CHAPTER 08 · FOOD & DIET

Nutrition in Ulcerative Colitis

Good news — there’s no special “UC diet” you have to follow. The real goal is simply eating well, staying hydrated, and noticing what your body likes.

The Big Picture

Nutrition in Ulcerative Colitis doesn’t require a specific diet. What matters most is to:
🥗 Eat a healthy, balanced variety of foods 💧 Drink plenty of fluids

A healthy and balanced diet supports your overall health and can be especially helpful if you have UC symptoms.

What Is a Healthy & Balanced Diet?

Aim for variety, balance, and real foods — no extreme rules needed.

🌈

Eat a variety

Include foods from all food groups: fruits, vegetables, grains, protein, and dairy.

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Choose healthy fats

Olive oil, nuts, avocado, and fish are great everyday picks.

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Lean proteins

Fish, turkey, and chicken breast are everyday-friendly options.

💧

Stay hydrated

Water throughout the day matters — especially when symptoms are active.

🧘

Eat mindfully

Slow down, chew well, and enjoy your meals.

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Some foods less often

Things like fried foods, red meat, ultra-processed foods (e.g., burgers, frozen pizza), and lots of sweets are best kept to occasional rather than everyday.

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Listen to your body Each person reacts differently to different foods. Keeping a short food diary — what you ate and how you felt — can help you and your medical team or dietitian spot what works for you and what doesn’t. There’s no “right answer” that applies to everyone.

Diet Tips for Different Situations

Two moments when your eating plan may need a small adjustment.

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Diet During Flare-Ups

During a flare, your body needs extra support and your gut may be more sensitive. General tips that work for many people:

  • Focus on nutrient-rich foods that give you steady energy — like eggs, smoothies, soups, or peanut butter on toast.
  • Some people find lower-fiber foods easier to tolerate during a flare (for example, white bread, white rice or pasta, well-cooked vegetables without skins or seeds, peeled fruit, eggs).
  • Drink plenty of fluids, especially if you have diarrhea.

These are general tips — your medical team or dietitian can help you figure out what’s right for you.

💊

Diet When Taking Corticosteroids

Corticosteroids can affect appetite, fluid retention, blood sugar, and bone strength. Eating in a way that takes those side effects into account can help you feel better while you’re on them:

  • Limit salty foods.
    Steroids can cause your body to hold on to extra fluid — less salt helps reduce puffiness.
  • Limit sweets and sugary drinks.
    Steroids can raise your blood sugar — keeping sweets occasional helps your body stay steady.
  • Include calcium-rich foods and drinks like milk, cheese, yogurt, calcium-fortified orange juice, and shrimp.
    Steroids can weaken bones over time — calcium helps protect them.
  • Pick satisfying snacks between meals like fruit, low-fat crackers, or non-frosted cereal.
    Steroids can increase hunger — these snacks help you feel full without piling on extra salt or sugar.

These are general tips — your medical team or dietitian can give you advice tailored to your treatment plan.

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If food or eating is feeling stressful Talk to your medical team — they can connect you with a dietitian or other support.
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If any symptom is worrying you, contact your medical team. TeenHealthInsight is a health education resource — not a substitute for medical advice, diagnosis, or treatment from your doctor or gastroenterologist.
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