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Saudi Arabia, Riyadh
Gastroenterology & Endoscopy Clinic

Crohn’s disease

@ I am a young man of 26 years old and the doctors have admitted that I have Crohn’s disease and I have been on regular treatment for the past four years, but I have some symptoms of pain and flatulence in the abdomen with eating or stress. Is there any special food or measures for this case with thanks?

Long recovery periods are possible with Crohn’s disease, but symptoms often recur. In addition to medication, some measures help relieve symptoms and prolong the time between flare-ups.

There is no certain evidence that food causes or contributes to disease, but some foods and drinks may exacerbate symptoms, especially during flare-ups.

But it is important to know that what works for one patient may not work for another. Some people with Crohn’s disease need to restrict their diet all the time, others sometimes exclude certain foods, and some people don’t have to at all.

So, if you notice that your diet is exacerbating the disease, try different foods and drinks to see if eliminating some and adding some helps relieve symptoms. Here are some helpful steps:

Minimize dairy products. Diarrhea, pain, and gas are relieved in some people with Crohn’s disease if they reduce dairy consumption. Perhaps they are lactose intolerant. They are unable to digest the milk sugar (lactose) found in dairy products because they lack the enzyme lactase, which breaks down lactose into a simple sugar that the body can absorb. If you feel that dairy products exacerbate symptoms, consult a nutritionist to prescribe a healthy diet low in lactose.

Reducing fiber consumption. High-fiber foods, such as fruits, vegetables, and grains, are the cornerstone of a healthy diet, but in some people with Crohn’s disease, fiber may act as a laxative and make diarrhea worse, and it may also increase gas, so try eating high-fiber foods to see if you tolerate more types than others. . If problems persist, you may have to limit fruits, vegetables and grains in your diet. A nutritionist can help you replace the nutrients that these foods provide.

Fat reduction. In severe cases of Crohn’s disease in the small intestine, the patient needs to reduce the consumption of fats due to the inability of the small intestine to absorb this substance, and instead the fat passes through the intestine, causing or exacerbating diarrhea.

In fact, reducing fat consumption is not a problem, unless you are unable to maintain a healthy weight. And in case you need to gain weight, consult your doctor or nutritionist about the best way to increase your calorie count without consuming more fat.

Ask about a multivitamin. Since Crohn’s disease can interfere with the normal absorption of vitamins, your doctor may suggest a multivitamin that provides 100 percent of the essential vitamins and minerals. Vitamins, minerals, or individual herbal supplements should only be taken under your doctor’s supervision. It can interfere with the medication or with the body’s ability to absorb nutrients.

Lots of fluids. Fluids replace water lost as a result of diarrhea. So drink at least 8 8-ounce glasses of fluid a day, and water is best. But avoid fluids containing caffeine or alcohol, as they are diuretics and contribute to fluid loss.

relieve stress:

Stress does not cause IBD, but it may exacerbate symptoms and may irritate the condition. Many people with Crohn’s disease report that their digestive problems have doubled under moderate to severe psychological stress, that is, when facing problems at work, for example, at home, or upon the death of a loved one.

In cases of stress, there is a change in the normal function of the digestive system, so the stomach slows down in emptying food and the secretion of digestive juices increases, and stress may also speed up or slow down the passage of the rest of the food through the intestines, knowing that how stress affects the small and large intestine is still surrounded by many obscurity.

Indeed, it is difficult to avoid some stressful situations. However, it is possible to learn how to relieve daily stress with exercise, adequate rest, and relaxation techniques, such as deep breathing or meditation.

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