Ulcerative Colitis (cont.)
Adam Schoenfeld, MD
George Y. Wu, MD, PhD
In this Article
Treatment by disease severity and location (based on ACG Practice Guidelines)
Mild-moderate distal colitis
For refractory cases, oral steroids or IV infliximab can be used (though this is less well studied in distal colitis)
Mild-moderate extensive colitis
Indications for Surgery
Also, surgery is recommended for severe colitis refractory to medical therapy
Are there special dietary requirements for persons with ulcerative colitis?
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Although it seems plausible that a specialized diet might benefit patients with ulcerative colitis, there is actually no evidence to support treatment with dietary modification. Despite extensive research, no diet has been found to slow progression, treat, or cure the disease. It is recommended that patients stay on a balanced, healthy diet rich in fruits, vegetables, grains, lean meats, beans, fish, eggs, nuts. Patients should also try to limit foods with saturated fats high cholesterol. During flare-ups, patients should continue to eat as tolerated. The Crohn's and Colitis Foundation of America recommends a bland diet with soft food during a flare including hot cereals, boiled eggs, mashed potatoes, steamed vegetables, canned or cooked vegetables to minimize discomfort.
Medically Reviewed by a Doctor on 7/16/2014
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