There are certain types of foods which can be avoided in case of flare-ups like-
Foods that are considered safe during a ‘Flare’ are-
However, some people who follow the above guidelines may still continue to experience abdominal cramping following eating. In these cases, supportive medications may be helpful. If the normal method of eating food by the mouth is not allowing enough nutrients to be absorbed, then other methods of getting nutrients must be used. These methods include enteral nutrition (special formulas which can be easily absorbed by intestines ) and parenteral nutrition (nutrition provided through intravenous route which enters into blood directly). This type of liquid nutrition prescribed by the doctor is particularly helpful for children with IBD to ensure adequate nutrition when the appetite is poor and growth is a major concern. Certain types of enteral nutrition (through oral/ feeding tube), such as elemental formulas (simple nutrients which can be easily absorbed by inflamed intestines), can decrease inflammation in Crohn’s disease. When extra nutrie nt-rich calories are needed, supplemental nutrition may also be obtained by formulas prescribed by the doctor that contain a balance of protein, carbohydrates, fat and vitamins. Parenteral nutrition (through IV route) may be needed when a flare is too severe, medical therapy alone is not enough and bowel rest is needed. This form of nutrition may also be needed in Crohn’s disease patients who are severely malnourished or who have short bowel syndrome (short gut causing malabsorption). Do ask your doctor about enteral nutrition formulas suitable for your case.
Carry this in your purse/backpack:
Advice to patients to manage IBD discomfort includes:
Counselor needs to provide enough reassurance and psychological counselling to all depressed patients. Reinforce positive behavior and ensure adherence to medications prescribed by the doctor.
General tips on treatment of IBD in children:
Whether the person you are caring for is an adult or child, you can:
1. Avoid smoking when you are around someone with IBD; cigarette smoke can worsen the symptoms of IBD.
2. Eat healthy – a diet with plenty of fresh fruit and vegetables, wholegrains and healthy fats, and avoiding processed foods, will be good for both of you.
3. Avoid foods that trigger symptoms – if you notice that some foods seem to make diarrhoea worse, reduce the amount of these foods in the diet.
4. Encourage them to limit alcohol intake, as it can exacerbate a flare-up.
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