The Crohn Tinee cool an incidence of 7.5 cases per 100,000 habitators per year. It has no cure, but can be controlled by drugs that prescribes the Digestive doctor, and a personalized diet that must configure a nutritionist dietitian.
What is Crohn’s coolness?
Crohn’s cooling is, together with ulcerative colitis, one of the two main ways of infamatory intestinal cooling (EII). Produce inflammation that in all layers of the tissue of the wall of the digestive tract, from the mouth to the anus.
It is a chronic and autoimmune cooling that is in shoots, that is, hay seasons with the very pronounced symptomatology followed by others in remission.
Symptoms
Crohn’s symptoms of cooling are very diverse. The most frequent child abdominal pain, diarrhea, anemia, weight loss, fever, rectal hemorrhage …
How Crohn’s disease is diagnosed
Unlike ulcerative colitis, where Sang’s presence in feces speeds up diagnosis, in Crohn the symptoms are more diverse and can confuse pathologies, from an indigestion to the irritable attempt syndrome. This often takes the diagnosis and application of the treatment, with the preventive wake of the patient’s quality of life.
The usual diagnostic tests son Wastern and feces analyzes, and endoscopies To visualize internal lasions (colonoscopy, gastroscopy, enterocopy).
Tests of Image diagnosisSuch as the tomographic of the tomographic, magnetic resonance or contrast radiography. This test group allows possible to locate complications, such as fins, abates and stenosis.
Causes and Risk Factors
Alicia Salido, dietitian-Nutritionist specialized in digestive and microbiota pathology and honor member of the Spanish Academy of Nutrition and Dietetics, explains that “Crohn occurs as a achievement of an RInadequate thickness of the immune system to our body«. This inadequate response can be motivated by various factors:
- Polygenic genetic predisposition. That is, many genes predispose a having it.
- External agents. A diet of low diet, definant in minerals and vitamins, and with excess sugars, fats and little fiber. Pabaquismo, stress, hygiene very undertaking in childhood, oral antibiotic consumption, etc. are also included in this section.
- Infectious by bacteria or viruses. Especially in childhood.
- Changes in intestinal microbiota. This land is the focus of many investigations today. «If we are able to modify our intestinal microbiota, it can be in the future the great key to the treatment of this
Stress management in Crohn’s disease
Stress is not a cause in itself, but proper management its usual manifestations can improve the patient’s quality of life. Salido provides several tips to modulate the quality of time that a corner is dedicated to other situations that can affect food:
1. Distribute the meals depend -de-of time (5-6 Thomas/days).
2. Chew food well and eat slowly.
3. Avoid copious meals. Small food volumes in each shot is preferable.
4. Do not drink water or fair liquids during and after meals and dinners. A water excess dilutes gastric acidity and complicates digestion.
5. Consume starchy starch for its prebiotic function. «It’s easy. We just have to make a prolonged cooking of pasta, rice or potato and cool it 24 hours,» explains the expert.
6. Stress management. Apply conscious techniques of consciousness feeding.
7. Night fast 10-12 hours. It facilitates the intestinal cleaning tasks of the body itself.
Crohn’s cooling treatment
Digestive medicine has various pharmacological treatments that are always patiently guided, according to the patient’s characteristics and the clinical moment (remission phase outbreaks). In severe country, surgery may be necessary.
The appropriate diet is going to be key, not to cure the disease, since it is chronic, but to improve the patient’s quality of life and attenuate, in many cases, the intensity of the symptomatology.
Basic Diet Principles for Crohn’s cooling
Since the cause of cooling is the inflammation of the digestive system, the diet should seek to facilitate the digestive activity as much as possible. The figure of the dietitian-nutritionist specialized in digestive pathology is essential for design an adequate, appetizing diet and without nutrient deficiencies. «To my patients I always tell you, we will include foods that produce little fermentation in the bacteria of the intestine. Thus we try to have the affected area ‘calm’, in a state of ‘not inflammation’ the mayor possible time,» he says.
As a general rule, a diet with cereals or gluten -free flours and LL -sen lactose for life is established. Other feeds that can be included with the Sigrants:
- Blue and white fish
- Egg
- Lean white meat
- Vegetables and vegetables: chard, spinach, tomato, carrot, lettuce, etc.
- Fruits: banana, kiwi, grapes, etc.
- Nuts: nuts
Diet during shoots and remission phase
The moment of cooling conditions that one or the other can be taken, as well as the form of preparation. “If you are in a state of outbreaks with diarrhea, you should take food such as rice, potato, carrot, white fish, hard egg, banana, lean white meat, natural yagur without lactose and fresh cheese without lactose. It is diet and diet, a diet a soft diet Ba Baja and low and low and low low and low low and low lactose.
During the remission stage, a diet with less fermentable foods is raised, «but that all food groups include all the nutrients we need.»
The role of hydrate in Crohn’s cooling
Water is essential for everyone, whether we are healthy and during cooling. In the case of people who lose many liquids by diarrhea, it acquires even more import. “A favorite hydrate correction The passage of the bolus throughout the small intestine to the colon. The feces are formed with water, if there is little, we can have problems of dryness in the stool, which makes its expulsion difficult. The microbiota of the colone and the microbiota of the colone is Fuertese.
It is recommended to drink water when rising in the morning (on an empty stomach, 1 or 2 glasses). «Consas 10-12 hours of fasting at night the migratory motor complex occurs, an intestinal cleaning mechanism. When drinking water in the morning we contribute to raising the remains that are left in the intestine and improving the formation of feces in the colon,» he explains.
Hydration during shoots
If the patient is with outbreaks or diarrhea «we can put a little lemon, rice broth (the one left over when you cook it) and a pinch of salt and drink it to small sips throughout the day as a astringent drink.»
Pro -inflammatory foods that should be avoided
According to actual prevalence, 81% of patients with Crohn or III have a functional digestive disorder (sibo or intestinal bacterial overgrowth, IMO …). “This means that it has a disquilibro (dysbiosis) of the intestinal microbiota. To reverse it it is highly recommended guideline a low food that has a high amount of fermentable sugars, that is, a low diet in Feodmap. Restricting:
- Oligosaccharides: fructans and galactans: legumes, garlic, onion, leek, artichokes, asparagus, almonds, anacardos, watermelon, wheat, barley, rye
- Lactose: milk, cheese, yogurts, and all its derivatives
- Fructose: Sandia, apple, pear, mango, artichokes, asparagus, yellow peppers, raw reds
- Polialcohols: sweeteners, such as manitol, xylitol, maltitol, sorbitol; Fruits, such as watermelon, apple, pear, peach, cherries … and vegetables, such as mushrooms and mushrooms.
Ways of preparing food that should be avoided
Very seasoned, very spicy dishes, fried, reveriers and all culinary techniques that add a lot of oil to food should be avoided.
Dietary supplements and treatments
Alicia outlines that «as dietitian-nutritionist-the priority in the Vosito de los Pac Hundred is personalized diet therapy. This also applies to sulplements that of dietary treatment, both in times of outbreaks and during remission.»
These son some of the supplements that, dependent on the patient, are prescribed to can:
Weekly menu for a balanced diet with Crohn’s disease
Like symptomatology and outbreaks differently in each patient, the diet must design individually and always configured by a nutritionist dietitian specialized in this pathologist. A type menu is usually articulated on these slogans:
- First Plato: potato or pasta or rice or quinoa and cooked or raw vegetables
- Second Plato: Animal protein (meat, fish, egg, lactose -free lorcteo) or vegetable (nuts).
| Frequency of intakes in Crohn’s disease | |
| Raw and cooked vegetables | 2 Raciones / day |
| Fruit (without ripe) | 3 RACOS / DAY |
| White meat red meat | 1-2 times a week <1 time a week |
| White, blue, crustacean fish, mollusks, seafood | 3-4 times / week |
| Egg | 3-4 times /week |
| Lcriteos (lactose) | 2-3 rations / day |
| Pasta, rice, potato, quinoa, breakfast cerales, bread | 4-6 rations / day |
| Dry fruits (without salt and without frying) | Diary |
| Olive oil | A newspaper (moderation) |
Professional Nutritionist Dietitian Import
Royal There is no cure for Crohn’s cooling. There is also no unique treatment That works for everyone. The patient learns to live with his cooling and, with adequate medication and a custom diet, can achieve a fairly acceptable quality of life. «The ISI must be treated from an interdisciplinary perspective. Nutritionist dietitian-specialized in digestive pathology plays a vital role in this inflammation disease,» he said in a forceful way.
Insists on the need to flee false nutritionists, Trainers And ‘experts in’ without the proper one. “Maintaining an adequate microbiota in the digestive system is only achieved with a balanced and personalized diet, physical, sufficient rest and not stable emotional state. Integrated in interdisciplinary equipment.
Remember that IBD is very disabling for the diversity, intensity and frequency of symptoms. «This affects your work and personal life. That there is no cure known for now not significant that we should not put all the means to provide them with a good quality of life.»
Alicia out. Honor member, member of the Steering Committee and Director of Academic of the Spanish Academy of Nutrition and Dietetics. Treasurer of the General Council of Official Colleges of Nutritionist Dietitians from Spain. Co -founder of the Andalusian Unit of TFD (Digestive Functional Disorders) and responsible for the Nutrition Area. Responsible for the Nutrition Area of the Sanitas Andalusia Milenium centers. Responsible for the Nutrition Area of the Lopedema Unit, in Seville. Diploma -graded in human and dietary nutrition by the University of Navarra Master in Obesity and Metabolism by University of Navarra Master in Clinical Microbiology. European Institute of Chemistry, Physics and Postgraduate Biology in Oncological Nutrition. www.aliciasalido.com. Instagram @aliciasalido. Twiter: @salidoalicia
