The diet for colitis, regardless of whether it is spastic, ulcerative , undetermined or ischemic colitis , can reduce intestinal symptoms long term. 
One of the best ways to understand how diet influences disease is to keep a food journal.

Writing in a diary what you eat and the symptoms that occur later, it is possible to identify the foods that cause discomfort, so it is eliminated from the diet.


Although Crohn’s disease and ulcerative colitis are not the consequence of food allergies , many patients and doctors recommend some simple tips to help manage symptoms during exacerbation:

  • Eat smaller meals more often,
  • Reduce the amount of fatty foods or fried foods in the diet,
  • Limit the consumption of milk products or dairy products
  • In the acute phase, limit the intake of high-fiber foods such as nuts, seeds, corn and popcorn.

Crohn’s disease and colitis are evolving diseases and symptoms may change over time. 
Understanding how foods affect the digestive system can help you control the disease and its effects in life.


Recommended foods for ulcerative colitis

Although it is necessary to maintain a well-balanced diet for optimal health, you should avoid or limit certain types of foods that can cause the symptoms of colitis. 
Here are a few to remember:

  • Fiber . Fiber is the undigested part of food, can be found in vegetables, fruits and whole grains.
  • Fiber is good for most people, but it can be hard to digest for people with ulcerative colitis.
  • You should limit your fiber to less than 2 grams per meal when symptoms are active.
  • Foods with fiber can cause bloating and flatulence, among these are beans, legumes, bran, nuts, seeds and popcorn.

Fruits and vegetables. In the acute phase, do not eat raw fruit except ripe bananas and melons. With vegetables, remove the seeds and then cook well. You should be able to cut the vegetables with the edge of the fork. Potatoes can be eaten after removing the skin. 
You can eat the centrifuges because they contain the fiber. 
Fiber increases stool volume and may cause intestinal obstruction in the symptomatic phase. 
After the first week with the diet based centrifuges and juices, you can gradually insert the fruits (especially apples, bananas, pears and papaya) and then the vegetables (especially carrots and fennel).

Spices, fats and sweets. Avoid spicy foods, fried foods and fats. Fats can be difficult to digest and can cause diarrhea and bloating. Chocolate and artificial sweeteners can aggravate the symptoms.

Proteins. Protein is an essential part of a healthy diet. Good sources of protein include peanuts and legumes.


What to drink with ulcerative colitis?

Ulcerative colitis can cause dehydration , so it is important to drink plenty of fluids: drink at least 8 glasses of fluids per day. 
This does not mean that any type of drink is okay. 
Consider the following guidelines:

  • Caffeine . 
    Avoid caffeine in all forms. Caffeine stimulates bowel activity and does not do well for a person suffering from ulcerative colitis.
  • Juice . Okay, sugar free; It is a good way to eat the nutrients from fruits and vegetables. 
    You need to stay away from sugary fruit juices because sugar is not well tolerated in inflammatory bowel disease.
  • Non-alcoholic beverages . 
    Avoid beverages containing sugar.
  • Milk . 
    Who is lactose intolerant should limit dairy products to help reduce diarrhea.
  • Alcohol . 
    Many doctors and nutritionists agree that alcohol should be avoided on a diet for colitis.
  • Supplements for ulcerative colitis
    Because of symptoms such as diarrhea and lack of appetite, people with ulcerative colitis may be deficient in vitamins and minerals. 
    Some medications used to treat ulcerative colitis may aggravate this deficiency. 
    Your doctor or nutritionist may recommend some nutritional supplements, including:

    • Probiotics . 
      Probiotics are “good bacteria” that can improve the health of the colon. Some studies show that probiotics may reduce the symptoms of ulcerative colitis. 
      You can swallow the “good” bacteria by eating yogurt. 
      Ask your doctor if you should take probiotic food supplements.
    • Vitamin D and calcium . 
      People with ulcerative colitis need to take cortisone which can lower vitamin D and calcium levels. Many nutritionists recommend the addition of vitamin D and dietary calcium supplements for colitis.
    • Omega-3 fatty acids . These fatty acids are found in fish and some studies show that it can reduce the symptoms of inflammatory bowel disease. 
      Studies show that omega-3 fatty acids can be valuable if you combine it with some medications used to treat ulcerative colitis.
    • Folic acid . 
      Many people with ulcerative colitis have low levels of folic acid. Ulcerative colitis increases the risk of developing colon cancer and some studies have shown that folic acid supplements may reduce this risk. 
      Do not take long-term supplements, try to insert the nutrients into the food as soon as the symptoms of colitis are reduced.


Foods to avoid for colitis

Learn to avoid foods that cause the symptoms and can give better control to the disease and allow greater freedom to enjoy an active life. 
There is no scientific evidence linking certain foods to symptoms, but many people with ulcerative colitis have noticed that one or more of the following foods can cause gastrointestinal symptoms:

  • Alcohol,
  • Caffeine,
  • Carbonated drinks,
  • Dairy products even if the person is not  lactose intolerant ,
  • Foods containing sulfur or sulphate,
  • Sauce, pepper,
  • Butter,
  • Popcorn,
  • Products containing sorbitol (chewing gum without sugar and confectionery),
  • Refined sugar,
  • Spicy foods, sauces.


Foods to avoid during the acute phase, to be included gradually, from the second following week.

  • Seeds,
  • Nuts,
  • Foods rich in fiber, including whole wheat products,
  • Dried beans, peas and legumes,
  • Dried fruits, fruit pulp or seeds,
  • Raw vegetables.


What can a person with colitis eat?

Feeding for colitis should be based on a well-balanced diet, rich in complex carbohydrates, whole grains and good fats but low in animal proteins. 
This diet gives the necessary energy and allows you to live well. 
The diet should include fish, cereals, fruits, vegetables and oil.

A vegetarian patient with colitis can eat vegetables and vegetable proteins, for example soy products containing the nutrients of meat and fish.


In case of colitis that causes constipation:
In the first week of acute phase, it is important to only take juices, celery and carrot centrifuges, infusion of ginger. 
Gradually add raw carrots, bananas and fennel that are good for the health of the gastrointestinal system. 
Apples and pears that contain pectin are excellent and you can start eating after the first week along with the papaya, banana and cranberry. 
Among the foods with more calories, you can eat the avocado. 
After 3 weeks we should start a vegan diet based on fruits, vegetables, nuts, legumes and whole grains, better without gluten. 
It is not easy, but it is the only natural way to cure this disorder.
The early days are hard, but usually those who start following the vegan diet do not go back to eating meat and other animal proteins because they note the well-being of this type of food.

If colitis causes diarrhea:
For the first 2/3 days we recommend fasting to rid the gut of toxins, but you can drink ginger tea or centrifuged fruit juice. 
Especially for breakfast we recommend squeezing a lemon into a glass of water and possibly adding a half teaspoon of baking soda. 
During the day they are allowed: carrots, fennel, ginger and garlic. 
From the third day you can start a vegan diet, which releases the intestines from toxins, improves the health of the entire digestive system and gives energy and vitality. 
Beware of grains with gluten, it is best to eat brown rice, millet, buckwheat and quinoa (also if you can not define a cereal).
The most common intolerances are to milk and gluten, because they are difficult to digest foods. 
For this reason, it is advisable to avoid or limit these foods as they are not necessary for life, but can be harmful.



Examples of recommended diet

This article gives a specific diet plan that may do well for many people with ulcerative colitis and other types of inflammatory bowel disease. 
The following diet is suitable for people with acute ulcerative colitis:

1. Fruit juice made with bananas, blackberries and plenty of water. 
2. Bowl of porridge made with white rice (2 cups water for 1 cup of rice), a small handful of raisins (cooked for at least 5 minutes), a pinch of cinnamon and 1 teaspoon of raw or pasteurized honey. 
3. Green juice made with 2-3 peaches, 2 tablespoons blueberries or blackberries, 2 large handfuls of spinach and plenty of water to mix everything.

Note: If you eat small fruits sprayed like acerola powder, you can mix in any of these juices. On days when you do not prepare your juice, you can take these food powders just with water.

1. Baked sweet potato, avocado and one or two boiled eggs. 
2. Steamed zucchini, potato soup and avocado. 
3. Rice (1.5 cups water to 1 cup rice), steam cauliflower and hummus. 
4. Quinoa (2 cups water to 1 cup quinoa), avocado and steamed pumpkin.

We recommend that you take a teaspoon of cod liver oil per 30 kg body weight before or during dinner. 
1. Rice (1.5 cups water to 1 cup rice) with chickpeas and avocado, seasoned with fresh lemon juice and extra virgin olive oil. 
2. Avocado – orange salad with raw salmon or steamed. 
3. Quinoa (2 cups water to 1 cup quiona) with garlic, mashed potatoes and avocado. 
4. Zucchini, carrot and beets steamed and sardines.

Note: If you would rather not eat a food powder that contains the “good” bacteria during the day, we recommend taking another source of quality probiotics during dinner, or after. 
Jarro-Dophilus EPS and Super Lactobacillus are the best products for sale.

If you prefer not to take a probiotic supplement, you can add a traditionally fermented food to the meal, such as Kimchi (Korean dish with fermented vegetables and spices).

1. Any fresh fruit juice. 
2. Baked potatoes, sweet potatoes or nuts. 
3. A small handful of raw nuts that has been soaked in water for at least two hours. 
4. Any juice named at breakfast above. 
In the acute phase, you can follow the same guidelines listed above, but you should choose centrifuged vegetables and fruit juices instead of raw foods.

It is necessary to observe how your body reacts to each food to make adjustments in the diet. 
It is important to chew the food well and follow the principles for optimal digestion. 
Other recommendations for feeling well, especially in case of spastic colitis of nervous origin. 
These tips are used to understand and correct the factors that cause stress, anxietyand tension.

It is best to follow the following natural remedies rather than taking antidepressant medications with various side effects. 
1. Whenever possible, keep the skin exposed to the sun. The important thing is to be careful not to burn yourself and avoid the hottest hours of the day (from 11-4). 
2. Breathe deeply with your belly (diaphragmatic breathing) at least once every five minutes. 
This helps keep the nervous system parasympathetic and inhibits the sympathetic nervous system, this is important in order to promote a proper functioning of the digestive tract. 
3. Spend at least fifteen minutes a day writing down all the thoughts that come to mind in a private diary. 
Jot down any thoughts that go through your head, no matter how strange and foolish it is.
This exercise can help raise awareness for emotional stressors that are not apparent at first glance. 
4. If living conditions allow, do something you enjoy every day. Think of a fun activity for yourself and find the time to do it. 
5. Every day when you wake up and before bed, spend a few minutes thinking:

  • Someone you love and care deeply about your well-being,
  • Family and friends who are very loyal,
  • Things that gratify.

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