Crohn s Diet ebook. This document is copyrighted and may not be redistributed or reprinted without expressed written permission from SEROVERA

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1 Crohn s Diet ebook This ebook deals with Crohn s disease. It discusses the nature of this condition, the causes of Crohn s, the different Crohn s symptoms, its diagnosis and treatment. It also discusses ways how to have a Crohn s diet that will allow a patient to control and manage the symptoms and prevent complications. The information in this document is written for educational purposes only. It is not intended to be a substitute for informed medical advice or care.

2 CHAPTER ONE: SIGNS & SYMPTOMS Crohn s Subtypes Conditions Affecting the Anal Area CHAPTER TWO: COMPLICATIONS Malnutrition and Malabsorption Cancer CHAPTER THREE: CAUSES Diet Heredity (as a) Factor Abnormal Bacteria Medical History CHAPTER FOUR: DIAGNOSIS Physical Examinations Radiological Examinations CHAPTER FIVE: TREATMENT Taking up Medications Undergoing Surgery Post operation Treatment

3 Practicing a Crohn s Diet Plan CHAPTER SIX: CROHN S DIET Nutritional Problems Caused by Crohn s Food Absorption Deficiencies in Vitamins & Minerals Crohn s Dietary Plan Hi Calorie, Low Protein Diet The Importance of Diet that is Low Residue Keeping a Food Diary Date with a Dietician Maintaining Normal Weight Some Fast Foods are Not That Bad After All The Liquid Crohn s Diet Omega 3 Fatty Acids, Probiotics, Fiber Supplements Doctor s, Dietician s Have the Last Say

4 Signs & Symptoms Knowing the symptoms of Crohn s disease will help you deal with the condition effectively. A basic familiarity with the symptoms will also guide you in choosing the right diet that will control and manage the condition. It is also important to know that Crohn s disease has several subtypes, each with its own signs and symptoms. Crohn's disease attacks without warning. Its inflammation manifests itself all of a sudden then goes into remission in time. There s no knowing when this flaring of the disease happens. It is, therefore, important to know Crohn s symptoms so you will be aware of what hits you when they attack. However, there are Crohn s symptoms that are common to most subtypes of the disease. These common Crohn s symptoms include diarrhea, pain in the abdomen and loss of weight. There are also symptoms that are less common, which include fever, pain in the rectum, poor appetite, night sweats, and in some cases bleeding in the rectum. The diarrhea wanes and waxes and the stool sometimes contains pus, blood or mucus. The pain the abdomen can be steady or crampy and hits you in the abdomen s lower part, or the area near the belly button. The patient also suffers bloating after a meal, but this symptom is less common and can only occur when there s obstruction in the bowel. The same is true with constipation. Other common symptoms may have something to do with conditions related to the joints, mouth, eyes, bile ducts, the skin and eyes. When the symptoms are active, the patient may also suffer fissures in the anus lining Crohn s Subtypes The subtypes of Crohn s and their symptoms are identified based on the location of the disease. Following are the subtypes of Crohn s and their corresponding symptoms: Crohn s Colitis The subtype of Crohn s that affects only the colon is called Crohn s colitis. Pain in the abdomen and diarrhea that involves bleeding are its common symptoms. In some cases, abscesses in the rectal area and anal fistulae sometimes developed. Crohn s Enteritis The inflammation affecting the small intestine is called Crohn s enteritis. It affects either the small intestine s first part called the jejunum or the second part, known as the ileum. When it s the ileum that is affected, the disease is called Crohn s ileitis. If it affects only the terminal ileum, the

5 tip of the small intestine that is closest to the colon, the condition is called Crohn s terminal ileitis. In both conditions, the common symptoms are diarrhea and pain in the abdomen. The small intestine can also be obstructed in both conditions. Crohn s Entero colitis or Crohn s Ileo colitis When Crohn s refer to the inflammation affecting both the colon and the small intestine, the condition is called Crohn s entero colitis or ileocolitis. Diarrhea involving blood and pain in the abdomen are the symptoms, along with obstruction of the small intestine in some cases. Conditions Affecting the Anal Area About one third of all Crohn s patients suffer from these conditions involving the area around the anus: The tissues of the muscle found at the tip of the colon, or the anal sphincter, which controls the bowel movement, may experience swelling. The anal sphincter may also suffer from fissures and ulcers, which can result in pain and bleeding during defecation. When any of Crohn s symptoms manifest itself, it is always advised that you consult your doctor for treatment. Some people opt for selfmedication while others prefer to wait for the symptoms to go into remission. Either of these two approaches can be dangerous because the danger of complications will always be there. Complications If symptoms of Crohn s disease are not properly treated, they may result in complications, some of which can be fatal. Bowel obstruction, also called intestinal blockage, is one of the common complications of Crohn s. In Crohn s, the intestines are constricted by scar tissue. This causes obstruction in the bowel, accompanied by vomiting and severe cramps. Although strictures most often occur in the small intestine, the large intestine can also be affected sometimes. Abscesses and fistulas are other complications of Crohn s disease. They affect about thirty to forty percent of people suffering from Crohn s. These complications occur in the anal area as a result of inflammation. Fistulas refer to the irregular channels connecting the tissues and are a result of ulcers caused by Crohn s. Fistulas compromise the body s ability to absorb nutrients if they develop between the loops of the large and small intestines. Malnutrition and Malabsorption

6 Crohn s also results in malnutrition and malabsorption. Malabsorption happens when nutrients are not absorbed by the intestines. This often results from diarrhea or bleeding caused by some medications or by surgery. Malnutrition is a common Crohn s complications. It develops gradually until it becomes severe. The body is deprived of nutrients and will eventually suffer from other conditions. Malabsorption renders any Crohn s diet useless because the nutrients are not absorbed in the system. When inflammation reaches deep into the colon s layers, toxic mega colon happens. In this condition, the colon enlarges and is paralyzed. In some extreme cases, the colon ruptures, threatening the life of the patients. A ruptured colon requires surgery. Cancer A more serious complication of Crohn s is colorectal cancer. These types of cancer affect people with inflammatory bowel diseases, most especially people with ulcerative colitis. People with Crohn s are rarely affected. Crohn s victims experience an increased risk for cancer in the bowel. Other complications arising from Crohn s include ulcers or open sores in the digestive tract and anal fissure, or the cracking in the skin surrounding the anus or in the anus itself. Other complications affect the parts outside the intestines, including the eyes, joints and the skin. When the symptoms of Crohn s occur, immediate treatment is needed to prevent complications. A visit to the doctor is preferred. Causes Crohn s is a disease described as idiopathic, or something whose origin or cause is unknown or uncertain. Several studies and researches done on the condition have yet to come up with definitive results. While it is known that inflammation is the body s way of dealing with a triggering factor, there has been no trigger found yet as far as Crohn s disease is concerned. What medical studies have identified so far are the different Crohn s symptoms and how to treat them. In the past, unhealthy diet is thought to have caused Crohn s disease. But latest studies have dismissed this theory. Certain types of food can worsen Crohn s symptoms and signs, and may even help bring about complications, but they are not believed to cause the disease. Crohn s Diet A Crohn s diet is now a standard recommendation for people who are suffering from the condition to minimize the occurrence of attacks and keep the disease in remission.

7 Some theories promoted the idea of a genetic component as having to do with the development of the disease. Some evidence tends to support this. While there is no direct correlation between parents and children, studies show the disease runs in the family. Between twenty and twenty five percent of people with Crohn s are found to also have a relative suffering from the disease or other forms of inflammatory bowel conditions, like ulcerative colitis. And in some ethnic groups, Crohn s has been observed to be higher. It has also been observed that Crohn s affects people in the West, or in industrialized countries, than those living in Asian countries and other less industrialized regions. It is still being determined if this is due to environmental factors or it is because of the diet of the people in these different regions. Heredity as a Factor Crohn s is classified by doctors as complex or familial disease. This is in contrast to what doctors call as genetic disease that is simple. When a disease is simple genetic, it is sure that one who inherits an affected gene from the parents is also sure to have the disease. In complex or familial disease like Crohn s, it s different. Statistics show that seventy five to eighty percent of those who have Crohn s don t have relatives who are affected by the condition. That s why experts are not very keen on saying with certainty that heredity significantly influences the development of the disease in a person. Other factors believed to cause Crohn s is weak immune system. Some bacteria exist in a healthy intestine and are even necessary. The fact is that billions of bacteria live per gram of the intestine s content. These normal bacteria help in the digestion process and keep abnormal bacteria from causing harm. Abnormal Bacteria In cases where abnormal bacteria exist, they are recognized by the body as intruders, also known as antigens. However, the immune system may tolerate these antigens up to a certain level. But with people who have Crohn s and other inflammatory bowel diseases, the immune system s tolerance of these antigens is no longer functioning. As a result, there s overreaction in the inflammation, so that fever, pain and damage to tissue happen. Other studies suggest that the attacks of Crohn s disease are responses to allergies, infections in the upper respiratory organs and other illnesses that are transient.

8 Medical History As a standard procedure, doctors treating Crohn s disease will ask the patient about his medical history. While it is true there s no definite studies identifying the cause of Crohn s, one s medical history will tell a lot of things about why the patient is suffering from the condition. A patient, therefore, is advised to be always honest with the doctor about his condition. Diagnosis The signs and symptoms of Crohn s disease are not enough to determine if a person is suffering from the condition. Many of the signs and symptoms of Crohn s are the same as those of other inflammatory bowel diseases, life fever, diarrhea, abdominal pain and weight loss. To diagnose Crohn s disease, a patient has to undergo several tests. A person suffering from Crohn s symptoms should not delay in visiting the doctor. The sooner diagnosis is made, the better the symptoms are managed and the less chances for complications to arise. Before any diagnostic test is made, the patient will have to sit down with his doctor and discuss the symptoms. The doctor will also ask about the patient s medical history and that of his family. The doctor will also ask about the person s diet prior to the condition. Based on your discussion, the doctor will decide what type of diagnostic test is best for you. Physical Examination A physical test is the next step in diagnosing Crohn s. The doctor will examine certain areas in your abdomen for any presence of tenderness or signs of inflammation. These areas are the abdomen s right lower quadrant and the anorectal area. By examining these areas, the gastroenterologist will determine if there are no signs of anal fissures, hemorrhoids, abscesses, fistulas, etc. Blood tests are also conducted to determine the person s hematocrit and hemoglobin and white blood cell levels. This will determine if the patient doesn t have anemia or is not suffering from infection or inflammation. Examination of stool samples is standard in diagnosing conditions affecting the intestines and other digestive parts. Diseases like ulcerative colitis and inflammatory bowel conditions have similar symptoms with those of Crohn s. Radiologic Examination Radiologic exams allow the doctor to take a look inside the patient s body that is not otherwise accessible through other means. Radiologic tests include barium enema, enteroclusis, upper GI and CT scan.

9 Treatment Treatment for Crohn s disease varies depending on the symptoms and intensity of the condition. Initial treatment includes a series of medications to reduce the inflammation and heal the affected areas. Severe cases may require intravenous infusion to control the disease followed by medications to reduce the symptoms, or a surgery to remove the infected part of the intestine. Although Crohn s diet provides short term relief, it is still advisable to continue to diet plan in order to keep the body healthy even after the treatment. Taking up Medications Since the goal of Crohn s disease treatment involves reducing inflammation, your doctor will most likely prescribe anti inflammatory drugs or other medications to treat mild Crohn s disease. There are different kinds of drugs for various types of inflammation. Identifying the severity of the symptoms and possible complications enables a doctor to decide a particular combination of medications to provide effective treatment. Indications usually disappear when the inflammation is treated. Meanwhile, an individual treatment may come necessary when symptoms wont easily disappear. For common inflammatory bowel disease indications such as cramps, bloating and diarrhea, antidiarrheal medications are usually enough to treat mild to moderate Crohn s disease conditions. Aminosalicylates (sulfasalazine and mesalamine) are the drugs generally used to manage moderate symptoms of Crohn s disease. Although sulfasalazine are used to treat inflammations affecting the colon, it doesn t work effectively in the small intestine. More than that, long term use of sulfasalazine doesn t delay relapse of the disease. The mesalamine on the other hand, works best on the colon and treats the small intestine to some extent. Mesalamine, which can come in oral or rectal suppository form, may delay relapse in long term use. If aminosalicylates fail to provide remedies, antibiotics like ciprofloxacin or metronidazole should be administered to reduce symptoms. Corticosteroids such as prednisone and budesonide are considered as some of the best drugs for Crohn s disease because they act as both antiinflammatory and immunosuppressant agents. This medication should be given for a couple of weeks or months to manage the inflammation. However, a patient should strictly follow the prescription and take note of the side effects, such as osteoporosis, high blood pressure, and higher risk of infection. Immunosuppressants such as azathioprine and mercaptopurine are drugs that restrict the growth of immunological responses. Such drugs will be your next line of treatment when the above mentioned medications still don t provide relief, or your symptoms often come back after or with a current corticosteroids treatment.

10 Further treatment for Crohn s disease can come in the form of biologics (adalimumab or infliximab) medications. They are administered to patients with moderate to severe condition and for fistula treatments. Biologics act against tumor necrosis factor alpha that causes inflammation. Medications last for about 12 weeks when administered as IV intrusion. On the other hand, a patient can try alternative medicines to alleviate the pain and inflammation of the bowel. A health professional may recommend the ideal herbal medication for you without the side effects of the common drugs. These medications can be taken individually or in combinations but make sure to follow the dosage to avoid severe side effects. It is recommended to seek the assistance of a medical professional for a particular set of medications for you. By knowing the gravity of your condition, the doctor may prescribe a lighter medication or stronger drugs to treat your inflammatory bowel disease. Undergoing Surgery When medications failed, submitting to operation is the last resort for relieving Crohn s disease. It may also be essential for certain types of fistula or acute inflammation. However, it does not totally cure the condition, thus it only alleviates the severe symptoms or intestinal obstruction. Individuals who have part of their small intestine eliminated may suffer a complication called as short bowel syndrome, a condition where the nutrients are not properly absorbed by the body due to the removal of a large part of the small intestine. The symptoms are parallel to those of Crohn s disease such as diarrhea, fatigue, abdominal pain, fluid retention, and weight loss or malnutrition. Surgery is mostly considered as the last resort for Crohn s disease treatment as possible implications may alter a patient s normal way of living. Aside from side effects and frequent recurrence of symptoms on the part of the diseased bowel, those who have the large portions of their intestine eliminated now rely on intravenous nutrition such as total parenteral nutrition because the body may now find it hard properly absorb the nutrients from regular foods. Moreover, individuals who have undergone a surgery to remove a part of their bowel may require an ostomy where a bag is worn outside the body to collect waste. Generally, a normal bowel is connected to the stoma, an opening in the lower abdomen, but since the feces can no longer pass through the rectum and anus, an ostomy bag is attached to the stoma. Post Operation Treatment Completing the medication or undergoing an operation for Crohn s disease requires a patient to have a complete change of lifestyle to avoid suffering from the same disease. Keep in mind that a treatment won t be fully successful if the patient is back to exposing himself to the hazards of infection. With this, an individual fresh from operation must eliminate his vices such as use of alcohol, nicotine, and other substances that

11 may harm the body. As much as possible live in a healthy environment with a healthy lifestyle by having regular exercise and adequate rest by getting plenty of sleep. He must also practice eating healthy by keeping a well planned diet to avoid foods that may trigger bowel inflammation and other symptoms of Crohn s disease. Practicing a Crohn s Diet Plan Identifying what foods to avoid and what to eat with Crohn s disease can provide relief to inflamed intestines. Although, there is no scientifically proven diet for this condition at the moment, knowing the foods that can trigger your gastrointestinal symptoms enables you to avoid them, giving enough time for your swollen intestine to heal and to make the symptoms more manageable. With the help of your dietician, come up with a diet plan for Crohn s disease. Include high calorie and high protein meals in your regular diet. By observing how your body reacts with certain kinds of food, determine the ones that may aggravate the symptoms of inflammatory bowel disease. You may totally avoid such trigger foods or experiment on new ways of preparing them in order to make them friendlier to your system. Practicing a low residue diet is also necessary to reduce the residue on your stool. More than that, a low residue and low fiber diet lessens the symptoms of diarrhea, cramping, and abdominal pain. Keeping a daily food diary lets is also ideal to determine if you re getting enough nutrition from your diet. List the foods that you eat every day and take note of the serving size of each meal. Include some symptoms or slight uneasiness in your bowel movement if you feel any. This diary will help you identify your offenders and help the doctor to track your nutritional intake. Crohn s Diet One s diet plays an important role in keeping oneself healthy and fit at all times. A healthy diet means contributes in preventing the development of diseases. It follows, too, that when a person suffers from a certain condition, diet also plays an important role in keeping the disease in check and prevent complications from happening. A person who has Crohn s disease will find out that certain kinds of food can trigger its symptoms. Identifying these foods and avoiding them will help the person control and manage the disease and reduce its symptoms. Since not all patients react in the same way to certain foods, the doctor will suggest specific Crohn s diet that fits the patient s needs. Generally, a low residue diet is recommended.

12 Diet is key to control and management of Crohn s. This is because the disease attacks the small intestine, reducing its ability to digest food and absorb nutrients. Along with a loss of appetite, the lack of nutrients in the body results in malnutrition, one of the complications of the disease. Crohn s also attacks the large intestine. When this happens, the patient suffers from severe diarrhea. He may also become anemic and will have insufficient supply of folic acid, iron or Vitamin B12. Nutritional Problems Caused by Crohn s The problem becomes more serious when children and teenagers are the ones suffering from the disease. These young victims may suffer retardation in their growth because of lack of proteins and nutrients that had been lost due to the disease. For women, weight loss affects their hormonal levels, resulting in irregularities in menstruation, and in some worse cases, a cessation of their monthly period. Normally, these problems are remedied by eating more foods full of nutritional value. But this becomes difficult for Crohn s patients because the disease affects the very organs responsible for digestion of food and absorption of nutrients. Food Absorption A person with Crohn s disease faces a serious problem with food absorption. The problem gets more serious if the affected organ is the small intestine where food nutrients are normally absorb. Studies show that forty percent of people suffering from Crohn s disease are able to eat normal amount of food but have difficulty absorbing food nutrients, most especially carbohydrates. Deficiencies in Vitamins and Minerals Absorption of minerals and vitamins differ, depending on the location and type of the disease. Vitamin B 12 is lacking in people who are suffering Crohn s in the ileum. Lack of vitamin D also affects about 68 percent of people suffering from Crohn s. Insufficient vitamin D in the body affects calcium metabolism and formation of the bones, which could be particularly dangerous for children and teenagers. With Crohn s diet, these problems can at least be minimized. Crohn s Dietary Plan Despite several types of dietary plans proposed by different sources, no specific type of diet has been proven to treat inflammatory bowel diseases, like Crohn s. There is no formula on what to eat with Crohn s disease. This is because different people react differently to certain types of foods. What doctors and diet experts agree on is that a Crohn s patient must be the one to identify what particular foods to avoid and what to include in his diet.

13 Crohn s symptoms like cramping, bloating, diarrhea and pain in the abdomen become more manageable if the patient learns to avoid the socalled trigger foods. The right diet also allows the affected intestine enough time to return to its normal condition. High calorie, High protein Diet Since a person with Crohn s disease has problems absorbing much needed nutrients, his diet must have high calorie and protein content. A patient must also make sure he doesn t skip meals, and must include at least two snacks a day in his daily food intake. A doctor may also recommend some food supplements, especially if it is difficult for the patient to get nutrients from regular meals. While it s true that not all patients react similarly to all types of food, there are some types of food and drinks that are known to trigger Crohn s symptoms. Unless the doctor says otherwise, the following kinds of food and drinks must be avoided: alcoholic drinks, including beer, mixed drinks and wine; margarine, mayonnaise, oils and butter; coffee, chocolate and tea; carbonated drinks; dairy products, corn husks, fatty foods, especially fried; raw fruits and vegetables; spicy foods; whole grains and bran; foods that produce gas like lentils, cabbage, onions, broccoli, and legumes; and nuts, including peanut butter. After you make a list of what foods trigger flares of your symptoms, you can either avoid them completely or find a way how to prepare them. Raw fruits and vegetables, for example, can trigger the symptoms. But when they are steamed or boiled, their ability to trigger flares can be eliminated. The same experiment can be done with other types of food, like red meat and poultry. What to eat with Crohn s disease will depend on how your body responds to your own Crohn s diet. The Importance of Diet That Is Low Residue It is important for Crohn s patients to have a low residue diet. A low residue diet is one that doesn t include foods that increases the amount of residue in your stool. Most people suffering from Crohn s have a stricture of the ileum, or the lower part of the small intestine. The walls of this part of the intestine constrict, allowing small amount of stool in. Residue in the stool increases cramping and pain in the abdomen, and worsens diarrhea. Certain kinds of food should not included in a low residue Crohn s diet, including nuts, corn hulls, seeds, raw fruits and vegetables. Keeping a Food Diary Keeping track of what you eat will help in determining what foods to avoid. This food diary must identify all foods that you suspect to have caused the symptoms to manifest themselves. These trigger foods must be avoided especially when the symptoms are active. Your food diary will also help you determine what foods give you the right amount of carbohydrates, protein and fats. It will also help you determine if your diet is balanced, and if you are getting enough calories.

14 How do you go about with your food diary? Record the type of food that you eat and the size of the serving. Include the date. Record what you feel immediately after eating the food. If later on you will also feel some of the symptoms kicking in, record this also, including the time it took the symptoms to show. Date with the Dietician Let at least a month pass. By this time, you will have enough entry in your notebook. It s time to see your doctor, who will evaluate your observations. You will also be told to discuss your diary with a dietician, who will determine if you are getting the necessary nutrients from your foods. Along with the doctor s recommendations, the dietician will design a Crohn s diet for you, which may include food supplements. Discussing your diary with your doctor and your dietician is important, otherwise, your efforts at keeping a diary will be useless since you don t have the expertise to evaluate if what you are doing is right. While you are advised to avoid some foods that trigger Crohn s flares, do not over restrict yourself or your malnutrition symptom will get worse. When you restrict some foods in your diet, you will also deny your body of the needed calories, carbohydrates, protein and fats. To remedy the situation, find other sources to replace the nutrients that you are supposed to get from the foods that you eliminated. This can be done by including in your diet plan foods that are nutrient dense. Maintaining Normal Weight Maintaining normal weight is important for Crohn s patients. If your weight is normal, or at least ninety percent of what is considered normal, you don t need as much calories as you do when you are underweight. For children who have Crohn s, studies suggest that they must increase their protein and calorie intake by 150 percent of what is their daily allowance based on their age and height. While achieving normal weight is something that is difficult to do when you have Crohn s, precisely because malnutrition is one of its most common symptoms, it should be one of the important goals of Crohn s patient. Some Fast Foods Are Not That Bad After All A healthy diet in general avoids fast foods. But in Crohn s, fast foods can sometimes boost your diet. Many types of fast foods are rich in calories and nutrients, like pizza, which is rich in vitamins A, B, C and D. Another example is milkshake, which is high in calcium. Lactose intolerant patients of Crohn s, however, should be more cautious when it comes to drinks containing milk products. But since fast foods are generally considered not healthy because of the way they are prepared, it also best to talk with your doctor or dietician about which type of fast food will be beneficial to you.

15 The same is true with taking supplementation for vitamins and minerals. Although many dietary supplements can be purchased over the counter, it doesn t mean they are harmless to everybody. They may not bring any harm to people who are not suffering from any condition, but to someone who has Crohn s, they can be triggering factors. Most Crohn s patients suffer from lack of vitamin D. Studies show that people who are suffering from Crohn s and other inflammatory bowel diseases may face the risk of developing colorectal cancer. Vitamin D helps to lessen one s chances of suffering from this type of cancer. A daily dosage of 2,000 IU of vitamin D is recommended. To be safe, consult your doctor on what is the right dosage for you. The Liquid Crohn s Diet Some studies show that people suffering from some types of diseases benefit from liquid diets. This includes people who are suffering from Crohn s. A Crohn s patient will benefit from a liquid diet that is rich in calories, especially if he is experiencing symptom flares. The idea behind a liquid diet is that it gives the intestines the rest that they need. If the intestines are resting, the symptoms are suppressed. Liquid diet also makes it possible for the intestines to absorb nutrients without having to exert much effort because liquid foods don t need to be digested. Available in the market are different types of liquid formulas that are high in calorie content. Examples of these include Sustacal and Ensure and other supplementary drinks that meet the nutritional requirements. These drinks are easily absorbed by the intestines too. But a person with Crohn s may also come up with his own liquid formula using ingredients that suppress the symptoms of the disease. But since these types of drinks are experimental in nature, a Crohn s patient will have to consult a dietician before trying his own concoction. And like in any disease, drinking plenty of water is recommended for patients of Crohn s. The usual recommended amount of eight glasses a day should hold true. Omega 3 Fatty Acids, Probiotics Omega 3 fatty acids works wonders with different types of diseases. In Crohn s, Omega 3 acids are said to be a good source of fats needed by the body to fight inflammation in the intestines. Omega 3 acids are found in some types of fish or in the form of health supplements. Another dietary supplement that a Crohn s patient can benefit from is probiotics, also known as good bacteria. While this has been proven to work in some Crohn s cases, proofs are not enough to declare probiotics as effective for all.

16 Doctors, Dieticians Have the Last Say After everything is said and done on the matter of Crohn s diet, the doctor or dietician is the person who is the authority over the matter. People with Crohn s are advised not to take the matter into their own hands and come up with their own dietary plans. There is plenty of literature that discusses Crohn s disease and offer dietary plans. But these should not be taken as they are. At best, they should only act as guide in understanding the nature of the disease. SEROVERA Supplements May Help More and more people are researching SEROVERA GI Formulated Supplements they do this to educate themselves and potentially avoid health problems caused by prescription and over the counter drugs. Unfortunately, most drugs are synthetic and can cause an array of defects and side effects. SEROVERA GI formulated supplements may help relieve symptoms associated with Crohn s disease. SEROVERA may help minimize the risk of severe flare ups by consuming SEROVERA in adequate dosages on a regular basis. Watch 100% real Crohn s video testimonials from individuals who currently take SEROVERA GI formulated products. These statements have not been evaluated by the Food and Drug Administration. Products are not intended to diagnose, treat, cure or prevent any disease.