Posted 8/26/2011 7:48 AM (GMT -6)
Kevin, what does your GI say about the ongoing diarrhea and your low energy levels? Have you had your vitamin D levels checked, your iron, your B-12?
Your nutritionist should be able to help you outline a meal plan that includes foods that you like and enjoy, provide nutritional balance and sufficient fiber for managing your UC. While low residue diets are usually recommended for Crohn's patients, I thought that UC folks generally get advised to add fiber. But if you're having lots of diarrhea, sticking to the BRAT (bananas, rice, applesauce, toast) diet in general should be easy to digest and keep you from losing too much weight. Boring though, for sure. A lot of people find that they feel better if they avoid raw fruits and vegetables, so that's one thing you can do right now.
There are a lot of diet ideas out there; Specific Carbohydrate Diet seems to be the one that most IBDers follow. My approach has been to avoid things I know make me feel bad - lactose was the first thing I cut out. Beans came next. High fat foods I find difficult. And this summer I eliminated gluten. I've been tweaking my diet now for 11 years. There's a long road ahead and I think you're right to want to feel better sooner rather than later. Talk to your DR about why you're still feeling ill.