Crohn’s Disease
Nutrition & Exercise

Though an effective treatment plan is key to fighting your symptoms and the inflammation that can cause them, managing your diet to get proper calories and nutrition—as well as exercising regularly—is important. Your healthcare team can help you figure out a Crohn’s diet plan and how active you can be.

Crohn’s disease nutrition

There’s no evidence that what you eat actually causes Crohn’s—or that the inflammationImmune response to tissue injury that causes redness, swelling, and pain. of the intestine is directly affected by what you eat. Inflammation is believed to be caused by a combination of factors. But everyone is different, and certain foods and beverages may aggravate your Crohn’s symptoms.

Make sure to replenish nutrients you need

You should know that poor absorption in your intestines and loss of appetite often linked to Crohn’s disease may deprive your body of essential nutrients—so you have to be mindful about eating a nutritious diet, or malnutrition may occur. Talk to your doctor and, if possible, a dietitian about customizing your diet for you to make sure you are getting enough nutrients and calories.

That said, some people with Crohn’s disease may benefit from the following general suggestions:

• Limit dairy products
• Try low-fat foods
• Experiment with fiber
• Avoid “gassy” foods
• Eat smaller meals
• Drink plenty of water

Crohn’s disease and exercise

As you probably know (and as your doctor may tell you), exercise is an essential part of living a healthy life for everyone—not just people with Crohn’s. Staying active and getting regular exercise can help you:

An added benefit for people with Crohn’s is that regular exercise may lessen the chance of extra-intestinal (beyond the GI tract) symptoms. Even if you have an ostomy, you can exercise as long as your bag is secure. For example, if you choose to go swimming, you may want to use waterproof tape.

During a flare, or when you feel especially tired, you may not feel like being active. You should check with your doctor to see if you can start exercising once your symptoms are under control, you can eat regularly, and you are getting enough sleep.

Because everyone is different, you should also ask your doctor about what exercise he or she recommends for you.

Mental health

It’s important to take care of yourself not only physically, but also emotionally. Joining a support group is a good way to ask questions, share your concerns, and learn from others who may be experiencing many of the same issues as you. Seeking out the support of a psychologist or counselor can also help. Taking part in an online community and forum can also provide insights and information about your concerns. Some foundations have websites that can direct you to support groups, mental health specialists, and online communities.

Eva Szigethy, Ph.D., M.D., M.S., is an Associate Professor of Psychiatry, Medicine and Pediatrics at the University of Pittsburgh School of Medicine. She specializes in the psychological impact of chronic digestive diseases.