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Q&A with Australian Health Practitioners
How does a dietician work out what I should eat or should not eat?
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I have Ulcerative Colitis and diabetes and I have seen a few dieticians I recently been doing fodmap diet but only symptom it helped me with was bloating and flatulence, and sadly I am flaring again. How does a dietician work out what I should eat or should not eat when I have tried a recommended diet but it hasn't helped. I would love to hear any suggestions on how to determine a good diet plan. Thanks -
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Elizabeth Newsham-West
Dietitian
To remain in remission UC largely relys on medication, although lifestyle factors can help as well. Food does not cause UC but is modified to treat the symptoms you are experiencing and this is where a FODMAP diet can be helpful. If you are struggling to maintain remission then it is a medication issue, as inflammation is unrelated to the food you eat.
A mediterranean diet is shown to be helpful when in remission and can cause less inflammatory episodes, this being more plant based, moderate amounts of monounsaturated fats like olive oil and mostly fresh foods, less processed foods.
However in the acute phase pips, seeds, and skins can be a problem and maybe milk as well. Sometimes there are individual foods that you do not tolerate so well and best avoided.
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