Reducing Flares in Crohn's Disease

Vitamins for Crohn's Disease
If you have Crohn's disease, good nutrition is crucial so you can stay as healthy as possible. Unfortunately, crohns disease, as well as treatments for it, can make it much harder to get enough of the minerals & vitamins you need.
Doctors often recommend vitamins for Crohn's disease. Whether you need Crohn's disease vitamins, and which vitamins depends on your case and the your medical treatments.

Here is a list of the minerals & vitamins

Reducing Flares in Crohn's Disease
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for Crohn's disease that your body might not be getting, and advice on how to get more of them.

Crohn's Disease Nutrition
Poor nutrition has real risks if you have Crohn's disease. You may feel run-down & sick. Medications may not work as well. In children & teens, poor nutrition related to Crohn's disease can stunt growth.

There are several reasons Why Crohn's disease affect nutrition!

Inflammation & damage to the small intestine
from Crohn's disease can make it hard for the body to absorb substances from food, such as carbs, fats, water, and many vitamins and minerals. Surgery for Crohn’s may also make it more difficult to absorb nutrients.

Reduced appetite from pain, diarrhea, anxiety, and changes in taste makes it hard to eat enough food.

Some medications for Crohn's disease make it harder to absorb nutrients.

Internal bleeding in the digestive tract can lead to anemia, which can cause low levels of iron.

Crohn's Disease Nutrition: What's Missing?
What vitamins and minerals are missing in your diet?
People with Crohn's disease are likely to have lower levels of:
Vitamin B12. After surgery in the ileum (the lower section of the small intestine) it may not be possible to absorb enough vitamin B12. Dietary changes & oral vitamins can help. Some people with Crohn's disease need injections of vitamin B12 or a B12 nasal spray.

Folic acid. Some drugs for Crohn's disease, such as methotrexate or sulfasalazine, can lower levels of folic acid. A daily 1 mg dose of a folate supplement could help.

Vitamin D. Studies have shown the people with Crohn's disease often have low levels of vitamin D, which helps your body absorb calcium for strong bones. Many people with Crohn's disease take an 800 IU supplement of vitamin D daily.

Vitamin A, vitamin E, and vitamin K can be low in people who have trouble absorbing fats because of surgery for Crohn's disease.

Calcium. Steroids for Crohn's disease can weaken bones & affect your body’s ability to absorb calcium. On top of that, some people with Crohn's disease avoid milk because they're also lactose intolerant, further reducing calcium. Up to 50 percent of people with Crohn's have osteopenia, or thinning of the bones. Taking additional supplements, often 1,500 mg of calcium a day can help keep bones strong & prevent other problems.

Iron. People with active Crohn's disease may develop anemia from blood loss in the intestines. The best treatment for anemia is with iron. Most people take iron tablets or liquid, but some get infusions instead.

Potassium, magnesium, and zinc may be lower in people with Crohn's disease. Taking a daily supplement can help.

Vitamins for Crohn's Disease: Diet vs. Supplements
Most dietitians or nutritionists would tell you it's better to get your nutrition from whole foods instead of supplements.
For some people with Crohn's disease, that's just not possible. Because of absorption problems, pain, & nausea, it may be hard to eat enough of the healthy foods that would give you the nutrition you need.

What's more, Crohn's disease (especially when it's active) can make your body work harder. You may need more calories & nutrients than normal, precisely at the time when it's hard to eat. Some healthy foods, such as high-fiber nuts and seeds, can also trigger flares in some people with Crohn's disease.

In these cases, vitamin supplements for Crohn's disease can help fill any gaps in your nutrition.

Crohn's Disease Nutrition: Working With Your Doctor While supplements can be a good idea for some people with Crohn's disease, don't start treating yourself with handfuls of vitamins every day. That's too risky.

Talk to your doctor first. Some supplements could interact with your medication or make your Crohn's symptoms worse.
Before suggesting supplements, your doctor may want to check you for nutritional deficiencies. The doctor may test your levels of iron, vitamin D, vitamin B12, and other vitamins and minerals. The vitamins you need may also depend on where the damage is in your small intestine.
Schedule an appointment with a doctor. Getting good nutrition (whether it's through dietary changes or supplements) is essential to protect your health and help you feel better with Crohn's disease.

30 January 2013