Crohn’s Disease Diet and Natural Treatment Plan





Crohn's disease diet - Dr. Axe


Have you been suffering from excessive diarrhea and abdominal pain on a regular basis? You might have Crohn’s disease, which means you may want to follow a Crohn’s disease diet and treatment plan.



So if you have Crohn’s, there is good news. You can help treat this condition naturally with a Crohn’s disease diet, along with making other lifestyle changes.



What is Crohn’s disease, exactly? This inflammatory bowel disease (IBD) causes inflammation of the lining of your digestive tract, which can lead to abdominal pain, severe diarrhea, fatigue, weight loss and malnutrition.



It’s estimated that 2.4 million to 3.1 million Americans suffer from Crohn’s disease or ulcerative colitis (collectively known as inflammatory bowel diseases or IBD).



Crohn’s disease can seriously get in the way of everyday life with the possibility of it being both painful and debilitating. Sometimes, it even leads to life-threatening complications.





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If you suffer from Crohn’s, don’t lose hope! Much like the IBS diet and ulcerative colitis diet can help treat those IBD conditions, the Crohn’s disease diet can do the same with this gastrointestinal tract issue.



Crohn’s disease diet guidelines



Crohn’s disease treatment, the natural way, involves making a number of scientifically proven changes to your lifestyle and diet. Here are some of the top ways to start improving Crohn’s disease symptoms, starting with learning about which foods are a part of a Crohn’s disease diet.



The National Institute of Diabetes and Digestive and Kidney Diseases states that healthcare providers recommend several types of specific diet plans for helping to control Crohn’s symptoms.



The type of diet that works best depends on your ability to digest and absorb minerals, bacteria, fats, fiber and certain types of carbohydrates. People with Crohn’s react differently to these food groups depending on what type of medications they might be taking, their levels of intestinal inflammation, and the extent to which they produce or don’t produce different digestive enzymes.



Here are some Crohn’s disease diet guidelines, including foods to eat and foods to avoid:



1. Avoid classic problem foods



Food sensitivities vary from patient to patient but commonly include spicy and fried foods, refined foods like white breads and pastas, carbonated drinks, alcohol, and caffeine. Wheat products (gluten), cereal grains such as corn and oats, dairy products, pork, onions, and yeast also all tend to make Crohn’s symptoms worse.



Research published in Gastroenterology and Hepatology found that a diet low in fat and fiber (known as a LOFFLEX diet) tends to be highly effective at treating Crohn’s, with some studies finding that up to 60 percent of patients go into remission within two years.



2. Eat a healing diet



Changing and improving your diet is one of the most important, controllable and natural things you can do to improve inflammation associated with Crohn’s disease.



If you suffer from Crohn’s, following a healing foods diet may help decrease inflammation (the No. 1 dietary goal with Crohn’s), alkalize the body, lower blood glucose, eliminate toxins and optimize nutrient intake.



The healing foods diet consists of eating roughly equal amounts (33 percent each) of clean protein sources, healthy fats and low-glycemic carbohydrates in the forms of fruits and vegetables.



3. Limit dairy



Many people with Crohn’s find that gastrointestinal problems like diarrhea, abdominal pain and gas improve when they limit or eliminate dairy products. Some people are also lactose intolerant, which means they can’t digest the milk sugar (lactose) in dairy foods.



While the lactose in dairy hasn’t been shown to necessarily make Crohn’s worse, the fat content in dairy can inflame the condition.



4. Be careful with high-fiber foods



For some people suffering from Crohn’s, consuming high amounts of fiber, especially from raw fruits and vegetables, can be too difficult for their compromised systems to handle. Don’t skip your fruits and veggies altogether, however. Just eat them cooked whenever possible.



Some Crohn’s sufferers have trouble with foods in the cabbage family (broccoli, cauliflower, cabbage, etc.), nuts, seeds, corn and popcorn.



Keeping a food diary can help you see what works and what doesn’t for your particular case of Crohn’s. This way you don’t eliminate a healthy food (for example, broccoli) unnecessarily in your Crohn’s disease diet if your digestive system actually can handle that food well.





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5. Increase prebiotic intake



Consuming more prebiotics, a special form of dietary fiber that promotes the growth of healthy bacteria (probiotics) that combat bad bacteria, is a smart idea for people with Crohn’s disease. Prebiotic foods include things like asparagus, bananas, honey and oats, all of which make excellent additions to any Crohn’s disease diet.



However, because prebiotics are a type of fiber, it’s important to monitor your systems and pay attention to how you feel. If particular prebiotic foods, or foods high in fiber, are causing worsened symptoms, then try subbing in other foods until you find what works.



6. Eat smaller meals



If you want to avoid a Crohn’s disease flare-up, it’s best to stop overloading your body with over-sized meals. By eating smaller meals you put less stress on the gastrointestinal tract, which can help reduce some Crohn’s symptoms like bloating, gas and cramping.



You can try eating smaller meals more often throughout the day, rather than two to three big meals, to help with absorption of nutrients, improving energy and controlling symptoms.



7. Drink enough fluids



It’s possible to lose a high amount of fluid due to frequent diarrhea. Make sure to drink plenty of water and stay hydrated every day.



Caffeine-free herbal tea, bone broth and kombucha are also good choices, since these not only provide water, but also electrolytes, amino acids and probiotics.



8. Avoid artificial sweeteners



Research has shown that increased use of artificial sweeteners is correlated with higher rates of IBD, including Crohn’s.


It is advisable to limit or avoid artificial sweeteners on a Crohn’s disease diet, as they are associated with various gastrointestinal issues, allergies, insulin and metabolic effects, cancer, cardiovascular problems, and more. This rule is generally good to follow for overall health and well-being.


Foods to eat vs. foods to avoid


It's important to understand that the foods recommended to eat and avoid on a Crohn’s disease diet may not be beneficial for everyone. Each individual may have different triggers when it comes to food, so it's recommended to try an elimination diet to identify personal triggers and tailor the diet accordingly.


Grains


Eat:



  • Rice and rice pasta

  • Low-fiber cereals

  • Oatmeal or cream of rice

  • Plain crackers

  • Potatoes

  • Cornmeal and polenta

  • Gluten-free bread


Avoid/limit:



  • Whole grains like whole-wheat bread, bran, brown rice, and quinoa

  • Popcorn and granola

  • Seeds and nuts in bread or grain products

  • Rye and barley

  • Whole-wheat pasta


Fruits and vegetables


Eat:



  • Peeled and cooked vegetables like carrots, zucchini, squash, pumpkin, and potatoes

  • Ripe, peeled fruits like bananas, melons, and applesauce

  • Canned fruits without added sugar or preservatives

  • Peeled cucumbers

  • Bell peppers

  • Cantaloupe


Avoid/limit:



  • Raw fruits and vegetables with skins or seeds

  • Cruciferous vegetables like cauliflower and Brussels sprouts

  • High-fiber fruits like figs, prunes, and pineapple

  • Artichokes, cherries, plums, and peaches


Protein and meat


Eat:



  • Lean protein sources like chicken, turkey, eggs, and fish

  • Smooth nut butters like almond butter or peanut butter

  • Tofu or well-cooked legumes (if tolerated)


Avoid/limit:



  • Fatty, fried, or processed meats like bacon and sausage

  • Tough cuts of meat or meat with gristle

  • Beans, lentils, or legumes that cause gas and bloating

  • Red meat and dark poultry meat


Dairy


Eat:



  • Lactose-free dairy products like lactose-free milk, yogurt, and cheese

  • Hard cheeses like cheddar or Parmesan

  • Fortified dairy alternatives like almond, soy, flax, hemp, coconut, or oat milk

  • Fermented dairy like low-fat yogurt and kefir


Avoid/limit:



  • High-lactose and full-fat dairy products

  • Flavored yogurts with added sugars

  • Ice cream, milkshakes, butter, and margarine

  • Cream


Herbs and spices


Eat:



  • Mild herbs like parsley, basil, or oregano

  • Ginger, turmeric, chives, green onions, cumin, lemon peel, mustard, and fresh herbs


Avoid/limit:



  • Spicy seasonings like chili powder, cayenne, black pepper, and jalapeno

  • Strong condiments like hot sauce or horseradish

  • Allspice, garlic, onions (except green onions), paprika, and wasabi


Drinks


Drink:



  • Water, herbal teas, electrolyte-replenishing drinks, and sparkling water


Avoid/limit:



  • Alcohol, caffeinated beverages, sugary drinks, and carbonated beverages


Crohn’s disease diet supplements


1. Probiotics


Adding a daily, high-quality probiotic supplement to your diet can support your immune system, improve digestive function, and aid in mineral absorption. Probiotics have been shown to help reduce diarrhea in people with Crohn’s disease and prevent vitamin deficiencies.


Studies suggest that probiotics can enhance the synthesis of essential nutrients and support digestion of challenging substances like gluten and lactose.


2. Slippery elm


Slippery elm is a demulcent herb that can protect and heal irritated tissues. Its mucilage content coats and soothes the digestive tract, making it beneficial for calming Crohn’s flare-ups.


3. Curcumin


Curcumin, with its anti-inflammatory properties, has shown promise in reducing symptoms and medication needs in people with inflammatory bowel diseases like Crohn’s. Clinical studies suggest that curcumin could be effective in preventing and treating colonic diseases.


4. Glutamine


Glutamine, an amino acid that supports intestinal health, can help with proper gut function and offer relief for Crohn’s symptoms. It is best taken on an empty stomach.


5. Omega-3 fatty acids


Omega-3 fatty acids, found in fish oil, have anti-inflammatory properties that can help combat inflammation and reduce Crohn’s recurrence. While results vary, some individuals find omega-3s beneficial for managing their condition.


6. Real multivitamin


Due to nutrient absorption issues in Crohn’s disease, taking a real food multivitamin can help ensure adequate nutrient intake. Look for a multivitamin that contains essential minerals and avoid those with harmful additives. Supplementing with specific nutrients like calcium, folate, B12, vitamin D, and fat-soluble vitamins may be necessary if deficiencies are present.


Frankincense essential oil can also aid in digestive health and alleviate Crohn’s symptoms, leaky gut syndrome, chronic colitis, ulcerative colitis, and IBS. It can be ingested by adding a few drops to water or honey for gastrointestinal relief, ensuring it is 100 percent pure oil.


Other natural Crohn’s disease treatments


While the exact role of stress in IBD is still debated, it is agreed that stress can trigger symptom flare-ups, worsen digestive health, and increase complications. Managing stress through regular exercise, rest, relaxation, outdoor time, and supportive relationships can help alleviate symptoms and improve overall well-being.


In addition to following a Crohn’s disease diet, incorporating regular exercise and stress management techniques can significantly impact the condition. High-intensity interval training is recommended for optimal health benefits, along with a combination of aerobic, strength training, and flexibility exercises. Deep breathing exercises can help reduce muscle tension and cramping associated with Crohn’s.

To improve blood pressure and manage Crohn's disease symptoms, try tightening and holding your abdominal and shoulder muscles, then releasing them slowly as you breathe out. This process releases nitric oxide. Additionally, incorporating deep breathing and mind-body exercises into your routine can help with symptom management.

It's important to schedule relaxation time in your daily planner and stick to it. Make time at least once a week, or ideally once a day, to do something you enjoy that refreshes you. This could be playing tennis, reading a book, or taking a yoga or meditation class to practice breathing techniques.

In conclusion, Crohn's disease is an inflammatory bowel disease that causes various unpleasant symptoms. By making dietary and lifestyle changes, you can prevent and control flare-ups. Adopting a therapeutic Crohn's disease diet, incorporating proper supplementation, managing stress, and avoiding NSAIDs or antibiotics are natural ways to help treat Crohn's disease effectively.