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A 36-year-old male asked:

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

155 doctor answers139 doctors weighed in
Dr. Michael Rothman
Internal Medicine 36 years experience
Do: Do not consume sugars or sweets- they can adversely affect you & make your ibd much worse.
Dr. Tracy Berg
General Surgery 33 years experience
Move: Move your bowels twice daily. Constipation is as bad as diarrhea.
Dr. Tracy Berg
General Surgery 33 years experience
Don't: Don't avoid your doc, get checked regularly.
Dr. Michael Rothman
Internal Medicine 36 years experience
Avoid: Avoid consuming vegetable oils like soy & canola - these oils can make ibd much worse.
Dr. Tracy Berg
General Surgery 33 years experience
Reduce: Reduce flares with a bowel regimen, goal of two soft bowel movements daily.
Dr. Vasu Brown
Integrative Medicine 35 years experience
Take: Take butyric acid for large intestine healing, l-glutamine, devil's claw to heal small intestine.
Dr. Michael Rothman
Internal Medicine 36 years experience
Excess: Excess stress can adversly affect your nervous system & make your ibd worse - stay calm & relaxed.
Dr. Michael Rothman
Internal Medicine 36 years experience
Avoid: Avoid consuming soy products, they have hormonal properties that can make your ibd worse.
Dr. Tracy Berg
General Surgery 33 years experience
Bile: Bile is an irritant to your colon. Use cholestyramine/bile binder to help decrease its impact.
Dr. Michael Rothman
Internal Medicine 36 years experience
Learning: Learning to do abdominal breathing techniques can calm down your nervous system & help ibd.
Dr. Tracy Berg
General Surgery 33 years experience
Vitamins: Vitamins d3 & B12 are often low because of malabsorption in the terminal ileum. Check blood levels.
Dr. Lisa Hogan
General Surgery 36 years experience
Avoid: Avoid food allergies & stress; rule out infection; use probiotics & prebiotics; no processed food.
Dr. Allen Kamrava
Colon and Rectal Surgery 16 years experience
IBD: Ibd has an inverse link with environmental exposures, the more exposure the lower your risk for ibd.
Dr. Allen Kamrava
Colon and Rectal Surgery 16 years experience
Smoking: Smoking has been linked with a higher rate of symptoms with crohn's disease.
Dr. Martin Fried
Nutrition 37 years experience
Consider: Consider avoiding pork since its been shown that pork antibodies are found to make crohn's worse.
Dr. Charles Cattano
Gastroenterology 40 years experience
Do: Do eat healthy; don't take Aspirin or nsaid's.
Dr. Charles Cattano
Gastroenterology 40 years experience
Find: Find a doctor with whom you can communicate & don't hesitate to contact him when questions or flare.
Dr. Charles Cattano
Gastroenterology 40 years experience
Read: Read up--there are wonderful new medications & treatment options coming available weekly.
Dr. Charles Cattano
Gastroenterology 40 years experience
Surgery: Surgery is not inevitable if you are pro-active with your inflammatory bowel disease.
Dr. Heidi Fowler
Psychiatry 26 years experience
DON'T: Don't smoke. If you have inflammatory bowel disease it is important not to smoke.
Dr. Heidi Fowler
Psychiatry 26 years experience
DO: Do - limit dairy products if they have been identified to exacerbate your symptoms.
Dr. Heidi Fowler
Psychiatry 26 years experience
DO: Do - eat smaller frequent meals rather than taxing the body with larger meals.
Dr. Charles Cattano
Gastroenterology 40 years experience
Read: Read about your disease, keep up with medical advances, & share your concerns with your doctor.
Dr. Charles Cattano
Gastroenterology 40 years experience
Explore: Explore your family history, & be proactive about confirming early diagnosis of ibd symptoms.
Dr. Victor Bonuel
Internal Medicine 39 years experience
If: If you poop more try bananas. If you poop less try stool softeners. If you have pain take your dr's rx.
Dr. Christopher Khorsandi
Plastic Surgery 23 years experience
Try: Try to simplify foods. Avoid fried food, processed food, and spices. Stick to grilled, light food.
Dr. Yash Khanna
Family Medicine 58 years experience
Ulcerative: Ulcerative colitis & crohn's disease cause inflammation in the digestive tract. Diarrhea, pain & weight loss.
Dr. Thomas Namey
Rheumatology 49 years experience
Arthritis: Arthritis commonly accompanies ibd. It is not ra! talk to your doc about the pain you might have!
Dr. Milton Alvis, jr
Preventive Medicine 42 years experience
From: From evidence, both genetic & emotional issues play major roles. Pay attention to what you can change.
Dr. Thomas Namey
Rheumatology 49 years experience
Many: Many GI docs fail to try Ciprofloxacin and/or Metronidazole treatment. Actually quite effective & safe!
Dr. Mitchell Vogel
Ophthalmology 31 years experience
Do: Do keep yourself well hydrated. Listen to your doctor. Don't self medicate. Live your life!
Dr. Mitchell Vogel
Ophthalmology 31 years experience
Don't: Don't eat what bothers your gut. Find ways to control your stress. Take your meds as directed.
Dr. Su Fairchild
Integrative Medicine 25 years experience
Do: Do eat lots of healthy fiber. This encourages growth of good gut bacteria.
Dr. Michael Ein
Infectious Disease 49 years experience
High: High dose probiotics like vsl#3 2 packets a day may be an effective treatment.
Dr. Thomas Namey
Rheumatology 49 years experience
Ciprofloxacin: Ciprofloxacin with Metronidazole can control many patients with crohn's. Not used enough!
Dr. Randy Baker
Holistic Medicine 41 years experience
Specific: Specific probiotic strains have been found to help ibd, but do research to choose the proper strains.
Dr. Randy Baker
Holistic Medicine 41 years experience
Low: Low dose Naltrexone is a promising and safe treatment that often helps ibd.
Dr. Randy Baker
Holistic Medicine 41 years experience
Diet: Diet can play a crucial role in treatment. Many benefit from the scd, gaps &/or ibd-aid diet.
Dr. Staci McHale
Obstetrics and Gynecology 18 years experience
Try: Try probiotics for irritable bowel syndrome symptoms! refrigerated ones are best.
Dr. Mitchell Vogel
Ophthalmology 31 years experience
Listen: Listen to your gastroenterologist. Listen to your body! take your medicines. Watch your diet. Exercise.
Dr. Mark Kuhnke
General Surgery 41 years experience
Live: Live well, eat right, get your rest, and minimize the use of alcohol and tobacco. Take you meds!
Dr. Steven Charlap
Holistic Medicine 38 years experience
Don't: Don't let a doctor tell you that you have ibs until a proper workup has been done. Not just colonoscopy.
Dr. Su Fairchild
Integrative Medicine 25 years experience
Avoid: Avoid carbohydrates except honey, avoid dairy.
Dr. Mark Gujer md fasa
Anesthesiology 27 years experience
Do: Do avoid caffeine, alcohol, high fat and sorbitol. Limit dairy if you have diarrhea. Supplement fiber.
Dr. Tracy Lovell
Internal Medicine - rheumatology 22 years experience
Avoid: Avoid nsaids such as Ibuprofen which increase your risk for bleeding.
Dr. Derrick Lonsdale
Preventive Medicine 74 years experience
IBS: Ibs and inflammatory bowel disease often respond to discontinuation of milk and milk products.
Dr. Thomas Namey
Rheumatology 49 years experience
Two: Two underused treatments: sulfasalazine for small bowel disease & ciprofloxin &/or metronidazole!
Dr. Robert Richards
Gastroenterology 40 years experience
There: There are no known preventions. Theories: hygiene hypothesis; living in southern latitude; dietary.
Dr. Thomas Namey
Rheumatology 49 years experience
Do: Do ask your doc about antimicrobial rx, using ciprofloxicin and/or metronidazole!
Dr. Thomas Namey
Rheumatology 49 years experience
Myth:: Myth: it leads to an iliostomy. Fact: that's very rare to happen.
Dr. Tod Haller
Ophthalmology 17 years experience
Do: Do make sure you get a proper eye exam from ophthalmologist bc ibd can have possible eye signs.
Dr. Thomas Namey
Rheumatology 49 years experience
Get: Get plenty of fiber and take a probiotic!
Dr. Thomas Namey
Rheumatology 49 years experience
Have: Have your B12 and iron checked regularly. Involvement of the distal ileum can impair absorption!
Dr. Tracy Lovell
Internal Medicine - rheumatology 22 years experience
Do: Do not take nsaids like Ibuprofen if you have inflammatory bowel disease.
Dr. Charlene Sojico
Pediatrics 42 years experience
Watch: Watch what you eat, and know your body. Know when to take it easy - during a flare or just worn out.
Dr. Tracy Berg
General Surgery 33 years experience
Control: Control constipation n overflow diarrhea with bowel regimen, twice daily soft bowel movement is goal.
Dr. Abby Caplin
Integrative Medicine 41 years experience
Be: Be kind to yourself and try not to resent your body. Help it by reducing stressors in your life!
Dr. Richard Bensinger
Ophthalmology 53 years experience
Understand: Understand your triggers like alcohol. Fatigue, etc... Avoid Aspirin and nsaid's. See your GI doc.
Dr. Wendy Askew
25 years experience
Try: Try probiotic capsules: 2-4 capsules 2 to 3 times per day to ease pain.
Dr. Kenneth Reichert
Neurosurgery 36 years experience
Small: Small frequent meals are better tolerated. No need to avoid certain foods unless they cause symptoms.
Dr. Alexander Barkan
General Surgery 25 years experience
Nothing: It is an autoimmune disease, which means the cause is unknown . So, no way to prevent.
Dr. Harvey Fishman
Ophthalmology 22 years experience
Ibd: Ibd is an autoimmune disease that can be associated with iritis. It is a good idea to see an eye md.
Dr. Adam King
Internal Medicine and Pediatrics 16 years experience
IBD: Nutrition is important. Please work with a nutritionist to make sure you eat well!
Dr. Holly Maes
Pediatrics 37 years experience
Practice: Practice excellent dental care if you have ibd - the gut starts in the mouth!
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 33 years experience
High: High fiber food sources such as vegetables, fruits and cereals like bran, contribute to better colon.
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 33 years experience
Drink: Drink plenty of water, about 6-8 glasses per day, to stay hydrated!
Dr. Robert Lowe
Pediatric Rheumatology 18 years experience
If: If you have ibd and have stiff or swollen joints, do ask to be referred to a rheumatologist.
Dr. Robert Lowe
Pediatric Rheumatology 18 years experience
If: If you have ibd, don't take NSAID medications (ibuprofen/motrin or naproxen/alleve/naprosyn).
Dr. Dov Finman
Adolescent Medicine 11 years experience
Keep: Keep your life stress-free, since stress can lead to a relapse of symptoms.
Dr. Zoey Goore
Pediatrics 25 years experience
If: If you have ibd remember to eat healthy foods, exercise, don't smoke, and follow your regimen.
Dr. Jay Singh
Colon and Rectal Surgery 32 years experience
No: No specific etiology for ibd but all paths lead to the immune system. Sleep, diet. Exercise all help.
Dr. Jay Singh
Colon and Rectal Surgery 32 years experience
First: Treatment should always include diet and lifestyle changes. Avoid stress.
Dr. Jay Singh
Colon and Rectal Surgery 32 years experience
Know: Know yourself and avoid triggers. These can be dietary, stress-related, or simply forgetting meds.
Dr. Holly Maes
Pediatrics 37 years experience
If: If you have ibd, make sure you take an age appropriate vitamin supplement daily.
Dr. Louis Esquivel
Holistic Medicine 36 years experience
Consider: Consider a paleolithic style of eating. It's anti-inflammatory, hypoallergenic and nutrient dense.
Dr. Louis Esquivel
Holistic Medicine 36 years experience
Consider: Consider eating paleo even if you test negative for gluten intolerance or other food sensitivities.
Dr. Robert Richards
Gastroenterology 40 years experience
Get: Get screened for colon cancer at regular intervals if you have colon involvement.
Dr. Mark Kuhnke
General Surgery 41 years experience
You: You can't prevent it. It's an autoimmune disorder. If afflicted, one needs good diet and med care.
Dr. Monique Ruberu
20 years experience
Do: Do watch what you eat... Don't ignore your symptoms.
Dr. Pavel Conovalciuc
Family Medicine 24 years experience
Find: Find foods that agree with your GI tract. Don't buy supplements left and right - don't waste $$.
Dr. Tracey Leaver-Williams
Obstetrics and Gynecology 19 years experience
Avoid: Avoid excess stress, note your food triggers and avoid those too. Spicy and greasy foods may be bad.
Dr. Caroline Cribari
Psychiatry 24 years experience
DO: Do minimize stress! do take probiotics! do exercise/move your body everyday! seek joy! sleep!
Dr. Caroline Cribari
Psychiatry 24 years experience
Identify: Identify and avoid triggers. Destress your everyday life. Seek peace and happiness everyday.
Dr. Harold Peltan
Ophthalmology 29 years experience
Don't: Don't eat overly spicy food if it has bothered you in the past, especially not while traveling.
Dr. Rodney Del Valle
A Verified Doctoranswered
37 years experience
Treatment: Treatment need a cooperative approach from surgeons, GI specialist, dietician, pathology, radiology.
Dr. Rodney Del Valle
A Verified Doctoranswered
37 years experience
Very: Very controversial but healthy intestinal flora early in life avoiding opportunistic infections.
Dr. You Sung Sang
Internal Medicine - Gastroenterology 32 years experience
Eat: Eat healthy, take your medications as prescribed and keep your appointments with your GI doc.
Dr. Jodi Luchs
LASIK Surgery 31 years experience
A: A consult with a nutritionist may help you develop a diet which optimizes your nutrition and comfort.
Dr. Erik Suh
Dr. Erik Suhanswered
Family Medicine 25 years experience
Eat: Eat clean. Don't eat pre prepared foods which has lot of preservatives. Get food sensitivity tes.
Dr. Erik Suh
Dr. Erik Suhanswered
Family Medicine 25 years experience
Get: Get tested for food sensitivity. It will help what to eat and what to avoid.
Dr. Erik Suh
Dr. Erik Suhanswered
Family Medicine 25 years experience
Add: Add good supplements as they are not being absorbed very well. Shots and IV is a way to bypass gut.
Dr. Thomas Namey
Rheumatology 49 years experience
Antimicrobial: Antimicrobial therapy is as often as effective as anything! ask your doctor!
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Keep: Keep any anxiety and depression under control. Of ptsd is present find triggers!
Dr. Mohammed Parvez
Internal Medicine 15 years experience
Follow: Follow up with gastro-enterology doctor regularly. You may need colonoscopy periodically.
Dr. Mohammed Parvez
Internal Medicine 15 years experience
Be: Be yourself. Take medicine on time. Follow up with doctor regularly.
Dr. Carlos Satulovsky
Psychiatry 29 years experience
Do: Do not assume that every symptom is always caused by ibs.Do timely screenings for other pathologies.
Dr. Carlos Satulovsky
Psychiatry 29 years experience
Schedule: Schedule periodic (and do not miss) follow up appointments.
Dr. Su Fairchild
Integrative Medicine 25 years experience
Watch: Watch your diet. Food sensitivities can be an issue. Dairy and gluten are common.
Dr. Su Fairchild
Integrative Medicine 25 years experience
Probiotics: Probiotics can be very beneficial.
Dr. Robert Kent
Physical & Rehabilitation Medicine 13 years experience
Make: Make sure to keep up with your follow ups, especially scheduled procedures like colonoscopies.
Dr. Marsha Davis
Internal Medicine 29 years experience
Do: Do watch your diet and don't overdo alcohol.
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Do: Do realize you are not going to die from this. Don't wish you would. Limit your stress.
Dr. Christopher Khorsandi
Plastic Surgery 23 years experience
Avoid: Avoid processed foods and preservatives to minimize ibd risk.
Dr. David Sherer
Anesthesiology 38 years experience
Try: Try to avoid stress. Get plenty of rest and quality sleep. Avoid dietary triggers. Comply with md.
Dr. Mitchell Vogel
Ophthalmology 31 years experience
Please: Please see your doctor regularly, get exercise and rest and drink water!
Dr. Scott Welker
General Surgery 28 years experience
Inflammatory: Inflammatory bowel disease is not something we know how to prevent...We don't know what causes it.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Don't: Don't take anti-inflammatory meds, and don't eat spicy food.
Dr. Vivek Huilgol
Gastroenterology 36 years experience
IF: If crohn's disease stop any tobacco use. Get biopsies done. Use formal scoring to track progress.
Dr. Vivek Huilgol
Gastroenterology 36 years experience
Stop: Stop tobacco. Use yogurt, probiotic drinks. Avoid food/stress triggers. Avoid steroids as possible.
Dr. Scot Lewey
Gastroenterology 38 years experience
Avoid: Avoid unnecessary or excessive antibiotic exposure as altered gut microbes linked to risk of ibd.
Dr. David Drewitz
Gastroenterology 28 years experience
Take: Take your medication faithfully at regular intervals and maintain a consistent eating regimen.
Dr. Ramon Garcia-septien
Sports Medicine 46 years experience
Do: Do exercises every day for 1 hour in order to reduce stress.
Dr. Ramon Garcia-septien
Sports Medicine 46 years experience
If: If constipation take Amitiza (lubiprostone) tab twice a day if diarrhea take azulfidine twice a day.
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
If: If diarrhea type, plan your travel. Bring toilet paper in a bag to public washrooms.
Dr. Sandra Pinkham
54 years experience
Be: Be sure to check 25-oh vit d. Vit d3, vit k2, l glutamine, and cod liver oil are all useful.
Dr. Scot Lewey
Gastroenterology 38 years experience
There: There is no proof that diet will cure ibd though diet interventions may be a complementary treatment.
Dr. Scot Lewey
Gastroenterology 38 years experience
Effective: Effective treatment of ibd requires anti inflammatory therapies to induce ; maintain remission.
Dr. Scot Lewey
Gastroenterology 38 years experience
Taking: Taking a probiotic daily may be beneficial for some patients with inflammatory bowel disease.
Dr. Ronald Krauser
A Verified Doctoranswered
Rheumatology 53 years experience
Ignore: There are no tips. Ibd cannot be prevented by diet, life style or supplements.
Dr. Wei-shin Lai
Family Medicine 20 years experience
Ignore: New studies on probiotics are promising! check with your GI doctor to make sure it's safe for you.
Dr. Emil Shakov
Aesthetic Medicine 18 years experience
Ignore: Definitely follow with a GI doctor and get routine colonoscopy.
Dr. Lori Wagner
Internal Medicine 28 years experience
Ignore: Ask your doctor about vitamin supplementation, especially calcium, vitamin d, and vitamin b12.
Dr. Lori Wagner
Internal Medicine 28 years experience
Ignore: Avoid medications like Ibuprofen or naprosyn (naproxen) (called nsaids). Can make symptoms worse.
Dr. You Sung Sang
Internal Medicine - Gastroenterology 32 years experience
Ignore: Eat healthy and avoid smoking (in particular if you have crohn's disease).
Dr. Rixt Luikenaar
Obstetrics & Gynecology 25 years experience
Ignore: Keep a routine, know what diet works, excercise, decrease stress level and get a good night's rest.
Dr. Linda Gromko
Family Medicine 49 years experience
Ignore: Start eliminating sugar, alcohol, and white flour from your diet. Emphasize fruits and vegetables.
Dr. Marsha Davis
Internal Medicine 29 years experience
Ignore: Unfortunately, you really can't prevent getting it, eat healthy, take prescribed meds prevents flare.
Dr. Marsha Davis
Internal Medicine 29 years experience
Ignore: There are meds for prevention of flares and others for treatment . Diet is really important.
Dr. Marsha Davis
Internal Medicine 29 years experience
Ignore: Your doctor will schedule colonoscopies. Important. Keep to the schedule !
Dr. Thomas Long
General Practice 44 years experience
Ignore: Please consider the cerebral origin and/or contribution to this particular disease, as i'm sure u do.
Dr. Shiroko Sokitch
Holistic Medicine 38 years experience
Ignore: If you have ibd, you might be allergic to gluten.
Dr. Shiroko Sokitch
Holistic Medicine 38 years experience
Ignore: Get a stool test to see if you have infection.
Dr. Linda Kondilis
Clinical Psychology 10 years experience
Ignore: Work on reducing stress and anxiety, in order to avoid triggering ibs.
Dr. Vasu Brown
Integrative Medicine 35 years experience
Avoid: Avoid food allergens getting into body is simultaneously drink medicated clay water while eating.
Dr. Kenneth Grossman
A Verified Doctoranswered
Endodontics 45 years experience
Ignore: Monitor your diet and avoid foods that cause flareups!
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Ignore: Keep your stress level low. Learn relaxation techniques and proper breathing.
Dr. Norberto Allende-jimenez
Specializes in General Practice
Ignore: Eat a balance diet, drink 2 litters of h2o and don't forget your fiber. Exercise and avoid stress.
Dr. Norberto Allende-jimenez
Specializes in General Practice
Ignore: Control your anxiety and talk to your doctor about antispasmodics. Exercise avoid stress.
Dr. Abby Caplin
Integrative Medicine 41 years experience
You: You can reduce stress by letting go of trying to keep everyone else happy.
Dr. Abby Caplin
Integrative Medicine 41 years experience
Ignore: Review personal stressors with a counselor and make changes in your life to help reduce it.
Dr. Abby Caplin
Integrative Medicine 41 years experience
Don't: Don't try to "get past" ibd, ignoring your symptoms. Instead pay attention and get treatment.
Dr. Abby Caplin
Integrative Medicine 41 years experience
Ignore: If at risk, make your life decisions from a place of authenticity, not from others' expectations.
Dr. Abby Caplin
Integrative Medicine 41 years experience
If: If you are feeling discouraged, seek support. The ccfa is a great place to start.
Dr. Abby Caplin
Integrative Medicine 41 years experience
Ignore: Sometimes it is useful to get second opinions about treatment options. Gi doctor opinions can vary.
Dr. Linda Gromko
Family Medicine 49 years experience
Ignore: Keep track of what you eat, and avoid foods that trigger an increase in your symptoms.
Dr. Creighton Wright
surgery 57 years experience
Ignore: Find a great gastroenterologist! if true diagnosis, you will need monitoring, medicine, care.
Dr. Mark Kuhnke
General Surgery 41 years experience
Ignore: Strong peppermint could be helpful for day to day symptomatic relief.
Dr. Mark Kuhnke
General Surgery 41 years experience
Ignore: Eat right, get your rest, see your doctor, avoid as much stress as possible, don't overdo alcohol.
Dr. Mara Fiorentino
Psychiatry 37 years experience
Ignore: Take a food sensitivity test (iga and igg in blood) for food, dyes or colorings.
Dr. Jason Siefferman
Pain Management 15 years experience
Ignore: Avoid opioids! they may help initially, but will only cause problems in the future.
Dr. Mara Fiorentino
Psychiatry 37 years experience
Ignore: Medications for constipation are more effective than for diarrhea.
Dr. Jan Lei Iwata
Dr. Jan Lei Iwataanswered
Ophthalmology 27 years experience
Ignore: Get tested for possible food allergies that you may be unaware.
Dr. M. Hytham Beck
Surgery 44 years experience
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.
Dr. John Choi
General Surgery 19 years experience
Ignore: A low residue diet may help ease flare ups.
Dr. Craig Aronchick
Gastroenterology 44 years experience
Ignore: Never use anti inflammatory medication, its the most come inciter of exacerbations.

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Last updated May 1, 2018
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