Inflammatory Bowel Disease (IBD) - Crohn's Disease/Ulcerative Colitis

Question 1

what are the MNT goals?

Answer 1

• alleviating symptoms/correcting nutritional deficiencies
• treatment depends on disease process

Question 2

what is the treatment if a patient has flare-ups/exacerbation?

Answer 2

• modify fiber as necessary
• small, frequent feedings
• liquid oral supplements (lactose free)
• MCT oil if steatorrhea

Question 3

what can acute attacks require?

Answer 3

elemental tube feeding or TPN to allow complete bowel rest

Question 4

what is the treatment if a patient is in remission?

Answer 4

• no specific diet can prevent flare ups
• diet individualize based on personal intolerances and responses to certain foods (keep a food diary)
• maximize energy and protein intake
• do not over restrict diet