A member asked:

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

139 doctors weighed in across 155 answers
Dr. Michael Rothman answered

Specializes in Internal Medicine

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

Answered 3/30/2014

5.3k views

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Dr. Tracy Berg answered

Specializes in General Surgery

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

Answered 4/6/2014

5.3k views

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Dr. Tracy Berg answered

Specializes in General Surgery

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

Answered 9/29/2016

5.3k views

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Dr. Michael Rothman answered

Specializes in Internal Medicine

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

Answered 9/29/2016

5.3k views

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Dr. Tracy Berg answered

Specializes in General Surgery

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

Answered 10/29/2015

5.3k views

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Dr. Vasu Brown answered

Specializes in Integrative Medicine

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

Answered 9/29/2016

5.3k views

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Dr. Michael Rothman answered

Specializes in Internal Medicine

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

Answered 8/19/2013

5.3k views

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Dr. Michael Rothman answered

Specializes in Internal Medicine

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

Answered 12/22/2013

5.3k views

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Dr. Tracy Berg answered

Specializes in General Surgery

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

Answered 5/18/2013

5.3k views

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Dr. Michael Rothman answered

Specializes in Internal Medicine

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

Answered 6/4/2013

5.3k views

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Dr. Tracy Berg answered

Specializes in General Surgery

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

Answered 6/24/2014

5.3k views

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

Answered 4/25/2013

5.3k views

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

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

Answered 5/18/2013

5.3k views

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

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

Answered 8/20/2013

5.3k views

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Dr. Martin Fried answered

Specializes in Nutrition

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

Answered 2/24/2018

5.3k views

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

Answered 6/30/2016

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

Answered 5/23/2013

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

Answered 9/23/2013

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

Answered 9/4/2013

5.3k views

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Dr. Heidi Fowler answered

Specializes in Psychiatry

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

Answered 5/31/2014

5.3k views

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Dr. Heidi Fowler answered

Specializes in Psychiatry

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

Answered 5/18/2013

5.3k views

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Dr. Heidi Fowler answered

Specializes in Psychiatry

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

Answered 4/26/2013

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

Answered 9/2/2013

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

Answered 9/29/2016

5.3k views

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

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

Answered 12/21/2017

5.3k views

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Dr. Christopher Khorsandi answered

Specializes in Plastic Surgery

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

Answered 8/31/2017

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

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 11/19/2013

5.3k views

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Dr. Milton Alvis, jr answered

Specializes in Preventive Medicine

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

Answered 3/19/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 6/28/2014

5.2k views

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

Answered 9/29/2016

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

Answered 6/7/2013

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

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

Answered 9/14/2013

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Dr. Michael Ein answered

Specializes in Infectious Disease

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

Answered 9/29/2016

5.2k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 9/29/2016

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Dr. Randy Baker answered

Specializes in Holistic Medicine

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

Answered 7/22/2013

5.2k views

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Dr. Randy Baker answered

Specializes in Holistic Medicine

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

Answered 9/29/2016

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Dr. Randy Baker answered

Specializes in Holistic Medicine

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

Answered 9/29/2016

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

Answered 2/27/2018

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

Answered 9/29/2016

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

Answered 9/29/2016

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Dr. Steven Charlap answered

Specializes in Holistic Medicine

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

Answered 1/10/2018

5.2k views

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Avoid: Avoid carbohydrates except honey, avoid dairy.

Answered 5/18/2013

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

Answered 12/23/2016

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

Answered 9/29/2016

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

Answered 9/29/2016

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 9/29/2016

5.1k views

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

Answered 6/15/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 9/29/2016

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 1/15/2014

5.1k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

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

Answered 6/21/2013

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Get: Get plenty of fiber and take a probiotic!

Answered 9/29/2016

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 11/18/2014

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

Answered 6/25/2014

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

Answered 4/9/2014

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Dr. Tracy Berg answered

Specializes in General Surgery

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

Answered 10/4/2016

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

Answered 1/10/2015

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

Answered 6/24/2014

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

Answered 8/22/2017

5k views

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Dr. Kenneth Reichert answered

Specializes in Neurosurgery

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

Answered 1/13/2015

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

Answered 1/2/2015

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

Answered 3/21/2015

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Dr. Adam King answered

Specializes in Internal Medicine and Pediatrics

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

Answered 1/5/2014

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

Answered 5/27/2014

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Dr. Alan Ali answered

Specializes in Psychiatry

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

Answered 7/23/2013

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Dr. Alan Ali answered

Specializes in Psychiatry

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

Answered 8/25/2013

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Dr. Robert Lowe answered

Specializes in Pediatric Rheumatology

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

Answered 6/8/2014

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Dr. Robert Lowe answered

Specializes in Pediatric Rheumatology

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

Answered 6/10/2014

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Dr. Dov Finman answered

Specializes in Adolescent Medicine

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

Answered 8/26/2013

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

Answered 10/11/2014

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Dr. Jay Singh answered

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

Answered 1/8/2014

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Dr. Jay Singh answered

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

Answered 1/29/2014

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Dr. Jay Singh answered

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

Answered 4/29/2014

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

Answered 8/10/2013

4.9k views

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Dr. Louis Esquivel answered

Specializes in Holistic Medicine

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

Answered 7/30/2014

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Dr. Louis Esquivel answered

Specializes in Holistic Medicine

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

Answered 5/20/2015

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

Answered 10/12/2013

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

Answered 8/18/2013

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

Answered 8/19/2013

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

Answered 2/16/2015

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

Answered 7/27/2014

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

Answered 5/8/2016

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

Answered 5/8/2016

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Dr. Harold Peltan answered

Specializes in Ophthalmology

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

Answered 5/29/2014

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

Answered 6/10/2014

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

Answered 3/20/2014

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

Answered 6/10/2014

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Dr. Jodi Luchs answered

Specializes in LASIK Surgery

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

Answered 7/9/2015

4.9k views

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Dr. Erik Suh answered

Specializes in Family Medicine

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

Answered 11/18/2014

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Dr. Erik Suh answered

Specializes in Family Medicine

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

Answered 11/19/2014

4.9k views

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Dr. Erik Suh answered

Specializes in Family Medicine

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

Answered 10/2/2015

4.9k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

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

Answered 9/3/2013

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

Answered 1/3/2014

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

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

Answered 4/6/2014

4.9k views

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Dr. Mohammed Parvez answered

Specializes in Internal Medicine

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

Answered 9/30/2013

4.9k views

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Dr. Carlos Satulovsky answered

Specializes in Psychiatry

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

Answered 6/19/2014

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Dr. Carlos Satulovsky answered

Specializes in Psychiatry

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

Answered 3/23/2015

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

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

Answered 11/4/2014

4.9k views

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Probiotics: Probiotics can be very beneficial.

Answered 3/1/2014

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

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

Answered 4/12/2015

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Dr. Marsha Davis answered

Specializes in Internal Medicine

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

Answered 9/11/2013

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

Answered 3/27/2014

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Dr. Christopher Khorsandi answered

Specializes in Plastic Surgery

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

Answered 9/15/2013

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

Answered 5/15/2015

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

Answered 4/6/2014

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

Answered 2/27/2014

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

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

Answered 10/13/2013

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

Answered 6/8/2015

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

Answered 6/12/2015

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Dr. Scot Lewey answered

Specializes in Gastroenterology

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

Answered 11/24/2013

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

Answered 3/20/2014

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Dr. Ramon Garcia-septien answered

Specializes in Sports Medicine

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

Answered 5/8/2016

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Dr. Ramon Garcia-septien answered

Specializes in Sports Medicine

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

Answered 4/24/2015

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

Answered 3/24/2014

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

Answered 10/4/2015

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Dr. Scot Lewey answered

Specializes in Gastroenterology

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

Answered 5/1/2018

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Dr. Scot Lewey answered

Specializes in Gastroenterology

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

Answered 6/21/2014

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Dr. Scot Lewey answered

Specializes in Gastroenterology

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

Answered 9/20/2014

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

Answered 11/3/2013

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

Answered 4/30/2015

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Dr. Emil Shakov answered

Specializes in Aesthetic Medicine

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

Answered 6/10/2014

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

Answered 11/20/2013

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

Answered 6/25/2014

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

Answered 11/23/2013

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Dr. Rixt Luikenaar answered

Specializes in Obstetrics & Gynecology

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

Answered 11/23/2013

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

Answered 11/27/2013

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Dr. Marsha Davis answered

Specializes in Internal Medicine

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

Answered 12/1/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

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

Answered 12/1/2013

4.7k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

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

Answered 12/1/2013

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

Answered 12/6/2013

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Dr. Shiroko Sokitch answered

Specializes in Holistic Medicine

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

Answered 12/6/2013

4.7k views

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Dr. Shiroko Sokitch answered

Specializes in Holistic Medicine

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

Answered 9/29/2016

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

Answered 4/3/2016

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Dr. Vasu Brown answered

Specializes in Integrative Medicine

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

Answered 12/14/2013

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

Answered 12/24/2013

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

Answered 12/27/2014

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

Answered 1/3/2014

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

Answered 1/3/2014

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

Answered 1/6/2014

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

Answered 1/6/2014

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

Answered 1/6/2014

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

Answered 1/6/2014

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

Answered 1/6/2014

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

Answered 1/6/2014

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

Answered 1/6/2014

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Dr. Creighton Wright answered

Specializes in surgery

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

Answered 2/2/2014

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

Answered 2/17/2014

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

Answered 2/23/2014

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Dr. Mara Fiorentino answered

Specializes in Psychiatry

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

Answered 5/8/2016

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Dr. Jason Siefferman answered

Specializes in Pain Management

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

Answered 3/1/2014

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Dr. Mara Fiorentino answered

Specializes in Psychiatry

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

Answered 5/8/2016

4.4k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

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

Answered 3/31/2014

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Dr. M. Hytham Beck answered

Specializes in Surgery

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.

Answered 5/17/2015

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Dr. John Choi answered

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

Answered 1/14/2015

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

Answered 3/2/2015

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10 doctors weighed in across 4 answers

A member asked:

What are the tests for inflammatory bowel disease?

9 doctors weighed in across 3 answers