UC and fruit - specifically citrus

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grudsey
Regular Member


Date Joined Mar 2007
Total Posts : 37
   Posted 11/25/2007 11:13 AM (GMT -7)   
Hi there,

Lately I've been feeling very run down (could be the onset of winter here in the UK), so I tried to introduce fruit into my diet as well as juice. Since doing so, I've noticed my UC getting a bit worse. Is this typical of fruit? I have been drinking all natural tropical juice (with bits included) and eating mandarins and apples.

Have any of you had any experience with fruit and juice?

Dan.
Diagnosed with UC since August 06
never really remitted

meds
started with asocol but it attacked my liver

now on:
175mg azathioprine
1 Actimel / day - blueberry is the yummiest
just started balsalazide 2 weeks ago (2 tabs 2 times a day)


Sideshowbob
Veteran Member


Date Joined Sep 2005
Total Posts : 698
   Posted 11/25/2007 11:18 AM (GMT -7)   
I believe fruit has an acidic quality that may be affecting you. Fruit and juice do not bother me personally but different things affect us all differently. I personally try to limit my fruit and juice intake because of the carbs/sugars involved which tend to affect body fat.
34 year old Male
First Flare was February 2005. Diagnosed June 2005-left-sided Colitis, suspect it has since spread. Started 4000 mg Oral Salofalk June 2005-stopped January 2007. Remission until November 2006.
Been in a flare to various degrees since November 2006 to February 2007. Currently in remission.
Presently on 0 mg Prednisone-down from 60 mg!
Weekly 4000 mg Salofalk enemas.
Daily 4000 mg Salofalk oral.
Started Omeprazole 20 mg February 2007.
Co-Moderator-UC Forum


mudua
Regular Member


Date Joined Apr 2007
Total Posts : 459
   Posted 11/25/2007 11:49 AM (GMT -7)   
Citrus fruit has alway been the worst enemy of my UC.

Rio in Maryland
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Date Joined Nov 2007
Total Posts : 891
   Posted 11/25/2007 2:14 PM (GMT -7)   

I have been trying to introduce fruit and freshly squeezed juice into my diet too.  However, since this is something I'm re-introducing to my diet I have been trying to make the foods as easily digestible as possible. 

For example, I pour certain juices through a sieve to remove the residue.  Also, the sugar concentration can be a bit high in fresh juices so I've been diluting it with an equal amount of water.  I'm also eating fruit such as apples and pears without the skin/peel and making sure the fruit isn't too hard and has ripened well.  I read somewhere that citrus juices though acidic, leave an alkaline residue in the body - so they should be fine; however, a lot of people with UC can't tolerate citrus fruits so I'm staying away from them for now.

So far I've had no problem with the juice and fruit.  In fact, I feel a lot better having a couple of glasses of fresh juice first thing in the morning instead of a solid meal. (The juice combo I've been having is a mixture of red apple, white grapes, pomegranate - and occasionally I add in some carrot juice).

 

 

 

 

 

 


Rio, 31 yr old male - diagnosed with UC in 07/2006.
 
Alternative therapies for several months (SCD, ayurvedic treatment, VSL#3): didn't work and became anaemic. Canasa, 2 daily: remission for a month then flared-up.
07/07-11/07: 4800mg Asacol (6 x 400mg, twice a day) & Aloe Elite.
Completed first (6-week) tapered course of Pred in 10/07, flaring up since coming off it.
Currently on: 12 x 750mg Colazal (6 - twice a day).  
Diet: Cut out caffeine and alcohol after diagnosis.  Been vegetarian for many years.  Low dairy, low carb, and avoiding foods that are processed, fried, spicy, acid forming, fungal, contain yeast (i.e. I don't have a life, but desperate times call for desperate measures!).


julee70
Regular Member


Date Joined Oct 2007
Total Posts : 486
   Posted 11/25/2007 2:24 PM (GMT -7)   
A few random thoughts on this subject:

I heard a lecture once on the topic of nutrition and UC and I recall that apple juice and cider have something in them that can be a problem for people with UC.

I've found that sometimes I can handle cirtus and other times I cannot. It seems to depend on how stable my remission is, I think.

Cooked fruit is supposed to be easier to digest. I've never tried baking an apple, but others say it is lovely.

There might be something to the food combination theories... drinking orange juice on a full stomach in the middle of the day seems better than drinking it on an empty stomach.

If you're worried about getting enough vitamins, you could try one of the non-dairy protein/vitamin drinks. In the US, there's a brand called Ensure that's pretty good.
-------
UC for the last ten years
Current Meds: 6MP
Past Meds: You name it; I've tried it.


Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 11/25/2007 2:54 PM (GMT -7)   

Julee,

I used to enjoy Ensure too (before I got UC) but avoid drinking it now as it has a high sugar and carb content and, though it's liquid, I have heard from others with UC who too find it difficult to digest.  (I had asked around as I was following a liquid diet for a few weeks). Then again, if it works for you, then that's great. 


Rio, 31 yr old male - diagnosed with UC in 07/2006.
 
Alternative therapies for several months (SCD, ayurvedic treatment, VSL#3): didn't work and became anaemic. Canasa, 2 daily: remission for a month then flared-up.
07/07-11/07: 4800mg Asacol (6 x 400mg, twice a day) & Aloe Elite.
Completed first (6-week) tapered course of Pred in 10/07, flaring up since coming off it.
Currently on: 12 x 750mg Colazal (6 - twice a day).  
Diet: Cut out caffeine and alcohol after diagnosis.  Been vegetarian for many years.  Low dairy, low carb, and avoiding foods that are processed, fried, spicy, acid forming, fungal, contain yeast (i.e. I don't have a life, but desperate times call for desperate measures!).


Susiebuddy
Veteran Member


Date Joined Feb 2005
Total Posts : 1373
   Posted 11/25/2007 3:19 PM (GMT -7)   
I can eat fruits like apples and grapes without the skin, dried fruit doesn't bother me too much, but I cannot eat any citrus fruits raw at all. I can even eat plums from time to time as long as it's in moderation...
SusieBuddy  
Diagnosed with U/C January 31st, 2004, IBS on July 21st, 2006, Dr says possible Crohn's...We'll see....
 
Meds: Rowasa enema's - Back to every night... probably forever!!!
         Canasa 1000mg. AM Only when needed, - Bentyl 10mg. As needed, -         Nexium - 40mg, 1x per day, - Xanax .5mg as needed,  Effexor 37.5mg. 
         Culturelle 1x a day 
         http://www.myspace.com/77016897         


grudsey
Regular Member


Date Joined Mar 2007
Total Posts : 37
   Posted 11/25/2007 4:08 PM (GMT -7)   
Thanks for the feedback! I think I will continue to experiment with fruit as it makes me feel much better, it just messes with the UC, well at least the oranges and mandarins do.

I like the Idea of plums though...mmmmm plums :)

Julee: The doctors at the hospital had me drinking 2 ensure drinks a day when I first got admitted last year (as part of a low fibre high protein diet). I've been wanting to get back into some form of protein drink, but one that tastes good when mixed with water (in powder form of course) as excesses of milk tend to set me off as well :(

Dan.
Diagnosed with UC since August 06
never really remitted

meds
started with asocol but it attacked my liver

now on:
175mg azathioprine
1 Actimel / day - blueberry is the yummiest
<del>just started balsalazide 2 weeks ago (2 tabs 2 times a day)</del> I stopped taking this as it made me feel like crap (no pun intended)


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 11/25/2007 4:24 PM (GMT -7)   
I eat a fair amount of fruit - mostly bananas, apples, oranges, pears, berries, and drink orange juice daily. I haven't noticed any effect on my UC, but I did stay away from all fruits except bananas when I was flaring really badly. I have read that citric fruits can increase symptoms in some with UC. I think continuing to experiment sounds like a good idea, because fruits have so many good vitamins, minerals, antioxidants and other things in them, and they're tasty, so hopefully you can find some that don't increase your symptoms.
23 years old
Diagnosed with UC March 2007
Current inflamation in the rectum
Asacol 4 tablets 3x/day
Rowasa (generic) - as needed for flares
Nature's Way Primadophilus Reuteri 1/day; Chewable multivitamin; Metamucil; Viactiv (Calcium and Vit. D) for Osteopenia; flaxseed


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 11/25/2007 4:44 PM (GMT -7)   
I can eat certain fruits (apples, bananas, pears, peaches, grapes) but it has to be in moderation. I love fresh pineapple but boy it doesn't love me. I also drink No Pulp Low Acid OJ daily.
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

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Co-Moderator UC Forum


love4cats
Regular Member


Date Joined May 2007
Total Posts : 458
   Posted 11/26/2007 6:04 AM (GMT -7)   
I eat a lot of fruit daily and have no problems with it.  When I am flaring, I can't eat anything heavy on my stomach, so I live on fruit and veggies.
 
 
Dx:  2006
 
Meds:  None so far. Garlic works to ease flares. My GI laughed when I told him and said it was just coincidence.
 
Diet:  Regular fresh garlic, Biobest yogurt daily, Omega 3 supplements, very limited junk food, carbs and processed food, low fat diet.  Lots of fresh fruit and veggies (limited potatoes). 
 
Added: tumeric and probiotics.
 
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5136
   Posted 11/26/2007 10:55 AM (GMT -7)   
I limit orange juice to 4 oz. daily & generally avoid eating raw oranges, grapefruit, & pineapple because their acidity seems to disagree with my colon. Clementines are o.k., though-- less acidic as citrus goes. / Old Hat (nearly 30 yrs with left-sided UC; currently on 3 Colazal daily; seem to be back in remission)

expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 11/26/2007 1:23 PM (GMT -7)   
I eat many fruits. The key for me is moderation. The other key for me is to peel my apples. I have a difficult time digesting the skin.
Current Medications:
- Asacol (4 pills, 2x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)


Harpo
Regular Member


Date Joined Jul 2007
Total Posts : 262
   Posted 11/27/2007 10:56 AM (GMT -7)   
I drink Orange juice..... mixed with Vodka..
Male 36yrs old. Indeterminate Colitis 6 yrs.


Pro-bio

Protonix
multi vitamin


Robert.K
Regular Member


Date Joined Nov 2007
Total Posts : 137
   Posted 11/30/2007 9:46 PM (GMT -7)   
I think the irritation anyone might feel as a result of citures fruit consumption has more to do with it's stimulation of the bowel rather than its acidity. I'm not sure how familiar you all are with the biochemistry of digestion, but our digestive tracts contain many buffers to raise or lower the pH of foodstuff in our systems as appropriate. Patients of UC, as far as I know, do not have problems regulating the acidity levels. The problem lies in a faulty mechanism (negative-feedback, to oversimplify) required to scale back the inflammatory response in the bowel to some offending agent. That being said, I wouldn't be so certain that the acidity of citrus fruits are a concern. That being said, however, if citrus fruits or juices are consumed in a higher volume without any other foods at the same time, the acidity might "cut" away at the mucosal lining of the colon, allowing the overactive immune response that all of us UC patients suffer from to get closer and closer and eating away at out lining and causing worse inflammation.

:-\
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