By Dr Pranab Gyawali, Consultant Gastroenterologist
As doctors, we talk endlessly about inflammation, colonoscopy results, and medication plans — but we still don’t talk enough about diet. For most of my patients with Crohn’s disease or ulcerative colitis, the first and most pressing question is: “Doctor, what can I actually eat?”
I’ll be honest — even after decades of practice in London and now here in Dubai, I sometimes run out of time in clinic to explore it properly. But I always try, because food choices can make a real difference to comfort, confidence, and disease control.
Is there a specific “IBD diet” everyone should follow?
No. There is no single plan that suits all IBD patients. The right approach depends on whether you are in a flare or remission, where the disease is located (small bowel vs colon), whether strictures are present, and your individual tolerance. Keeping a food–symptom diary is invaluable.
What should I eat during a flare?
When the bowel lining is inflamed and sensitive, a short-term low-residue approach can help reduce stool volume and mechanical irritation. Practical options include white rice, ripe bananas, eggs, yogurt. Avoid raw salads, whole nuts, seeds, and very fibrous vegetables until things settle.
How does small-bowel Crohn’s change diet choices?
If the small intestine — especially the terminal ileum — is affected or has been resected, fat absorption can be reduced. Many patients find fried or greasy foods aggravate diarrhea. Moderate amounts of healthy fats (e.g., olive oil) are typically better tolerated.
Which foods commonly worsen ulcerative colitis symptoms?
Many UC patients report discomfort with spicy meals, alcohol, and some artificial sweeteners such as sorbitol. Responses vary; use supervised elimination and careful reintroduction.
What diet supports remission?
When inflammation is under control, shift towards a Mediterranean-style diet — olive oil, fish, whole grains, fruits, vegetables. This pattern is linked with more favourable gut microbiome profiles and may lower relapse risk. If strictures are present, adjust texture and fibre (e.g., peel, cook well, or blend).
Interested in testing? See our gut microbiome test in Dubai.
Final advice
Diet matters — but it’s personal. Work with an IBD dietitian and your gastroenterologist to tailor a plan. If you’re in Dubai and need guidance, get in touch.
Disclaimer: Educational information only. Always seek personalised medical advice. The Mediterranean approach suits many IBD patients but may need modification if strictures or significant disease activity are present.