Written by Dr J S S Dev

Medically reviewed by Dr Naveen Chandran

Updated on February 06, 2025

Guide to Managing Gut Health with Inflammatory Bowel Disease

Impaired Gut health is a nightmare. Living with Inflammatory Bowel Disease, or IBD, can be overwhelming. Are you one of the people who are battling the demons of discomfort caused by Inflammatory Bowel disease? We are here to help you. 

Do you know one in a hundred people gets affected with IBD? This blog will share practical advice to help you maintain a healthy gut living with IBD. Please read on to find out more. 

Jump to section

What Do You Need to Know About IBD?

One cannot overstate the relationship between gut health and IBD enough. IBD refers to an inflammatory disease of your gut lining. Your gut lining is pretty long. Are you curious to know whether IBD can cause inflammation of your entire gut? We'd like to help you clear that doubt once and for all. 

IBD occurs in two types - Ulcerative colitis and Crohn's Disease. 

Ulcerative colitis (UC)

Ulcerative colitis mainly affects your large intestine and rectum, leading to symptoms like abdominal pain, bloody diarrhoea, and frequent bowel movements. 

Crohn's disease (CD)

Crohn's disease is capable of affecting any part of your digestive tract from mouth to anus, causing similar symptoms to UC.

CD comes with additional complications like fistula formation (formation of a hole on two walls of gut creating a channel) and strictures ( narrowing of gut lumen from inflammatory stickiness).

Challenges You May Face With IBD

Managing gut health in individuals with IBD presents many unique challenges. The unpredictable nature of IBD flare-ups often disrupts your daily life activities and requires careful management of;

  • Diet
  • Stress levels
  • Lifestyle changes
  • Medication adherence
  • Regular medical monitoring. 

Understanding these challenges is essential for healthcare professionals, patients, and their support networks.

Ways of Tackling Challenges of IBD 

Managing IBD requires a comprehensive approach, as mentioned in the above section. By managing diet, stress, medications and overall lifestyle, you ultimately maintain a healthy gut microbiome population. 

Let's discuss some management tips for IBD:

Medical Management

Always consult your healthcare professional at proper times and intervals. Communicate your progress and difficulties to them and be punctual with your advised medications.

Stress Management

As said earlier, stress can cause you many gut issues. It can even cause IBD flare-ups with uncontrolled inflammation. The link between your gut and brain is an ever-growing research topic. Consider adding stress reduction techniques such as yoga, deep breathing or meditation to your daily routine.

Also, ensure adequate sleep to support your overall well-being.

Exercise

  1. Try to engage in low-impact workout sessions like swimming, walking, and cycling.
  2. Keep your body engaged and active, which in turn improves your digestion.
  3. Consult with your doctor for advice before initiating any new workout regimen.

Hydration

Dehydration is one of the issues with IBD patients. Drink plenty of water throughout the day.

Dietary Changes

Consult a dietitian to tailor a diet suitable for your unique needs. 

  • Try to intake a well-balanced diet, including all the essential nutrients and minerals. You can ease your digestion by eating smaller meals rather than large ones at frequent intervals.
     
  • Identify your trigger foods and keep away from them. Common trigger foods include spicy foods, dairy and high-fibre foods. Consider managing a food diary to identify the trigger foods quickly.
     
  • Do adjust your fibre intake based on your condition. Our Nirva Experts recommend high-fibre diets. However, those with acute symptoms may need a low-fibre diet.

Adding vitamin and mineral supplements could be an option if you are undergoing any vitamin or mineral deficiencies.

Symptoms Tracking

Always keep a record of your triggers and pattern of symptoms. By analysing these, you could design an effective treatment plan. Act quickly for treatment if the symptoms worsen. Early intervention can prevent more severe issues.

Educate Yourself

Learn about your condition and treatment options to make the best healthcare decisions.

Role of Probiotics in Inflammatory Bowel Disease

'Probiotics' is a significant part of your "dietary changes". It is vast and has a crucial role in managing IBD patients, which we shall discuss in detail in this session.

Probiotics are live microorganisms, primarily bacteria and yeast that provide health benefits to the host when consumed in adequate amounts. These bacteria are naturally found in the human digestive system and are crucial in maintaining healthy gut functioning.

Benefits of Probiotics in Managing IBD Symptoms

  • Probiotics reduce inflammation in the gut lining associated with IBD.
  • Probiotics can help in maintaining a healthy balance in the gut microbiome. Maintaining a healthy balance of gut microbiota can aid in proper nutrient absorption and metabolism.
  • Specific probiotic strains can help with the symptoms of IBD, such as abdominal pain, diarrhoea, and bloating.
  • Probiotics help maintain a gut barrier, reduce permeability, and prevent the entry of harmful substances into the blood (preventing leaky gut syndrome).
  • A balanced gut microbiota helps prevent the overgrowth of harmful pathogens. This reduces the risk of infections in individuals with IBD.

Exploring the Best Probiotics for IBD

Bifidobacterium breve - It has anti-inflammatory effects and contributes to gut barrier function.

Lactobacillus rhamnosus GG - It is known for its potential to reduce inflammation and support immune function.

Saccharomyces boulardii - A yeast probiotic that may help maintain remission and decrease the risk of relapse in ulcerative colitis.

Escherichia coli Nissle 1917 (EcN) Has demonstrated efficacy in maintaining remission in ulcerative colitis.

VSL#3 (a combination of probiotic strains) Contains a mixture of beneficial bacteria and has shown promise in managing symptoms of IBD.

The information about probiotics is for educational purposes only. Including probiotics in your dietary routine requires professional analysis of your health condition and other aspects. Always consult your healthcare professional to know more about probiotics, how they can improve your overall health and well-being, and which strain you can choose from.

Wrapping Up!

Understanding the challenges that IBD poses and how it affects your gut health is essential. You can effectively manage the condition by systematically being aware of the measures that can help in the management of IBD. Take proactive steps to lessen the burden on your gut. Consider taking probiotics after consulting your nearby healthcare provider. Stay strong and stay healthy.

Heal Your Gut, Heal Your Body

Get started for free

Frequently Asked Questions

avatar

Dr J S S Dev

Dr. J S S Dev is a passionate Ayurveda practitioner dedicated to promoting a holistic approach to health and well-being. With a profound understanding of Ayurvedic principles, he focuses on the power of prevention through ancient wisdom. Through insightful teachings and personalised guidance, he empowers individuals to embrace Ayurveda as a way of life, enabling them to proactively prevent diseases and cultivate a path to optimal health. With a firm belief in the body's innate capacity to heal, Dr. Dev is committed to helping people lead enriched lives by harmonising the mind, body, and spirit using the timeless principles of Ayurveda.