Crohn's Disease

Diet and Stress

The importance of diet is sometimes a source of confusion among patients. No food has ever been implicated in causing Crohn's disease. Patients should eat a nutritious, well-balanced diet. However, diet may have to be restricted based on symptoms or complications. Patients with strictures (narrowing in the intestine that could lead to a blockage) should restrict fiber-containing food and avoid seeds (corn, popcorn, etc.). Some patients may not tolerate milk or milk products. These patients may benefit from lactase-fortified products. Patients should probably avoid foods that bother them and should seek specific recommendations from their physician. Some suggestions include:

• Limit dairy products
• Try low-fat foods
• Experiment with foods high in fiber (fresh fruits, vegetables and whole grains)
• Eat small meals
• Drink plenty of water
• Talk to a dietitian

Supplemental Nutrition

Physicians may recommend commercially available nutritional supplements, especially in cases of malnutrition or in children with Crohn's disease whose growth has been slowed. In cases with severe or difficult-to-treat disease, nutrition by vein with bowel rest (nothing by mouth) may be recommended. Patients who are losing weight or having diet problems should ask their physician for help or request a referral to a registered dietitian.

Stress

Although stress does not cause Crohn's disease, it can worsen symptoms. Stressful events can range from minor annoyances to job loss or the death of a loved one. Stress causes a patient's stomach to empty and to secrete more acids. Regular exercise, yoga, massage and meditation are a few ways to reduce stress.