IBD. Low-FODMAP foods to try: High-FODMAP foods to avoid: Another way to make fruits easier to tolerate for IBD patients is by peeling them and removing their seeds. Mediterranean diet (MD) The Mediterranean diet is an anti-inflammatory diet that prioritizes vegetables, fresh fruits, olive oil, legumes, poultry, beans, peas, whole grains, fish, nuts/seeds, and limited little amounts of lean red meat. It’s naturally low-carb, low in saturated fat, and high in unsaturated fats like omega-3s. The Mediterranean diet affects the gut microbiome by boosting beneficial bacteria, something those with IBD tend to lack. It also helps with gut barrier function and reduces intestinal inflammation as well as the risk of later-onset Crohn's disease and ulcerative colitis. Foods that help with Crohn’s Grains The jury’s still out when it comes to high-fiber grains. Some research shows that fiber-rich grains may help reduce the risk of IBD and support general health for IBD patients. In fact, a 2015 study found that a diet that included fiber showed a high rate of remission for over 2 years. However, according to the Crohn’s and Colitis Foundation of America (CCFA), people with Crohn’s may benefit from a low-fiber diet. We recommend consulting your healthcare provider and/or dietitian for personalized advice. Protein Lean proteins are easier on the digestive systems of patients with IBD. Examples include chicken, turkey, fish, egg whites, tofu, shellfish, and low-fat Greek yogurt. Also, keep in mind that during a Crohn’s flare-up, patients require more protein because of the energy demands caused by inflammation. Healthy fats Healthy fats (known as omega-3 fatty acids) are hugely beneficial for those with IBD. They can be found in antioxidant-rich foods like olive oil, nuts/seeds, avocado, fatty fish (sardines, mackerel, trout), and egg yolks. Healthy fats may help reduce inflammation and protect against cellular damage. Foods to (mostly) avoid with Crohn’s Dairy products IBD and lactose intolerance tend to coexist. Lactose may result in an increased risk for diarrhea, gas, or abdominal pain. Dairy products can also be high in fat, making them difficult to digest. Some dairy products to avoid include margarine, cream, and full-fat ice cream/yogurt. People with Crohn’s should opt instead for low-fat dairy products (low-fat cheese, low-fat ice cream) and also reduce their intake. It’s also worth making use of enzyme products such as lactase (Lactaid) to help with flare-ups. High-fat meat Consider steering clear of red meat, dark meat poultry, and sausages. Spices Spicy food can be irritating for some people with Crohn’s and worsen their symptoms. Some spices to avoid are cayenne pepper, onions, jalapeños, paprika, garlic, black pepper, wasabi, and chili powder. Can vitamins/supplements help with Crohn’s? Vitamins and supplements can help prevent malnutrition if your small intestine can't absorb nutrients from whole foods properly. Also, if your diet is restricted due to flare-ups, a multivitamin with minerals might help replace the nutrients you're missing. Getting enough calcium is also important, especially if you don't consume a lot of dairy. Although supplements can be beneficial, it's important to talk to your healthcare professional and a registered dietitian first to confirm proper dosage and avoid any potential interactions with other medications. The bottom line: dietary changes can complement infusion therapy for Crohn’s disease Diet and lifestyle play a crucial role in complementing infusion therapy. A well-balanced diet and healthy lifestyle can enhance the effectiveness of infusion therapy and support the body's healing process. For example, some may experience side effects from infusion therapy, such as fatigue, nausea, or a weakened immune system. A healthy diet rich in nutrients and antioxidants can help support the immune system and promote overall health, which may reduce the risk of side effects. READ MORE: Interested in Crohn's treatment at Local Infusion? Local Infusion offers modern, state-of-the-art centers with private suites, designed with your comfort in mind. From questions on what to expect in your first treatment, to providing financial guidance and support, a dedicated Infusion Guide works with you and your physician to provide clear answers and assistance every step of the way. Plus, we handle everything having to do with prior authorization. We’ll reach out within hours of a physician referral and get you digitally on board in less than two minutes, allowing our staff more time to focus on you. Should you have questions regarding pricing and insurance, our team will work with you to provide financial assistance support and minimize costs, providing a simple and stress-free experience.
FAQs
Guide To Crohn’s Diet: Foods To Eat & Avoid? ›
There's no specific diet for Crohn's disease, but some people feel better and have fewer symptoms after cutting out certain foods. High-fiber and high-FODMAP fruits and vegetables, high-fiber carbohydrates, foods high in fat, dairy products, and sweetened or carbonated beverages can all trigger symptoms.
Are eggs bad for Crohn's disease? ›For that reason, maintaining adequate protein intake is crucial to help your body bounce back. Fatty meats such as high fat red meat, fried meats, oily/greasy proteins may worsen symptoms during active disease. Instead, stock up on skinless, white-meat chicken or turkey; eggs; fish; and tofu.
Is peanut butter good for Crohn's disease? ›Having lots of different nut butters, such as smooth peanut butter or smooth mixed nut butters, is a really great way of incorporating nuts if people with Crohn's disease find the amount of fiber in nuts is too aggravating,” says Sophie Medlin, RD, a consultant dietitian at City Dietitians and chair for the British ...
What kind of pasta can I eat with Crohn's disease? ›If you notice symptoms after having gluten, try a gluten-free pasta made with simple ingredients like brown rice, or try a vegetable-based noodle like zucchini noodles.
Can you eat cucumbers with Crohn's disease? ›The foods best to incorporate into a Crohn disease diet include lean protein (e.g., fish, poultry, soy, eggs, nuts, tofu) and non-cruciferous vegetables (e.g., asparagus tips, cucumbers, potatoes, and squash). An individual may remove the peels of vegetables and the seeds and cook them to make them easier to digest.
Are bananas OK for Crohn's? ›Fruits and vegetables
If raw fruits make your flare-ups worse, try applesauce and bananas. Both are good for you and can fulfill a craving for sweets. In addition to these, the Crohn's & Colitis Foundation recommends raspberries, squashes, green beans, and cooked and blended fruits and vegetables.
Raw or unpeeled veggies aren't a good choice. Whether you're using them for dip or in a salad, these tough, fiber-rich plant foods can make you poop even more. They could make a Crohn's flare feel worse. Broccoli, Brussels sprouts, and cabbage can also cause gas.
What calms a Crohn's flare-up? ›Try taking OTC medications
Several over-the-counter (OTC) medications may help reduce GI symptoms of Crohn's disease, such as diarrhea, gas, and bloating. These may include: loperamide (Imodium A-D) bismuth-subsalicylate (Pepto-Bismol)
Potatoes. These starchy veggies can be a lifesaver during a Crohn's flare-up. Just be sure you avoid potato skins, as they are high in fiber and may cause digestive distress. Bake or roast white or sweet potatoes and scoop out the middle for a simple, delicious meal that won't leave you feeling under the weather.
Is oatmeal bad for Crohn's? ›Yes, oatmeal is a safe food for most people with Crohn's disease in remission, during a flare, and with active disease. Oats and oatmeal are a great source of soluble fiber making them well tolerated by most people with Crohn's disease.
Is cheese bad for Crohn's? ›
Foods such as milk, cheese, and butter can exacerbate inflammatory bowel disease (IBD) symptoms because they contain lactose, the naturally occurring sugar in dairy foods, notes the Cleveland Clinic. You're more likely to have difficulty with dairy when you have Crohn's disease that involves the small intestine.
Can you eat pizza with Crohn's? ›“It's all about helping people feel better through food,” says Lippman. When Lippman isn't working, there's a good chance he's cooking. There are still foods he avoids to keep his Crohn's in check, including popcorn, beef, tomatoes, alcohol, and, yes, pizza.
Is popcorn bad for Crohn's? ›Fiber is essential to healthy digestion, but some people with Crohn's disease find that high-fiber foods, such as whole-wheat pasta or bread, and beans and other legumes, like chickpeas and lentils, can cause diarrhea and bloating during flares. Avoid nuts, seeds, and popcorn.
What is a safe dinner for Crohn's disease? ›Dinner: One Pot Chicken and Rice
This meal makes for a cozy and comforting weeknight dinner that can be cooked and served in a single pot for easy clean-up. Plus, according to a 2020 study in 233 people with IBD, chicken and rice were among the most commonly identified foods associated with a reduction of symptoms.
Avoid brown rice, wild rice, or rice pilaf. Use sourdough bread for toast or, if you don't eat gluten, look for white bread style gluten-free loaves. Hot cereals, such as Cream of Wheat, may work well.
Is rice ok for Crohn's? ›When it comes to starches, rice is typically a good option for Crohn's because it's low in fiber and easy to digest. It's also a source of resistant starch, which may play a role in improving Crohn's disease and overall gut health.
What is a super food for Crohn's disease? ›Best foods for a Crohn's disease flare-up. Eating certain foods can sometimes help relieve the symptoms of a Crohn's flare-up. Options include refined grains, low fiber fruits, lean proteins, and yogurt. Crohn's disease is a lifelong condition that causes inflammation and irritation along parts of the digestive tract.
Is watermelon ok for Crohn's? ›What are the best foods to eat during a Crohn's flare? Fruit: try low-fiber fruits such as bananas, cantaloupe, watermelon, and honeydew melon. Fruits are sources of many essential vitamins, minerals, and antioxidants.
What chips can you eat with Crohn's disease? ›Some members of MyCrohnsAndColitisTeam have noticed they can tolerate small servings of potato chips without experiencing IBD symptoms. Others recommend sticking to plain, simple flavors or choosing baked chips over the traditional fried types.
What flares up Crohn's disease? ›What can make a flare-up flare up? Forgetting, skipping, or taking the wrong dose of medication—Flare-ups can happen when medications aren't taken as prescribed.
Is cheese bad for Crohn's disease? ›
Foods such as milk, cheese, and butter can exacerbate inflammatory bowel disease (IBD) symptoms because they contain lactose, the naturally occurring sugar in dairy foods, notes the Cleveland Clinic. You're more likely to have difficulty with dairy when you have Crohn's disease that involves the small intestine.