https://www.cghjournal.org/article/S1542-3565(21)00864-8/fulltext
Yelencich et al. (2022) Avoidant Restrictive Food Intake Disorder Prevalent Among Patients With Inflammatory Bowel Disease
TL,DR; people with active Crohn’s and UC should be screened for ARFID, a type of disordered eating that has to do with restricting certain foods or food groups.
My take: the experience of IBD and the lack of any dietary advice from the scientific community makes it more likely for people with IBD to develop high anxiety and fear around eating certain foods or entire groups of foods. We don’t know what’s safe for us, doctors won’t discuss diet with us, and there is scant research on dietary interventions (most of it is new and needs more research / much larger sample sizes).
If you have IBD, take care of your mental health too, because it can have a reciprocal effect on your disease / disordered eating. They all play into each other.
Stay nourished, eat enough, try to eat a wide variety of foods, and listen to your bod. Don’t be afraid to try medical meal replacements (EEN and PEN, modulen, ensure, Kate farms or orgain) if you are having a really hard time with food, it’s most important that you are nourished!
And lastly, don’t fat shame your IBD patients. We are already having a hard enough time, we don’t need to lose weight, our bodies are struggling to survive and be healthy, and health can happen at any size. Plus, if you keep prescribing us corticosteroids wtf do you think is going to happen? Cycles of illness and malnutrition will lead to weight gain in some people and that’s okay — what is important is your biomarkers and disease state, not your BMI.
Eating Vegan with Crohn's Disease 