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News / Health

No one diet can help improve IBD

By Deb Balzer, Mayo Clinic News Network
Published: January 9, 2024, 6:10am

Inflammatory bowel disease, known as IBD, is a chronic inflammation of the digestive tract. It includes conditions such as ulcerative colitis and Crohn’s disease. People with IBD may experience persistent symptoms like frequent diarrhea, weight loss, abdominal pain and fatigue.

There is no cure and no exact cause, though researchers continue to look at how genes, the microbiome and environmental factors play a role in this chronic disease. Dr. Amanda Johnson, a Mayo Clinic gastroenterologist, helped explain IBD and whether diet can help.

IBD is a broad term for chronic inflammation of your digestive tract. Two types are Crohn’s disease and ulcerative colitis.

“Ulcerative colitis really tends to only involve the colon and be more of a superficial type inflammation; whereas Crohn’s disease can impact anything in the intestine, essentially, from the mouth all the way down to the anus,” said Johnson.

She said diet alone does not cause IBD. While some foods may reduce symptoms, there is no one proven diet to control inflammation.

“The right diet is probably different for each individual, based on the type of IBD that they have, the location of their disease, whether they’ve had surgeries or other complications,” said Johnson.

Focus on fresh fruits and vegetables, and whole grains. Avoid ultraprocessed foods, added sugars and animal fats.

Diet does not replace medical treatment. Johnson said there are effective treatment options, so it is important to work with your health care provider.

“The tenant of therapy we have are immune-suppressing-type therapies that try to target that inappropriate response to the intestines and then calm down that inflammation within the gut,” she said.

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