Healthy eating and being active

  • Diet tips for people with ulcerative colitis
  • Eating a well-balanced and nutritious diet is a good idea for anyone, but it can be especially important for those with ulcerative colitis (UC). People with inflammatory bowel diseases (IBDs) like UC can be at a greater risk for malnourishment. A nutritious diet can also provide other benefits, including 1:

    • Help with absorption of proteins, calories, water, and other nutrients
    • Lower risk of iron and calcium deficiencies
    • Healthier bones
    • Normal growth patterns in teens and young adults
    • Less impact on hormone levels in women

    For children, who are still growing, this is especially important. Your doctor may decide supplements of certain vitamins and minerals which may be necessary for them to take, such as2:

    • Vitamin D
    • Vitamin B-12
    • Vitamin C
    • Folic acid
    • Iron
    • Calcium
    • Zinc
    • Magnesium

    You should also keep a close eye on your child’s weight and growth. Any weight loss or slowing of growth rate should be reported to the doctor.2

  • Avoiding "trigger foods"
  • While there is no evidence that a specific food or drink will cause a flare, many people with UC notice an increase in symptoms if they eat or drink certain things. Not every person with UC has the same "trigger foods," so discovering which foods you can or cannot eat may require a bit of trial and error.

    The following is a list of common trigger foods, as well as options that may be better for people with UC. Using a food diary may make it easier for you to track your meals and discover if you have any trigger foods:

    Possible trigger foods1,3:

    • Certain high-fiber foods, such as fiber-rich bread and nuts
    • Popcorn
    • High-fat foods
    • Greasy foods
    • Caffeine
    • Alcohol
    • Spicy foods
    • Raw fruits and vegetables (especially ones with skins)
    • Prunes
    • Beans
    • Dairy products

    Foods less likely to cause a flare1,4:

    • Fruit juices
    • Applesauce and bananas
    • Bland, soft foods
    • Plain cereals, white rice, and refined pastas
    • Fully cooked vegetables and potatoes without skin
    • Low-fat or lean protein sources, such as lean meats and fish

    Ultimately, there isn’t one diet that works for everyone with UC. To find the best diet to help manage your UC, work with your doctor, a nutritionist, or another healthcare provider to create the meal plan that is right for you.

  • The importance of staying active
  • Exercising and staying active is a good idea for most people, and that is the same for people with UC. An appropriate exercise plan will not only help you stay in shape but may also offer other health benefits.5

    Remember to check with your doctor before beginning any new exercise program. The following are guidelines you can use as you begin your routine:

    • Find your comfort zone: If you're uncomfortable at a gym or your symptoms aren’t controlled, consider activities you can do at home, such as using a treadmill, an exercise video, or exercises that use your own body weight as resistance.6
    • Start slowly, and then build up gradually: When beginning to exercise, it may take up to a month or more to get to the point where you can start to increase your exercise levels.
    • Consider low-impact activities: People on long-term steroid medication may have some added risk as the medication may lower bone mass.7 High-impact aerobics or running may put too much stress on fragile bones, causing stress fractures or outright breaks. If you've been on steroids, try low-impact activities such as walking, biking, or swimming.8
  • Fighting the flares
  • Back to top
  • Staying positive
  • References

  • 1.
    Crohn's & Colitis Foundation of America. The Relationship Between Food and IBD. https://www.ibdetermined.org/ibd-information/ibd-diet.aspx. Accessed January 7, 2015.
  • 2.
    Crohn’s & Colitis Foundation of America. Crohn’s Disease & Ulcerative Colitis: A Guide for Parents. http://www.ccfa.org/assets/pdfs/a-guide-for-parents-2014.pdf. Accessed October 23, 2015.
  • 3.
    Crohn's & Colitis Foundation of America. When it Comes to Diet: Know your Triggers. http://online.ccfa.org/site/PageServer?pagename=health_tips_diet. Accessed January 7, 2015.
  • 4.
    Crohn's & Colitis Foundation of America. Diet, Nutrition, and Inflammatory Bowel Disease. http://www.ccfa.org/assets/pdfs/diet-nutrition-2013.pdf. Accessed January 7, 2015.
  • 5.
    Narula N, Fedorak RN. Exercise and inflammatory bowel disease. Can J Gastroenterol. 2008;22:497-504.
  • 6.
    Crohn's & Colitis Foundation of America. Managing Flares and Other IBD Symptoms. http://www.ccfa.org/assets/pdfs/flares_brochure_final.pdf. Accessed January 7, 2015.
  • 7.
    National Digestive Diseases Information Clearinghouse (NDDIC). Ulcerative Colitis. http://digestive.niddk.nih.gov/ddiseases/pubs/colitis/index.aspx. Accessed January 7, 2015.
  • 8.
    Crohn's & Colitis Foundation of America. Health Tips. http://online.ccfa.org/site/PageServer?pagename=health_tips_exercise. Accessed January 7, 2015.
  • See More Important Risk Information

    IMPORTANT RISK INFORMATION

    Who should not take DELZICOL?

    • Do not take DELZICOL if you are allergic to:
      • salicylates, such as aspirin or medications that contain aspirin
      • aminosalicylates
      • any of the ingredients of DELZICOL

    What should I tell my healthcare provider before taking DELZICOL?

    Tell your healthcare provider if you:

    • Have or have had kidney problems
    • Are allergic to sulfasalazine
    • Have or have had heart-related allergic reactions, such as inflammation of the heart muscle (myocarditis) or inflammation of the lining of the heart (pericarditis)
    • Have or have had liver problems
    • Have or have had a stomach blockage
    • Have any other medical conditions

    What are the possible side effects of DELZICOL?

    DELZICOL may cause serious side effects, including:

    • Kidney problems: Your doctor may check to see how your kidneys are working before taking DELZICOL. It is important to complete all blood tests ordered by your doctor.
    • A condition that may be hard to tell apart from a UC flare: Symptoms include cramping, stomachache, bloody diarrhea, and sometimes fever, headache, and rash. If you experience any of these symptoms while on treatment, call your doctor right away. He or she may tell you to stop taking DELZICOL.
    • Hypersensitivity (allergic) reactions: If signs and symptoms of hypersensitivity occur, immediately call your doctor.
    • Liver failure: In patients that have or have had liver disease.
    • Blood Disorders: Elderly patients and patients taking azathioprine or 6-mercaptopurine need to monitor complete blood cell counts and platelet counts while taking DELZICOL.

    The most common side effects of DELZICOL include:

    • Adults: belching, stomachache, constipation, dizziness, runny nose, back pain, rash, upset stomach, and flu symptoms.
    • Children (5 to 17 years of age): inflammation of the nose and pharynx, headache, stomachache, dizziness, inflammation of the sinuses, rash, cough, diarrhea, tiredness, fever, and increased lipase.

    Tell your doctor if you have any side effect that bothers you or does not go away. These are not all the possible side effects of DELZICOL.

    Before starting DELZICOL, tell your doctor about all medications you are taking, including:

    • Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. Taking these medications with DELZICOL may increase your risk of kidney problems.
    • Azathioprine or 6-mercaptopurine. Taking these medications with DELZICOL may increase your risk of blood disorders.

    What is DELZICOL?

    DELZICOL (mesalamine) delayed-release capsules is a prescription medication approved for the treatment of mildly to moderately active ulcerative colitis (UC) in patients 5 years of age and older and for the maintenance of remission of UC in adults.

    Please see full Prescribing Information for DELZICOL.

    To report a side effect from one of our products, please call the Allergan Drug Safety Department at 1-800-678-1605.

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