How can I balance my diet with Crohn's disease? - #34397

Diet and Crohn’s Disease

Since you have both constipation and diarrhea/cramps, a balanced approach is key, and it’s essential to identify your individual “trigger foods.”

A. General Dietary Strategies

Keep a Food Diary: This is the most critical step. Track what you eat and drink, noting the time and the specific symptoms you experience. This can help you pinpoint your personal trigger foods, which can vary greatly among people with Crohn’s.

Focus on Nutrient-Dense, Easy-to-Digest Foods:

Protein: Important for healing and muscle maintenance. Choose lean, well-cooked sources like fish, poultry, eggs, and smooth nut butters.

Low-Fiber (Low-Residue) During Symptom Flares: When experiencing cramping or diarrhea, low-fiber foods are easier to digest. Examples include:

Refined white grains (like white rice, white bread).

Peeled and well-cooked vegetables (like carrots, potatoes without skin, squash).

Canned or soft, peeled fruits (like ripe bananas, applesauce).

Fluids: Drink plenty of fluids (water, broth) to stay hydrated, especially if you have diarrhea. Avoid excessive caffeine, alcohol, and very sugary or carbonated drinks, as these can irritate the bowel.

Manage Specific Symptoms:

Bloating and Gas: Limit gas-producing foods like beans, lentils, broccoli, cabbage, and carbonated beverages. A Low-FODMAP diet has been shown to help manage symptoms like bloating, gas, and cramping in some IBD patients

Constipation: When the inflammation is under control (remission), you may try to gradually introduce soluble fiber (found in oats, barley, and some fruits and vegetables) as it helps to bulk the stool and can be soothing. However, if you have any narrowing of the bowel (strictures), high-fiber foods should be avoided

Fatty and Greasy Foods: Limit these, as they can worsen diarrhea and abdominal pain. Choose healthy fats in moderation, like olive oil.

B. Foods to Potentially Limit (Common Triggers):

High-fat and fried foods.

Processed meats and red meat.

Spicy foods.

Large amounts of insoluble fiber (whole nuts, seeds, raw vegetables, whole-grain bran) during a flare.

Dairy, if you are lactose intolerant (common with Crohn’s). Try lactose-free alternatives or hard cheeses/yogurt, which are lower in lactose.

2. Ayurvedic Perspective (Doshas and Diet) In Ayurveda, Crohn’s disease is often correlated with Grahani Roga, primarily involving an imbalance of Vata and Pitta doshas, along with weak digestive fire (Agni) and the accumulation of toxins (Ama).

Your specific symptoms suggest an imbalance in both:

Vata Imbalance: Associated with movement and often causes cramps, bloating, gas, and alternating constipation and diarrhea (irregular bowel movements).

Pitta Imbalance: Associated with fire and metabolism. It causes inflammation, heat, and diarrhea.

Since you have symptoms of both, your diet should focus on pacifying both Vata and Pitta.

Goal Vata-Pacifying Diet (Warms, Stabilizes, Moistens) Pitta-Pacifying Diet (Cools, Calms, Grounds) Focus Reducing dryness, coldness, and lightness Reducing heat, sharp, and oily qualities General Warm, cooked, slightly oily foods. Regular mealtimes. Cool to room temperature foods (not icy). Mild, non-spicy foods. Grains Cooked oats, basmati rice, quinoa. White rice, barley, oats. Avoid brown rice/whole grains during active symptoms. Vegetables Well-cooked and peeled, especially sweet ones (carrots, sweet potatoes, squash). Sweet and bitter vegetables (cucumbers, squashes, leafy greens in moderation, well-cooked). Avoid raw. Spices Warming spices in moderation (ginger, fennel, cumin, turmeric, cardamom). Cooling, mild spices (fennel, coriander, cardamom, turmeric). Avoid hot spices (chili, cayenne). Fats Use good quality, small amounts of fats like Ghee or olive oil. Use good quality fats like Ghee or coconut oil. Ayurvedic Diet Recommendations for Vata-Pitta Imbalance (Grahani Roga):

Eat warm, freshly cooked, simple meals. Avoid cold, raw, or dry foods.

Prioritize gentle, easy-to-digest meals like Kitchari (rice and mung bean stew, easy on the gut).

Use digestive spices: Cumin, coriander, and fennel are excellent for both Vata (gas/bloating) and Pitta (inflammation). Turmeric is anti-inflammatory (Pitta-reducing).

Ghee (Clarified Butter): Often recommended in small amounts to soothe the intestinal lining, balance Vata, and aid digestion (Agni).

Buttermilk (Lassi): Light, diluted buttermilk with a pinch of ginger and cumin is often recommended to support digestion.

1.Kutajghana vati 2 tab twice daily with warm water after meals 2.Bilva churna 1 tsp in the morning with buttermilk 3.Avipattikar churna 1 tsp before meals with warm water twice daily 4.Pippalyadi ghrita 1 tsp empty stomach in the morning with warm water or milk 5.Ashwagandha churna 1 tsp with warm milk at bedtime

- Favor: Well-cooked rice, moong dal, steamed carrots, pumpkin, bottle gourd, ghee, cumin, ajwain, fennel, pomegranate, and ripe bananas. - Avoid: Raw salads, spicy foods, sour curd, fried items, nightshades (tomato, brinjal), and processed dairy. - Eat small, frequent meals to reduce digestive load. - Hydration: Sip warm water or herbal teas (fennel, coriander, mint) throughout the day. - Fermented foods: Use cautiously—only if tolerated well.

- Yoga: Gentle poses like Apanasana, Supta Baddha Konasana, and Viparita Karani. - Pranayama: Nadi Shodhana and Bhramari to calm gut–brain axis. - Sleep: Regular, early bedtime supports gut healing.

HELLO SOFIE,

In Ayurveda, cronh’s resembles Grahani roga, where the digestive fire is disturbed -Agni becomes either too low -> constipation, bloating, undigested food OR too sharp -> diarrhea, burning, inflammation -This imbalance Creates Ama (toxic byproducts of incomplete digestion), which irritates the intestines -Vata dosha causes pain, cramps , irregularity -Pitta dosha causes inflammation, diarrhea, burning -So, cronh’s is usually a vata-pitta disorder with impaired agni

TREATMENT GOALS -Regulate agni (digestive fire)- neither too weak nor too sharp -Remove ama (toxins)- reduce bloating, foul stools, cramps -Balance vata-pitta= calm inflammation + ease irregular bowels -Heal intestinal lining- improve absorption, reduce flare ups -strengthen immunity- support body while on biologics -Stabilize mind- reduce stress 9which worsens cronhs)

INTERNAL TREATMENT

1) REGULATING BOWEL AND INFLAMAMTION

-KUTAJGHAN VATI= 2 tabs twice daily after meals =controls diarrhea, reduces inflamamtion

-BILVA FRUIT PULP= 1 tsp with warm water once daily =balances both constipation and diarrhea

2) IMPROVING AGNI (DIGESTIVE FIRE0 -Takra siddha churna (buttermilk with roasted cumin, rock salt, ajwain)- 1/2 cup after meals if diarrhea is not severe =improves digestion, reduces bloating

3) HEALING AND NOURISHING

-GHEE (medicated with turmeric or plain cow’s ghee)- 1 tsp with warm rice or milk daily =heals mucosa, lubricates intestine, reduces inflammation

-SHATAVARI POWDER= 1/2 tsp with warm milk at night =cooling, soothing, supports mucosal healing

4) CONSTIPATION (if dominant)

-TRIPHALA POWDER= 1/2 tsp In warm water at bedtime =mild bowel regulation, anti -inflamamtroy

5) STRESS AND IMMUNITY

-ASHWAGANDHA CAPSULES= 250mg twice daily with milk =supports strength, reduces stress

-GUDUCHI GHAN VATI= 1 tab twice daily =immunomodulatory, balances pitta

DURATION = 3-6 months

THESE will balance doshas, regulate agni, and repair gut lining- while supporting immunity without clashing with biologics

LIFESTYLE AND YOGA

DAILY ROUTINE -regular meals, no skiping -avoid late nights and irregular eating -gentle walking after meals

YOGA ASANAS -pawanmuktasana= reduces bloating -supta baddha konasana= calms intestines -vajrasana= aids digestion -balasana= relieves cramps

PRANAYAM -Nadi sodhana= balances vata pitta -Sheetali/sheetkari= reduces pitta inflammatin -Bhramari= calms mind gut axis

DIET

GENERAL -eat freshly prepared, warm, light, and easily digestible food -avoid raw, cold, and heavy to digest foods -eat at regular times, in calm surroundings, without rushing -small, frequent meals are better than large heavy ones

FAVOUR FOODS -GRAINS= well cooked rice, oatmeal, quinoa, barley, (soft and soupy)

-VEGETABLES= zucchini, pumpkin, carrots, sweet potato, green beans (steamed, boiled). Avoid raw salads

-PROTIENS= moong dal , red lentils (well cooked), soft tofu, small amounts of easily digestible fish/chickem if tolerated

-DAIRY= warm milk if tolerated, ghee 1 tsp/day-healing for intestines

-FRUITS= ripe banana, papaya, stewed apples/pears. Avoid citrus and raw hard fruits

-SPICES= cumin, coriander, fennel, turmeric, ginger. (mild), hing

-HEATHY FATS= small amount of sesame oil, ghee, or olive oil

AVOID -raw vegetables salads, cabbage, cauliflower, broccoli, beans that increase gas -very spicy, sour, fried, processed foods -coffee, alcohol, carbonated drinks -red meat, cheese, very heavy fried foods

HOME REMEDIES -Fennel tea= 1 tsp fennel boiled in 1 cup water-> reduces bloating -Turmeric + ghee= pinch of turmeric in warm ghee-> heals lining -Aloe vera pulp= 1 tsp fresh pulp on empty stomach if cooling is needed, avoid if diarrhea is severe -rice gruel= excellent during flare up easy to digest, calming

-Chronn’s is a long term condition but with biologics and ayurveda + mindful lifestyle, many people achieve long remissions and better quality of life -Your presentation shows vata-pitta imbalance-> so aim for warm, soothing, cooked foods, calming routine, gentle yoga and stress management -Ayurveda works slowly but deeply, restoring balance, so consistency is more important than intensity

DO FOLLOW

HOPE THIS MIGHT BE HELFPUL

THANK YOU

DR. MAITRI ACHARYA