Chronic inflammatory bowel disease (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), are the major cause of gastrointestinal disease in children. IBD is found throughout the world, although they are more common cases in certain geographical areas and highly developed countries (USA, Great Britain, Scandinavia), where the cases are of up to 100,000 per year.
There are geographical variations in the type of IBD. In the UK and US, the cases of Crohn’s disease exceed those with ulcerative colitis. However, in the Netherlands and Sweden dominate those with ulcerative colitis, and in recent years in Sweden Crohn’s disease occurs more often. The reason for the increased incidence of Crohn’s disease has not yet been known.
IBD is diagnosed most frequently in the third and fourth decade of life, with no difference in both sexes. About 20% of all IBD patients develop symptoms during childhood, and 5% are diagnosed before age 10. About 25% of children with inflammatory bowel disease have a family history of IBD.
The most harmful are the packaged foods
“Run away from them like poison!” Say experts to people diagnosed with IBD. Eating fast food and processed products, which are often part of the daily lives of the busy working people is dangerous for your health.
Unfortunately, more and more we are far from that way of eating, which is a precondition for good health, and that means fresh food with quality products. Furthermore, this largely refers to patients with inflammatory bowel disease. Experts advise patients to trust nutritionists and dietitians, and not to use a diet on their own without the opinion of specialists.
It is important for these patients to know that there is a significant difference in the recommended diet in the active phase of the disease in remission.
A diagnosis of ulcerative colitis or Crohn’s disease comes with many limitations, but we should not pay so much attention to the food as to turns into a burden. Therefore it is enough to avoid some dairy products and some raw fruits and vegetables, and instead of fried to eat baked or stewed. Lamb, which is rich in vitamin B12 and fish are very useful. Experts say that quantity makes the poison and even a slice of pizza can have many beneficial ingredients, but do not overdo it.
Inflammatory bowel disease – Crohn’s disease and ulcerative colitis
Most often affects people between 15 and 45 years, which determines their greater social significance. Crohn’s disease can affect any portion of the digestive tract, from the mouth to the anus, but predominant localization in the lower part of the small intestine. Ulcerative colitis is a chronic disease of the colon only.
These diseases are difficult to diagnose. Their symptoms overlap with symptoms of irritable bowel or nerve, as well as to infection, and even with hemorrhoids.
What to eat when you are suffering from IBD?
When: if IBD is worsening and combined with diarrhea.
The goal of the diet: to provide nutrition in conditions of poor digestion reduce inflammation, fermentation in the gut. It helps to normalize the work of the intestines and other digestive organs.
General characteristics: The diet if of decreasing fats and carbohydrates in the normal content of proteins with a strong limitation of the mechanical, chemical and thermal stimuli of the gastrointestinal tract. It is not allowed consumption of products, which increase the secretion of the digestive organs and the fermentation processes in the gut; very cold or hot dishes. The nutrition is 5-6 times daily in small portions.
Foods and meals that the diet allows and does not allow
OK: Bread and pasta, thinly sliced wheat rusks, not fried.
Not OK: Do not allow any other kind of pasta and bakery products.
OK: Soups: of lean meat or fish broth with cereals (semolina, rice) or boiled meat.
Not OK: soup with pasta
OK: Meat: lean meats – beef, chicken, and rabbit. The fat is separated from the meat and it is prepared boiled or steamed.
Not OK: Prohibited are fat meats, sausages, and other meat products.
OK: Fish: lean fresh fish, boiled or cooked by steaming.
Not OK: The diet excludes: fat, canned and salted fish caviar.
OK: Dairy products: cottage cheese and moderate consumption of yogurt.
Not OK: Milk and other dairy products are not appropriate.
OK: Eggs: 1-2 per day, soft-boiled or steamed omelet.
Not OK: Prohibited are hard-boiled and fried eggs.
OK: Cereals: pureed cereals (oats, rice, buckwheat), cooked with water or skim milk.
Not OK: Not permitted the consumption of millet, barley, legumes, pasta.
OK: Fruits such as blueberries, cherries, pears; grated raw apples.
Not OK: Sugar is limited. Prohibited are dried fruits, honey, jam and other sweets.
OK: Drinks: tea (especially green), black coffee, cocoa K.
Not OK: Coffee and cocoa with milk, fizzy and cold drinks.
Sample diet when you are suffering from IBD:
First breakfast: oatmeal made with water; fresh cottage cheese and tea.
Second breakfast: tea from dried cranberries.
Lunch: meat soup with semolina; meatballs; rice cereal (with water).
Snack: green tea with a rusk
Dinner: steamed omelet; buckwheat porridge (with water); tea.