There is no one-size-fits-all treatment for Crohn’s disease, however, some common management methods include medication, specific diets, and stress reduction.
Treating and managing Crohn’s disease doesn’t involve a one-size-fits-all approach. You’ll likely need to try out different solutions to find what works best for you.
Always speak with your doctor before taking any over-the-counter drugs or beginning a new exercise program.
Diarrhea can be one of the most inconvenient symptoms in your daily life with Crohn’s disease. And it can also lead to further health consequences if not treated.
Several over-the-counter medications can help ease symptoms of diarrhea, gas, or bloating:
- loperamide (Imodium A-D)
- bismuth-subsalicylate (Pepto-Bismol)
- psyllium (Metamucil)
- methylcellulose (Citrucel)
Before you take an over-the-counter medication to calm down your stomach, check in with your doctor. Your symptoms may suggest a worsening of your inflammation, so your doctor may want to make a change to your prescription medication.
Your doctor may recommend taking acetaminophen (Tylenol) if your stomach pain comes along with joint pain.
Don’t take nonsteroidal anti-inflammatory drugs (NSAIDs) for stomach pain. This includes ibuprofen (Motrin IB, Advil) and naproxen (Aleve, Naprosyn).
While NSAIDs might help relieve some joint pain, they can irritate your gastrointestinal tract, worsening your symptoms.
You may have to avoid certain foods and beverages that can worsen your symptoms.
While there’s no concrete evidence that a particular food is responsible for the inflammation associated with Crohn’s disease, you know your body best.
If you haven’t started one already, consider creating a food diary to keep track of which foods aggravate your symptoms.
There are a few foods in particular that you’ll want to pay attention to. If you find out that these types of food make your stomach angry, it’s probably best to avoid them altogether:
- dairy products
- fatty foods
- high fiber foods, such as beans, popcorn, nuts
- raw fruits and vegetables (have them cooked
instead) - spicy foods
- alcohol
- caffeine
If you’re experiencing stomach pain, stick to bland foods such as the following:
- dry toast
- rice
- eggs
- bananas
- applesauce
- boiled, skinless chicken
Try eating five or six small meals throughout the day rather than two or three large ones. This ensures that your body gets enough nutrients and calories for the day without putting unnecessary strain on your stomach.
Certain herbs may help calm your stomach. While there isn’t a lot of evidence for the effectiveness of these herbs in treating Crohn’s disease, they’ve been used traditionally to lessen inflammation inside the digestive tract.
Herbs and herbal teas may have side effects, and some herbs interact with others. Speak with your doctor about taking herbs and supplements.
Ginger
The rhizome of the ginger plant is commonly used in cooking. But it’s also a dietary supplement to treat nausea and vomiting.
Ginger is also believed to be an antioxidant and an
Turmeric
Turmeric is a spice related to ginger. A compound found in turmeric called curcumin is thought to have anti-inflammatory properties and may be useful in treating Crohn’s disease.
You can find fresh turmeric in your grocery store. It’s also available in capsule form and as a powder that you can add to your meals.
Peppermint
Peppermint calms the muscles of your stomach and
Slippery elm
The bark of the slippery elm tree is a demulcent — a substance that protects inflamed tissues. When the bark is mixed with water, it turns into a sticky material known as mucilage. Mucilage coats and soothes your stomach and intestines.
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To make tea from powdered slippery elm bark, pour 2 cups of boiling water over roughly 2 tablespoons of the powder and steep for a few minutes. Slippery elm is also available as a lozenge or in capsule form.
Marshmallow
Marshmallow (the herb, not the sticky-sweet confection) has been studied for its ability to protect and soothe tissues in the stomach and reduce inflammation and stomach acids.
To make a tea, steep 2 to 5 grams of dried leaf or 5 grams of dried root in 1 cup of hot water.
Boswellia
The acids produced by the Boswellia genus of trees are thought to have therapeutic capabilities.
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If solid foods aggravate your stomach, juicing is a great way to get the nutrients and calories your body needs without adding stress to the digestive process. You can combine herbal remedies, like ginger, with a variety of fruits and vegetables.
Start with a simple recipe of just one apple, one carrot, and a small piece of ginger. Because the juicing process removes fiber, the nutrients can be easily absorbed.
A Balanced Belly has some tips and tricks for juicing as well as a range of healthy juice recipes for people with Crohn’s disease.
Your stomach might be feeling angry because you’re under a lot of stress. Try the following techniques to help you relax and reduce your stress levels:
- yoga
- meditation
- tai chi
- deep breathing exercises
You can set aside a specific time each day to practice, or try these techniques simultaneously while you’re doing something else, like commuting to work.
Exercise is also a great way to lower your stress levels. Even low intensity exercises, like walking for 30 minutes, can be helpful.
However, make sure to ask your doctor before starting a new exercise program. Also, remember to drink extra water before and during exercise to prevent dehydration.
Your relationship with your doctor is very important in managing Crohn’s disease. They’ll likely want to monitor your symptoms to make sure your treatment is working.
It’s very important that you are open and honest with your doctor about your symptoms. If your stomach pain and diarrhea become severe, let them know right away. You might need intravenous fluids to prevent dehydration.