flare and fiber

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Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 1/18/2010 1:59 PM (GMT -7)   
How long should you wait before reintroducing more fiber (raw veggies as opposed to cooked) when in a flare? Do you have to wait until diarrhea is completely gone before introducing it again?

LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 1/18/2010 2:05 PM (GMT -7)   
I avoided any of that during a flare because it just made it worse. It really caused a lot of problems, and I've only been able to tolerate when I've been closer to remission than flaring. I've gone to the ER several times simply because I ate raw vegetables or fruits (or the like) when my Crohn's was not under control.

If you're flaring, I would suggest sticking with a soft diet. I know some people have taken metamucil, however, and it has helped. It just depends on you. Personally, I avoid stuff like that until I'm feeling better because it just causes too much trouble.
Diagnosed with Crohn's in May of 2008.
Currently taking for Crohn's: Pentasa, omeprazole, Loestrin birth control, and Align probiotics.
Also taking Amitryptaline, hydroxizine, prosed DS, and hydrocodone for Interstitial cystitis.
I do keep a blog of my experiences and mishaps with these diseases. See profile :)
"He who has a why to live for can bear with almost any how."


teddybearweiser
Veteran Member


Date Joined Oct 2004
Total Posts : 3042
   Posted 1/18/2010 2:15 PM (GMT -7)   
I would recommened not eating raw veggies they are hard to digest. I also agree with a soft diet.
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital

in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.

My GI doctor has me on and Humira. B-12 injection once a month.
Also diagnosed with Rheumatoid Arthritis.


Blossom
Regular Member


Date Joined Mar 2008
Total Posts : 176
   Posted 1/18/2010 2:39 PM (GMT -7)   
Octobergirl,

When in a flare, being kind to your intestinal tract (by eating easy to digest foods) is very important, as raw fruits and veggies can be hard to digest.

Once your flare has settled down or gone, then I would think that reintroducing raw fruits and veggies VERY slowly (& in small quantities) would be reasonable. But this is ONLY if you don't have any narrowing of the small intestine. In that case, you should avoid ALL raw fruits and veggies (as well as nuts & even cooked foods that are high in fiber) or they can cause a bowel obstruction.

I suggest checking with your GI doc about all this too.

Good luck, and hope your flare settles down soon.
54 year old female;
 
Have had Crohn's of terminal ileum for 10 years.   Small bowel resection (my first) on 7-30-09.  Monthly B12 shots.
 
On Humira since Dec. 2008.  Allergic/hypersensitivity to Pentasa, Entocort, and 6-MP.  


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/18/2010 3:46 PM (GMT -7)   
Another option is to go with fibre supplements, my GI told me to take fibre supplements during a really bad flare (NOTE: I don't have blockage or stricturing CD myself, but for those that do a fibre supplement may be an easier route to go)...of course you'd still start with a small amount, drink plenty of water with it and take it daily so your system can adjust to it (part of your system adjusting to it is increased gas/bloating, took my system 3 months but was worth every miserable day of it...besides I was pretty gassy and bloated then anyways).
 
Since using the fibre supplements daily and indefinitely (I started on them 5ish yrs ago) once my system adjusted to the one cap/day I was taking I found eating fibreous foods easy (no excess gas or bloating from it).

Otherwise, as Blossom suggested, go slow with fibreous foods, only increase the amount you're eating after your system ajusts.

:)


bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


Blossom
Regular Member


Date Joined Mar 2008
Total Posts : 176
   Posted 1/18/2010 6:19 PM (GMT -7)   
Generally speaking, fiber is good for everyone. However, this is not advised if you have stricturing of the small intestine, even if it's a fiber supplement. Years ago, my GI doc was having me take a fiber supplement (Citrucel), but when it was apparent that I had stricturing, he told me to stop using it.

Always check with your GI doc first!

As for those who do NOT have stricturing, pb4's suggestions about introducing it slowly while your body gets used to it is good advice!
54 year old female;
 
Have had Crohn's of terminal ileum for 10 years.   Small bowel resection (my first) on 7-30-09.  Monthly B12 shots.
 
On Humira since Dec. 2008.  Allergic/hypersensitivity to Pentasa, Entocort, and 6-MP.  


FunGuy
Veteran Member


Date Joined Oct 2009
Total Posts : 1070
   Posted 1/18/2010 7:29 PM (GMT -7)   
Caution: Nothing is more important than healing and keeping the flares to a minimun. Don't rush it and when you start, go slow. Just a little at a time. If a tiny bit hurts than back off.
 


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 1/19/2010 8:03 AM (GMT -7)   
I am in remission currently but suffer with the stricturing type of Crohns. If you are flaring, I would highly suggest you stay with a more low residue type of diet, easy to chew, easy to digest and lay off the raw veggies until you get better. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 1/19/2010 8:27 AM (GMT -7)   
Thanks guys. This is my first flare, so I'm not sure what to do. D is back but it's not bad all the time. I usually eat a lot of raw veggies, so I've started cooking them. I can't seem to go by pain, because my colon doesn't like to give me pain signals even when things are wrong. I guess I'll keep cooking veggies until the D backs of a bit.
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