Nutritional Strategies for Managing Ulcerative Colitis

July. 16,2025

Discover effective dietary strategies and treatment options for managing ulcerative colitis. Learn about nutritious foods, including omega-3 fish, probiotics, squashes, eggs, and lean meats, that support gut health. Also, explore FDA-approved medications like AVSOLA® and ENTYVIO® for symptom relief. This comprehensive guide aids in symptom management and promotes digestive wellness during flare-ups. Consult your healthcare provider for personalized advice and treatment plans to control inflammation and maintain quality of life.

Nutritional Strategies for Managing Ulcerative Colitis

Effective Dietary Choices for Ulcerative Colitis Management

Finding suitable foods for ulcerative colitis involves selecting nutrient-rich options that soothe the digestive system without triggering flare-ups. Here are some foods that can help manage symptoms during active phases:

Incorporate Omega-3 Rich Fish Like Salmon
Salmon is loaded with omega-3 fatty acids, which are known to reduce inflammation and support both gut and heart health. Including other omega-3 sources such as flaxseed oil, albacore tuna, ground flaxseed, and walnuts can be beneficial for colitis management.

Nutritional Tips for Ulcerative Colitis

Eat Yogurt and Fermented Foods
Yogurt, kefir, miso, and sauerkraut contain probiotics—beneficial bacteria that promote a healthy gut and strengthen immunity. Opt for plain, unsweetened products with active cultures to maximize benefits while minimizing sugar intake. These help maintain a balanced intestinal flora, essential during flare-ups.

Include Squash in Your Diet
Varieties like zucchini, butternut, acorn, and spaghetti squash are nutrient-dense, providing antioxidants such as vitamin C and beta-carotene. Their fiber content supports healthy digestion, but raw squash may cause discomfort during a flare. Roast, mash, or make zucchini noodles to enjoy its benefits.

Eggs for Nutrient Boost
Eggs are a gentle, high-quality source of protein suitable for those with ulcerative colitis. They contain antioxidants like selenium and vitamin B, which aid in energy conversion. Prepare them scrambled, boiled, or poached to suit your taste.

Healthy Fats from Avocados
Avocados provide heart-healthy monounsaturated fats and help combat malnutrition common in inflammatory bowel conditions. Use chopped avocados in salads, mash them as spreads, or add slices to meals for added nutrients and calories.

Nutritious Nuts and Nut Butters
Almonds and walnuts offer healthy fats, and nut butters are convenient additions to your diet. Sprinkle nuts on cereals or spread nut butters on bread. During flare-ups, limit intake due to their fiber content which might irritate sensitive intestines.

Homemade Applesauce
Unsweetened applesauce supplies essential vitamins and minerals with less fiber, making it easier on inflamed intestines. Making your own from peeled, cooked apples without sugar allows customization and reduces additives.

Quick and Easy Oatmeal
Instant oatmeal is gentle on the stomach and easy to digest, making it suitable for colitis diets. Choose low-sugar versions, and add fruit purée or cinnamon for flavor, avoiding high-fiber steel-cut oats during flare-ups.

Lean Protein Sources
Incorporate low-fat meats like skinless poultry, lean beef, pork loin, or turkey, which provide vital nutrients without extra saturated fat that can aggravate symptoms. These help in tissue repair and overall health during inflammation.

Medications for Ulcerative Colitis
AVSOLA® (infliximab-axxq) is an FDA-approved biologic therapy that reduces inflammation and promotes mucosal healing, especially in moderate to severe cases unresponsive to traditional treatments. It is administered via intravenous infusion under medical supervision.

Targeted Treatments: ENTYVIO®
ENTYVIO® (vedolizumab) is used for managing inflammation in ulcerative colitis and Crohn’s disease. Given as an IV infusion every two weeks, it can cause side effects like headache, fever, and fatigue, and should be administered under medical guidance.