I am about to start the Paleo diet for Crohn's disease and I have a couple of questions.
I have a stricture and a fistula but I feel OK as long as avoid factors that aggravate my condition. My doctor wants me to start treatment with immuno-suppressants but I want to try and fix this with diet.
I want to try to reduce my inflammation and fecal calopractin levels to at least a level where it will stop the fistula getting worse. Then in a few months I can have it surgically removed and hopefully, if the level of my Crohn's activity has been lowered it should stay healed.
I find difficult to digest raw vegetables , would liquifying my meals make these easier to digest?
The SCD diet says that yogurt is essential for healing Crohn's but Paleo says that dairy is too acidic. I want the probiotics but I don't want to inflame my condition if dairy is too acidic.
If you have any ideas that would be great. Thanks
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I am symptom free from my Crohn's after decades of surgeries, prednisone, and/or imuran.
I have been off my meds for five years. Be sure to oversteam or microwave veggies like broccoli. I stay away from most carbs, sugar and of course fried foods. Dairy is fine.
But most importantly my doc and I think it is the Vitamin D supplementation that vanquished my Crohn's. Shoot for a 70 or 80 ng/ml blood level.
The yogurt involved in SCD is fermented longer at 1 day so it has almost no lactose. For vegetables I would cook them a lot. I don't do well with a lot of raw vegetables personally. You can also make yogurt with the less inflammatory goat yogurt, and even coconut somehow.
I don't have fistulas personally so I'm not sure what is involved with treating them. I don't think the surgery would be the same as say removing ulceration, but I could be wrong. I have chrohns too. Its greatly improved on paleo but not completely gone. But I also have an extended colon so that causes a lot of problems with a different response.
I don't have Crohn's, just IBS. But I'm currently developing a plan to tackle it and I think a similar plan would work for you as well. You want to focus on increasing your nutrient intake while reducing volume. Too much fiber and fat will likely be irritating.
If you're looking for a way to get many of the benefits of vegetables without the digestive issues you could get something like Just Barley (or similar, just make sure it's dehydrated barley JUICE powder, and NOT ground up barley grass w/ the fiber) which seems to really help with my IBS.
Some practitioners like Dr. Dahlman (http://www.drdahlman.com/ - btw you can download his reports for free) and Jini Patel Thompson (http://www.listen2yourgut.com/) use elemental or semi-elemental diets depending on the severity. These allow you to meet all of your nutrient requirements in easy-to-digest, low-volume formulas. They are generally pretty expensive but they may be the quickest ways to heal your Crohn's. They also have recommendations on probiotics, you definitely want to go with a high quality brand.
I think general Paleo eating is great, but it may not be enough to put your Crohn's into remission.
My husband was diagnosed with Crohn's many years ago. In 1991 he had surgery that removed 12 inches of his intestines and he was good for a long long time. Then, in 2004 it started back up again. The doctors here just couldn't seem to treat him, but didn't think that he had Crohn's anymore, they thought it might be something else (they were absolutely no help at all). He said screw the doctors and just treated as best he could on his own--reducing stress, using prednisone and Advil during a flair-up, which got less frequent with home treatment. Finally a few months ago he cut out all wheat/grain products and has been feeling great ever since! I am hoping that this is the key. I hope that you feel better too utilizing the paleo diet.
For non-dairy probiotics, coconut water kefir is available at stores like Whole Foods made by this company http://www.inner-eco.com/ It can also be made at home with either starter cultures or water kefir grains.
Best of luck to you!
Been on a paleo-type diet for 4-1/2 years for Crohn's, more like an offshoot of the SCD. I have no symptoms unless I stray from the diet. Most recently, I have been pretty much carnivorous, with excellent results. I do consume SCD-type yogurt, along with berries, honey, bananas, and shredded coconut. Other than that, I eat almost no vegetable matter- the occasional cauliflower. There simply is no nutritional requirement for vegetables; if it hurts to eat veggies, then don't do it. It's that simple. The Inuit and Inupiat have done fine for centuries without substantial vegetable matter.
If you absolutely insist on eating veggies, then- yes, peeled, and/or steamed or run through the blender. Otherwise, look at cutting out polymeric carbohydrates (particularly starches, and ZERO GRAINS) for at least several years. Initially, it's easy to go high-protein, but I have been leaning towards high fat recently- again, with the best results. My weight is back to what it was in high school; all my blood values are normal, and my fecal calprotectin is well within norms. I have a physically demanding job, and never miss work.
Good luck to you.