Recurring bowel trouble, including diarrhea, pain and abdominal cramping, reduced appetite and weight loss, fever and fatigue may be indicative of inflammatory bowel disease.*

Diseases of the bowels can really limit an active lifestyle. Not to be confused with the less severe irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) is a group of diseases where the gastrointestinal (GI) tract are chronically inflamed. People with IBD can suffer from episodic or persistent symptoms that make it hard to carry out everyday activities. The most common forms of IBD are Crohn’s disease and ulcerative colitis.

  Prevalence of IBD is increasing, affecting around 1.5 million people in the United States and 2.2 million in Europe. The cause of IBD is not known but genetics, the immune system and the environment all play a role. IBD symptoms can be affected by diet and stress, so lifestyle and nutritional changes might be able to help. At Nestlé Health Science, we devote a significant proportion of our research efforts to nutritional therapies for GI disorders, including IBD. In this way, we aim to help patients manage their condition better.

Patients with IBD may be aware that certain foods aggravate symptoms. Commonly, symptoms can be made worse by dairy, fatty foods, spicy foods, caffeine and alcohol, and even too much fiber. Since IBD can cause restrictions in the GI tract, eating easy-to-digest foods is important. Following the dietary instruction for any medication is also crucial, as drug-food interactions can affect symptoms. And because undesired weight loss can occur, especially when symptoms flare up, patients should be sure to get adequate nutritional and fluid intake, through more frequent, smaller meals, or nutritional supplements, if necessary.1,2

1. http://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/basics/definition/con-20034908
2. Loftus EV Jr. Clinical epidemiology of inflammatory bowel disease: Incidence, prevalence, and environmental influences. Gastroenterology. 2004 May;126(6):1504-17.
*Listed symptoms are not all-inclusive; actual patient symptoms may vary. 

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Several potential causes of the resurgence of inflammatory bowel symptoms exist.

Triggers include stress, smoking, various kinds of foods, missed medication and certain other kinds of medicines

Source: http://www.ucsfhealth.org/education/nutrition_tips_for_
inflammatory_bowel_disease/. Accessed December 2014.

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WHAT TO EAT DURING OR AFTER A FLARE

During or after experiencing an IBD flare, generally bland foods with low residues such as oatmeal, chicken, turkey or fish, cooked eggs, mashed potato, rice or sourdough bread are well tolerated. Spicy or high residue foods such as raw vegetables and popcorn may be quite problematic for some. A balanced nutritional supplement may be beneficial to help meet the increased nutritional needs.
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KEEP TRACK OF WHAT IS EATEN

Food doesn't cause IBD in the first place, but it can make symptoms worse. Different food can affect patients differently. To know which foods to avoid, it is helpful to keep a diary or daily log of what is eaten, along with descriptions of symptoms. This will help link problem foods that worsen the symptoms so that they can be avoided in the future. It will also help a doctor or dietitian plan an individual diet better tailored to patient needs.
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IBD IS NOT IRRITABLE BOWEL SYNDROME (IBS)

Despite some their similar names and overlapping symptoms, IBD and IBS are two different conditions. Like IBD, IBS is often episodic, that is, the symptoms wax and wane, but it is a not associated with any identifiable disease in the GI tract. IBD is marked by inflammation of some part of the GI tract, and is a more serious condition. In either case, diet can play a role in alleviating symptoms.  


Source: http://www.ccfa.org/assets/pdfs/flares_brochure_final.pdf. Accessed December 2014.


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