I am 46 years old, I have ulcerative colon and in addition am going through the menopause. I am active, I run and ride a bike. I would like you to prepare a suitable diet for me. Yours sincerely and I look forward to your reply.

Diet in ulcerative colitisdoes not have to differ significantly from the diet of he althy people . However, you should remember that some foods can make you feel unwell. Usually ( although it is an individual matter and it may be different for different people) these are bloating vegetables (dry broad beans, peas, beans, soybeans, cauliflower, broccoli, fresh cucumbers, cabbage), small-seed fruits (i.e. currants, raspberries, blueberries, strawberries) , gooseberries, etc. - they may cause mechanical irritation of the intestinal mucosa), nuts, hard-to-digest foods such as mushrooms and dried fruit.

You should limit the fiber from whole grain products. That is: wholemeal bread, coarsely ground groats (barley, buckwheat), high-fiber vegetables (root, pepper, corn). Of course, fiber is necessary for proper digestion and the proper functioning of the intestines, but it should come from young, delicate vegetables and ripe fruit. Please remove their skins and seeds and grind them, for example, into mousses, cocktails, smoothies. Consuming juices, purees, nectars, mousses and purees results in better digestibility of nutrients and does not irritate the intestines. However, you shouldbe careful with citrus and grapefruit.It is not advisable to drink grapefruit juices while taking certain medications, e.g. Budenofalk, Entocorton.

You should avoid stimulants, such as coffee, strong tea, alcohol, carbonated drinks.Prophylactically, to avoid infection, avoid raw meat, unpasteurized milk, eggs.Avoid sugar, which increases the permeability of the intestinal epithelium, affects the composition of the intestinal bacterial flora and promotes abdominal distension, overflow intestinal contents may also aggravate diarrhea.

Avoid excess oxalate-rich foods (rhubarb, spinach, sorrel, nuts and cocoa). Unfortunately, nephrolithiasis occurs much more frequently in people with IBD (inflammatory bowel disease) than in he althy people. In he althy people, oxalic acid is contained in manyIn food, it binds with calcium in the gut to form non-absorbable calcium oxalate, which is excreted in the stool. In addition, when fat digestion is disturbed in fatty diarrhea, fatty acids that are not broken down in the intestine bind most of the available calcium. A situation arises that there is not enough calcium to bind the oxalic acid. Unbound oxalic acid is absorbed into the blood and, reaching the kidneys in large amounts, increases the risk of plaque formation.Inflammatory bowel condition is often associated with abnormal bile s alt reabsorption and fatty diarrhea . The consequence of this process is the loss of fat-soluble vitamins (vitamins A, D, E and K) with the stool. In the case of fatty diarrhea, it is recommended to limit the consumption of fats, especially animal fats, frying with fats, avoiding butter, margarine and vegetable oils. The supply of fats can be replaced with medium-chain fatty acids.

Since your diet should be easily digestible and easily digestible, preparing a meal should improve the availability of nutrients. Therefore, first of all, you should use techniques such as:boiling on water or steaming, wiping, mixing and grinding, loosening food , eg by adding beaten egg whites or a soaked bun; baking in aluminum foil or parchment; adding fat to meals after cooking. Avoid: traditional baking, frying, roux, reheating, frying.

It is highly inadvisable to eat crisps, popcorn, French fries and other "junk" foods. Although the influence of "fast food" on the incidence of IBD has not been proven, its increase in highly developed countries may be related to unhe althy, mass nutrition. Therefore,if possible, choose products that do not contain preservatives, artificial colors and flavors, which are as natural as possible . Regards.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Agnieszka Ślusarska

Owner of the 4LINE Dietary Clinic, chief dietitian at the Plastic Surgery Clinic of Dr. A. Sankowski, tel .: 502 501 596, www.4line.pl

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