A recent study by Kyaw et al, 2014 http://www.ncbi.nlm.nih.gov/pubmed/24942954 found that during a flare up of UC the following dietary modifications were beneficial:
- eating smaller meals more frequently (four to six times a day)
- drink plenty of fluids
- decrease excessive intake of fats
- decrease simple sugars (refined sugars, but maintain adequate intake of vegetables)
- decrease high fibre foods during flare
- note - when not flaring, fibre is important in helping decrease inflammation. Use soluble fibres such as whole rolled oats, lentils, apples, oranges, pears, oat bran, strawberries, flaxseeds, beans, blueberries, psyllium, cucumbers, celery, and carrots. These fibres slow down gastrointestinal emptying, improving symptoms of diarrhoea in UC and also sooth the gut wall.
- During a flare - easy to digest foods such as soft boiled eggs, soups, bone broths, omelettes and steamed veges and fish are recommended
- go here: http://greendoorhealth.com.au/bone-broth/#sthash.66yTg9a3.33qarN3S.dpbs for a great congee recipe
A study by Ianco et al, 2013 found that patients with colitis who had higher intakes of #anti-oxidants from fruits in their diets had less inflammation and lower recurrence of pouchitis http://www.ncbi.nlm.nih.gov/pubmed/24151365.
- Not in a flare up - having fruit twice a day is enough for a beneficial anti-oxidant effect.
Using #prebiotics such as fermented foods (miso soup, greek yogurt, vinegar) on a daily basis helps to feed good healthy bacteria in your gut - such as Lactobacillus acidophilus and Bifidobacterium bifidum. These bacteria are anti-inflammatory and show beneficial histopathology (intestinal tissue studies) results for UC as in the study by Jadhav et al, 2013 http://www.ncbi.nlm.nih.gov/pubmed/23317563 and also Gentschew et al, 2012 http://www.ncbi.nlm.nih.gov/pubmed/22495981
Nutrition for alleviation of UC symptoms is a relatively new area of research but the above studies are promising. There are also many herbs such as Aloe Vera, and Boswellia serrata that help with inflammation. A multi-faceted approach such as gastrointestinal specialists, general practitioners and of course, your naturopath is your best bet for symptom relief and clinical improvement. Please comment and request a link for my thesis on Ulcerative Colitis if you are interested in knowing more.
Yours in health