Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question 48: What Is The Role Of Diet In The Treatment Of Inflammatory Bowel Disease? How Do I Discuss This With My Patients? (continued)

Tracie M. Dalessandro, MS, RD, CDN

The evidence is clear that inflammatory bowel disease (IBD) can cause severe nutrient imbalances, protein-energy malnutrition, weight loss, fatigue, and growth failure in children. It is also evident that identifying and correcting these nutrient deficiencies, as well as providing adequate macronutrients, improves patient outcome and overall health. However, the evidence is less clear that specific diets (the intake of particular foods) affects the clinical outcome of disease. However, numerous (subjective) patient reports have indicated that dietary modifications may reduce symptoms and the…