Ulcerative Colitis and Crohn’s Disease

There are two major forms of chronic inflammatory bowel disease (IBD). Ulcerative colitis is an ulcerative disorder of the mucosa of the colon, whereas Crohn’s disease is characterized by transmural inflammation, most often in the small intestine. Both produce abdominal pain and diarrhea, which can be bloody. IBD tends to wax and wane, with periods of intense active disease followed by long periods of remission. Although the causeis not clear, IBD appears to be an autoimmune reaction, in which “overzealous” immune cells attack the tissues of the intestinal wall.

Diet – Ulcerative Colitis and Crohn’s Disease:

Active IBD often leads to severe malnourishment due to loss of appetite and malabsorption of nutrients. Dietary deficiencies are common, and nutritional status must be carefully monitored. Body levels of minerals (calcium, magnesium, zinc, and iron) are often depleted. In severe cases, parenteral administration of nutrients is required to bypass the diseased intestine.13 In Crohn’s disease affecting the ileum vitamin B12 is poorly absorbed and B12 injections may be needed. Often a high-fiber, low-refined carbohydrate diet reduces the severity of and recurrences in IBD and, if followed long-term, reduces the need for hospital care and intestinal surgery. Food sensitivities may aggravate IBD, and identification and avoidance of offending foods may increase chances of remission. During acute exacerbations of Crohn’s disease, enteral nutrition with protein hydrolysate diets is effective and reduces need for steroid therapy.


Micronutrients – Ulcerative Colitis and Crohn’s Disease:

  • Omega-3 fatty acids 2.5–3.0 g EPA (as fish oil capsules) May reduce extent and severity of inflammation and improve symptoms.
  • Vitamin E 400 mg Can reduce bowel inflammation and aid healing.
  • L-Glutamine 1.0–1.5 g Glutamine promotes healing of intestinal mucosa.
  • Zinc 30–60 mg Can promote healing.
  • Multivitamin/mineral supplement A balanced supplement containing at least 0.8 mg folate and 50 μg vitamin B12 as well as magnesium, zinc, and iron Malabsorption is common during active IBD. Folic acid and vitamin B12 may help protect against development of colon cancer in chronic ulcerative colitis.


Recommended food supplements:


Vitamin E u tabletama   Tecni hlorofil - zastita od stetnih supstanci   Beta Carotene 9000


Dopuna ishrane, moderna formula cinka   Omega 3 Concentrate   Pro Selenium - Selen za odbrannu od slobodnih radikala