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Crohn´s disease is closely
associated with food, diets, digestion and malnutrition. The symptoms,
frequency of episodes and health risks of Crohn´s disease can be
greatly affected by food choices and how the food is prepared before
eating. One of the most important aspects of Crohn´s disease
is that each person is affected differently. Different
foods will cause different severity of symptoms in different
people and some foods may produce no symptoms in one person, but have
severe consequences on another person. The most common symptoms of
Crohn´s disease are
diarrhea, frequent bowel movements, fever, abdominal pain and cramps,
vomiting, and infrequently the appearance of blood in stool. The
most frequent and serious long term risk of Crohn´s disease is
malnutrition.
Crohn´s disease is digestive disorder where the immune
system causes inflammation in the digestive tract. The
inflammation usually occurs near the end of the small intestines, the
beginning of the large intestines, or both. It is also possible
that the inflammation can occur in other parts of the digestive system
including the mouth, esophagus or anus.
There are two different ways that food can
have an impact on the symptoms of Crohn´s disease. Certain foods
can directly cause an episode or prolong or increase the severity of an
existing episode. These foods are very specific to each individual and a
person suspected or, or diagnosed with Crohn´s disease should
keep a daily journal of foods consumed and any symptoms that occur
afterwards.
There are other foods that interfere with normal digestion in all
people, and these foods can therefore greatly impact a person suffering
from an episode of Crohn´s disease.
While each person with
Crohn´s disease will have a personal list of foods that can cause
or increase the severity of an episode, there are some foods that
commonly make most Crohn´s patients lists. The most common foods
among all sufferers include fatty foods, especially deep fried
foods. Red meat, especially high-fat meat also frequently is cited
as a probably cause of a Crohn´s episode. Finally, some
usually healthy foods can also be problematic for people with
Crohn´s disease, these include raw fruits and vegetables, along
with beans and cabbage. The link between Crohn´s and these
otherwise healthy foods appears to be their high fiber content.
Finally, dairy products, especially butter is often mentioned as a
possible cause. It is important to note again that each individual
is different, and many foods listed above may cause no problems at
all. It is vital to keep a personal journal and try to identify
which types of food affect each individual.
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The other type of foods that affect Crohn´s
disease are foods that alter the speed food moves through the digestive
system. Because the inflammation caused by Crohn´s disease
also can change the speed at which food flows through the intestines,
these food can make a bad problem worse. The most common foods in
this list include caffeine, alcohol and high fiber foods. Foods
containing these ingredients should be avoided as much as possible when
the individual is not having an episode, but should be completely
eliminated during a Crohn´s episode.
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Finally, it is important for a person to be prepared for an extended
episode if they have been diagnosed already. The greatest risk of
Crohn´s disease is malnutrition and in order to prevent this, a
person should know where to buy liquid meals or keep them available at
all times. Symptoms of malnutrition can occur very quickly when an
episode lasts longer than expected. Probiotics are also important
as they increase the amount of nutrients absorbed during
digestion. Yogurt, or other sources of probiotics should be eaten
regularly.
Reviewed: Peter Sedesse, MD
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