2012年10月31日星期三

What to eat if you have Crohn’s Disease

If you’ve got inflammatory bowel disease (IBD), you need to make calories count.

Certain foods won't speed gut healing, but there are plenty that can help you stay well-nourished without aggravating symptoms, says Tracie Dalessandro, RD, a nutritionist based in Briarcliff Manor, NY, who also has Crohn’s disease.

Here are some foods that should be easy on your digestion. However, the right Crohn's diet is highly individual—so use trial and error to see what works for you.

Many people with Crohn’s are lactose intolerant. Luckily, there’s a great dairy alternative: almond milk, which is made from ground-up almonds and can be fortified to contain as much calcium as regular milk (check the label). Almond milk also has vitamin D and E, but contains no cholesterol or saturated fat, and fewer calories than cow’s milk. Many varieties contain added sweetener; choosing an unsweetened product cuts about 20 calories per serving.

Oatmeal is a great choice if you have Crohn’s. “Oatmeal is even OK when I’m flaring, if I’m not flaring too badly,” McDonald says.Insoluble fiber—the kind in raw veggies, fruits, and nuts—draws water into the colon and can worsen diarrhea for those with IBD. But oatmeal has soluble fiber, which absorbs water and passes more slowly through your digestive tract, says Dalessandro, who is also a nutritional advisor to the Crohn's & Colitis Foundation of America.

People with Crohn’s may think they should avoid fruit, but even during a flare, tropical fruits are an easy-to-digest, nutritious option. Papaya contains an enzyme, papain, which helps your body digest proteins; this butter-soft fruit is also rich in vitamin C, vitamin A, folate and potassium, and is available year-round. Cantaloupe is a good choice too.

Avocado,soft, smooth, and chock-full of good fats, B vitamins, vitamin E, and potassium, avocados should definitely be on the menu if you have Crohn’s disease.

Some foods or eating habits can exacerbate symptoms. Each person is different, so you may need to use trial and error to see what helps (or hurts) your symptoms.
Shrimp and white fish like tilapia and flounder are also nutritious and easily digestible. Prepare seafood by steaming, broiling or grilling, and skip the deep-fat fryer.

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