Please provide some do's and don'ts for patients with inflammatory bowel disease .

Question

Why would inflammatory bowel disases affect our eyes ? Do all patients need an annual eye doctor exam?

Answer 1

Do: Do not consume sugars or sweets- they can adversely affect you & make your ibd much worse.

Answer 2

Move: Move your bowels twice daily. Constipation is as bad as diarrhea.

Answer 3

Don't: Don't avoid your doc, get checked regularly.

Answer 4

Avoid: Avoid consuming vegetable oils like soy & canola - these oils can make ibd much worse.

Answer 5

Reduce: Reduce flares with a bowel regimen, goal of two soft bowel movements daily.

Answer 6

Take: Take butyric acid for large intestine healing, l-glutamine, devil's claw to heal small intestine.

Answer 7

Excess: Excess stress can adversly affect your nervous system & make your ibd worse - stay calm & relaxed.

Answer 8

Avoid: Avoid consuming soy products, they have hormonal properties that can make your ibd worse.

Answer 9

Bile: Bile is an irritant to your colon. Use cholestyramine/bile binder to help decrease its impact.

Answer 10

Learning: Learning to do abdominal breathing techniques can calm down your nervous system & help ibd.

Answer 11

Vitamins: Vitamins d3 & B12 are often low because of malabsorption in the terminal ileum. Check blood levels.

Answer 12

Avoid: Avoid food allergies & stress; rule out infection; use probiotics & prebiotics; no processed food.

Answer 13

IBD: Ibd has an inverse link with environmental exposures, the more exposure the lower your risk for ibd.

Answer 14

Smoking: Smoking has been linked with a higher rate of symptoms with crohn's disease.

Answer 15

Consider: Consider avoiding pork since its been shown that pork antibodies are found to make crohn's worse.

Answer 16

Do: Do eat healthy; don't take Aspirin or nsaid's.

Answer 17

Find: Find a doctor with whom you can communicate & don't hesitate to contact him when questions or flare.

Answer 18

Read: Read up--there are wonderful new medications & treatment options coming available weekly.

Answer 19

Surgery: Surgery is not inevitable if you are pro-active with your inflammatory bowel disease.

Answer 20

DON'T: Don't smoke. If you have inflammatory bowel disease it is important not to smoke.

Answer 21

DO: Do - limit dairy products if they have been identified to exacerbate your symptoms.

Answer 22

DO: Do - eat smaller frequent meals rather than taxing the body with larger meals.

Answer 23

Read: Read about your disease, keep up with medical advances, & share your concerns with your doctor.

Answer 24

Explore: Explore your family history, & be proactive about confirming early diagnosis of ibd symptoms.

Answer 25

If: If you poop more try bananas. If you poop less try stool softeners. If you have pain take your dr's rx.

Answer 26

Try: Try to simplify foods. Avoid fried food, processed food, and spices. Stick to grilled, light food.

Answer 27

Ulcerative: Ulcerative colitis & crohn's disease cause inflammation in the digestive tract. Diarrhea, pain & weight loss.

Answer 28

Arthritis: Arthritis commonly accompanies ibd. It is not ra! talk to your doc about the pain you might have!

Answer 29

From: From evidence, both genetic & emotional issues play major roles. Pay attention to what you can change.

Answer 30

Many: Many GI docs fail to try Ciprofloxacin and/or Metronidazole treatment. Actually quite effective & safe!

Answer 31

Do: Do keep yourself well hydrated. Listen to your doctor. Don't self medicate. Live your life!

Answer 32

Don't: Don't eat what bothers your gut. Find ways to control your stress. Take your meds as directed.

Answer 33

Do: Do eat lots of healthy fiber. This encourages growth of good gut bacteria.

Answer 34

High: High dose probiotics like vsl#3 2 packets a day may be an effective treatment.

Answer 35

Ciprofloxacin: Ciprofloxacin with Metronidazole can control many patients with crohn's. Not used enough!

Answer 36

Specific: Specific probiotic strains have been found to help ibd, but do research to choose the proper strains.

Answer 37

Low: Low dose Naltrexone is a promising and safe treatment that often helps ibd.

Answer 38

Diet: Diet can play a crucial role in treatment. Many benefit from the scd, gaps &/or ibd-aid diet.

Answer 39

Try: Try probiotics for irritable bowel syndrome symptoms! refrigerated ones are best.

Answer 40

Listen: Listen to your gastroenterologist. Listen to your body! take your medicines. Watch your diet. Exercise.

Answer 41

Live: Live well, eat right, get your rest, and minimize the use of alcohol and tobacco. Take you meds!

Answer 42

Don't: Don't let a doctor tell you that you have ibs until a proper workup has been done. Not just colonoscopy.

Answer 43

Avoid: Avoid carbohydrates except honey, avoid dairy.

Answer 44

Do: Do avoid caffeine, alcohol, high fat and sorbitol. Limit dairy if you have diarrhea. Supplement fiber.

Answer 45

Avoid: Avoid nsaids such as Ibuprofen which increase your risk for bleeding.

Answer 46

IBS: Ibs and inflammatory bowel disease often respond to discontinuation of milk and milk products.

Answer 47

Two: Two underused treatments: sulfasalazine for small bowel disease & ciprofloxin &/or metronidazole!

Answer 48

There: There are no known preventions. Theories: hygiene hypothesis; living in southern latitude; dietary.

Answer 49

Do: Do ask your doc about antimicrobial rx, using ciprofloxicin and/or metronidazole!

Answer 50

Myth:: Myth: it leads to an iliostomy. Fact: that's very rare to happen.

Answer 51

Do: Do make sure you get a proper eye exam from ophthalmologist bc ibd can have possible eye signs.

Answer 52

Get: Get plenty of fiber and take a probiotic!

Answer 53

Have: Have your B12 and iron checked regularly. Involvement of the distal ileum can impair absorption!

Answer 54

Do: Do not take nsaids like Ibuprofen if you have inflammatory bowel disease.

Answer 55

Watch: Watch what you eat, and know your body. Know when to take it easy - during a flare or just worn out.

Answer 56

Control: Control constipation n overflow diarrhea with bowel regimen, twice daily soft bowel movement is goal.

Answer 57

Be: Be kind to yourself and try not to resent your body. Help it by reducing stressors in your life!

Answer 58

Understand: Understand your triggers like alcohol. Fatigue, etc... Avoid Aspirin and nsaid's. See your GI doc.

Answer 59

Try: Try probiotic capsules: 2-4 capsules 2 to 3 times per day to ease pain.

Answer 60

Small: Small frequent meals are better tolerated. No need to avoid certain foods unless they cause symptoms.

Answer 61

Nothing: It is an autoimmune disease, which means the cause is unknown . So, no way to prevent.

Answer 62

Ibd: Ibd is an autoimmune disease that can be associated with iritis. It is a good idea to see an eye md.

Answer 63

IBD: Nutrition is important. Please work with a nutritionist to make sure you eat well!

Answer 64

Practice: Practice excellent dental care if you have ibd - the gut starts in the mouth!

Answer 65

High: High fiber food sources such as vegetables, fruits and cereals like bran, contribute to better colon.

Answer 66

Drink: Drink plenty of water, about 6-8 glasses per day, to stay hydrated!

Answer 67

If: If you have ibd and have stiff or swollen joints, do ask to be referred to a rheumatologist.

Answer 68

If: If you have ibd, don't take NSAID medications (ibuprofen/motrin or naproxen/alleve/naprosyn).

Answer 69

Keep: Keep your life stress-free, since stress can lead to a relapse of symptoms.

Answer 70

If: If you have ibd remember to eat healthy foods, exercise, don't smoke, and follow your regimen.

Answer 71

No: No specific etiology for ibd but all paths lead to the immune system. Sleep, diet. Exercise all help.

Answer 72

First: Treatment should always include diet and lifestyle changes. Avoid stress.

Answer 73

Know: Know yourself and avoid triggers. These can be dietary, stress-related, or simply forgetting meds.

Answer 74

If: If you have ibd, make sure you take an age appropriate vitamin supplement daily.

Answer 75

Consider: Consider a paleolithic style of eating. It's anti-inflammatory, hypoallergenic and nutrient dense.

Answer 76

Consider: Consider eating paleo even if you test negative for gluten intolerance or other food sensitivities.

Answer 77

Get: Get screened for colon cancer at regular intervals if you have colon involvement.

Answer 78

You: You can't prevent it. It's an autoimmune disorder. If afflicted, one needs good diet and med care.

Answer 79

Do: Do watch what you eat... Don't ignore your symptoms.

Answer 80

Find: Find foods that agree with your GI tract. Don't buy supplements left and right - don't waste $$.

Answer 81

Avoid: Avoid excess stress, note your food triggers and avoid those too. Spicy and greasy foods may be bad.

Answer 82

DO: Do minimize stress! do take probiotics! do exercise/move your body everyday! seek joy! sleep!

Answer 83

Identify: Identify and avoid triggers. Destress your everyday life. Seek peace and happiness everyday.

Answer 84

Don't: Don't eat overly spicy food if it has bothered you in the past, especially not while traveling.

Answer 85

Treatment: Treatment need a cooperative approach from surgeons, GI specialist, dietician, pathology, radiology.

Answer 86

Very: Very controversial but healthy intestinal flora early in life avoiding opportunistic infections.

Answer 87

Eat: Eat healthy, take your medications as prescribed and keep your appointments with your GI doc.

Answer 88

A: A consult with a nutritionist may help you develop a diet which optimizes your nutrition and comfort.

Answer 89

Eat: Eat clean. Don't eat pre prepared foods which has lot of preservatives. Get food sensitivity tes.

Answer 90

Get: Get tested for food sensitivity. It will help what to eat and what to avoid.

Answer 91

Add: Add good supplements as they are not being absorbed very well. Shots and IV is a way to bypass gut.

Answer 92

Antimicrobial: Antimicrobial therapy is as often as effective as anything! ask your doctor!

Answer 93

Keep: Keep any anxiety and depression under control. Of ptsd is present find triggers!

Answer 94

Follow: Follow up with gastro-enterology doctor regularly. You may need colonoscopy periodically.

Answer 95

Be: Be yourself. Take medicine on time. Follow up with doctor regularly.

Answer 96

Do: Do not assume that every symptom is always caused by ibs.Do timely screenings for other pathologies.

Answer 97

Schedule: Schedule periodic (and do not miss) follow up appointments.

Answer 98

Watch: Watch your diet. Food sensitivities can be an issue. Dairy and gluten are common.

Answer 99

Probiotics: Probiotics can be very beneficial.

Answer 100

Make: Make sure to keep up with your follow ups, especially scheduled procedures like colonoscopies.

Answer 101

Do: Do watch your diet and don't overdo alcohol.

Answer 102

Do: Do realize you are not going to die from this. Don't wish you would. Limit your stress.

Answer 103

Avoid: Avoid processed foods and preservatives to minimize ibd risk.

Answer 104

Try: Try to avoid stress. Get plenty of rest and quality sleep. Avoid dietary triggers. Comply with md.

Answer 105

Please: Please see your doctor regularly, get exercise and rest and drink water!

Answer 106

Inflammatory: Inflammatory bowel disease is not something we know how to prevent...We don't know what causes it.

Answer 107

Don't: Don't take anti-inflammatory meds, and don't eat spicy food.

Answer 108

IF: If crohn's disease stop any tobacco use. Get biopsies done. Use formal scoring to track progress.

Answer 109

Stop: Stop tobacco. Use yogurt, probiotic drinks. Avoid food/stress triggers. Avoid steroids as possible.

Answer 110

Avoid: Avoid unnecessary or excessive antibiotic exposure as altered gut microbes linked to risk of ibd.

Answer 111

Take: Take your medication faithfully at regular intervals and maintain a consistent eating regimen.

Answer 112

Do: Do exercises every day for 1 hour in order to reduce stress.

Answer 113

If: If constipation take Amitiza (lubiprostone) tab twice a day if diarrhea take azulfidine twice a day.

Answer 114

If: If diarrhea type, plan your travel. Bring toilet paper in a bag to public washrooms.

Answer 115

Be: Be sure to check 25-oh vit d. Vit d3, vit k2, l glutamine, and cod liver oil are all useful.

Answer 116

There: There is no proof that diet will cure ibd though diet interventions may be a complementary treatment.

Answer 117

Effective: Effective treatment of ibd requires anti inflammatory therapies to induce ; maintain remission.

Answer 118

Taking: Taking a probiotic daily may be beneficial for some patients with inflammatory bowel disease.

Answer 119

Ignore: There are no tips. Ibd cannot be prevented by diet, life style or supplements.

Answer 120

Ignore: New studies on probiotics are promising! check with your GI doctor to make sure it's safe for you.

Answer 121

Ignore: Definitely follow with a GI doctor and get routine colonoscopy.

Answer 122

Ignore: Ask your doctor about vitamin supplementation, especially calcium, vitamin d, and vitamin b12.

Answer 123

Ignore: Avoid medications like Ibuprofen or naprosyn (naproxen) (called nsaids). Can make symptoms worse.

Answer 124

Ignore: Eat healthy and avoid smoking (in particular if you have crohn's disease).

Answer 125

Ignore: Keep a routine, know what diet works, excercise, decrease stress level and get a good night's rest.

Answer 126

Ignore: Start eliminating sugar, alcohol, and white flour from your diet. Emphasize fruits and vegetables.

Answer 127

Ignore: Unfortunately, you really can't prevent getting it, eat healthy, take prescribed meds prevents flare.

Answer 128

Ignore: There are meds for prevention of flares and others for treatment . Diet is really important.

Answer 129

Ignore: Your doctor will schedule colonoscopies. Important. Keep to the schedule !

Answer 130

Ignore: Please consider the cerebral origin and/or contribution to this particular disease, as i'm sure u do.

Answer 131

Ignore: If you have ibd, you might be allergic to gluten.

Answer 132

Ignore: Get a stool test to see if you have infection.

Answer 133

Ignore: Work on reducing stress and anxiety, in order to avoid triggering ibs.

Answer 134

Avoid: Avoid food allergens getting into body is simultaneously drink medicated clay water while eating.

Answer 135

Ignore: Monitor your diet and avoid foods that cause flareups!

Answer 136

Ignore: Keep your stress level low. Learn relaxation techniques and proper breathing.

Answer 137

Ignore: Eat a balance diet, drink 2 litters of h2o and don't forget your fiber. Exercise and avoid stress.

Answer 138

Ignore: Control your anxiety and talk to your doctor about antispasmodics. Exercise avoid stress.

Answer 139

You: You can reduce stress by letting go of trying to keep everyone else happy.

Answer 140

Ignore: Review personal stressors with a counselor and make changes in your life to help reduce it.

Answer 141

Don't: Don't try to "get past" ibd, ignoring your symptoms. Instead pay attention and get treatment.

Answer 142

Ignore: If at risk, make your life decisions from a place of authenticity, not from others' expectations.

Answer 143

If: If you are feeling discouraged, seek support. The ccfa is a great place to start.

Answer 144

Ignore: Sometimes it is useful to get second opinions about treatment options. Gi doctor opinions can vary.

Answer 145

Ignore: Keep track of what you eat, and avoid foods that trigger an increase in your symptoms.

Answer 146

Ignore: Find a great gastroenterologist! if true diagnosis, you will need monitoring, medicine, care.

Answer 147

Ignore: Strong peppermint could be helpful for day to day symptomatic relief.

Answer 148

Ignore: Eat right, get your rest, see your doctor, avoid as much stress as possible, don't overdo alcohol.

Answer 149

Ignore: Take a food sensitivity test (iga and igg in blood) for food, dyes or colorings.

Answer 150

Ignore: Avoid opioids! they may help initially, but will only cause problems in the future.

Answer 151

Ignore: Medications for constipation are more effective than for diarrhea.

Answer 152

Ignore: Get tested for possible food allergies that you may be unaware.

Answer 153

IBD: IBD is very complicated if you have an active disease follow your physician advise and stay on your medicine mean while the do and do not for IBD no smoking no dairy product no greasy or fry food minimize stress eat yogurt and banana eat more protein and less fat.

Answer 154

Ignore: A low residue diet may help ease flare ups.

Answer 155

Ignore: Never use anti inflammatory medication, its the most come inciter of exacerbations.

Please provide some do's and don'ts for patients with inflammatory bowel disease .

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