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What is the Anti-Inflammatory Diet for IBD?

The IBD-AID was derived from the Specific Carbohydrate Diet (SCD) and modified with current research on the human microbiome. Research has shown that IBD patients have an imbalance of gut bacteria, which contributes to inflammation. This diet helps to restore balance between helpful and harmful bacteria while promoting good nutrition. The IBD-AID has three phases to treat flares and progress to the ultimate goal of maintaining remission. Every day incorporate the four fundamental components on the IBD-AID:

1. Probiotics

2. Prebiotics

This is only a partial list of pre- and probiotic foods:

Probiotic Foods

Prebiotic Foods

Plain Yogurt

Oat groats, Steel-cut Oats, (rolled just ok)

Aged Cheese

Bananas

Fermented veggies

Ground Flax seed, chia, hemp seed

Kefir

Garlic

Miso*

Onions

Microalgae

Chicory root

Pickles

Artichokes

Raw honey

Leeks

Fermented Cabbage*

Asparagus

Kimchi*

All vegetables, some fruits

Tempeh* (grain free)

Legumes

*contains both pre-and probiotic components

3. Avoidance

4. Good Nutrition

A: Coffee and tea are allowed in moderation, but please use non-dairy milk and allowed sweeteners, such as raw honey.

Please check with a trained dietitian to see which phase of the diet you should be starting in or if you have any other questions.

If you are currently experiencing a flare or any bleeding, you should select foods from the Phase 1 portion of the diet. This phase of the diet is appropriate for those experiencing urgency and frequency of bowel movements or pain, and is helpful for patients who have recently been hospitalized. At this stage, you may not be able to tolerate many foods. In particular, the texture of the food is important. This phase emphasizes soft-cooked or pureed food using a blender, depending on your personal tolerance.

Example foods: smoothies, well-cooked oats, ground flax or chia seeds (if you can tolerate ground seeds see below) pureed soups, pureed vegetables, yogurt and miso (good sources of probiotics), and ground lean meats and fish

Your symptoms have improved significantly, but you may still be experiencing some symptoms. At this stage you may be able to tolerate some fiber, but may still have some difficulty digesting foods very high in fiber or fat. More fibrous foods are added in this phase, in the form of soft cooked vegetables and pureed beans/lentils. Use the foods list as a guide to help you advance to this stage. Remember to drink plenty of water and increase probiotic foods when adding fiber to your diet!

Examples of foods to add at this phase: soft greens (butter lettuce, cooked collard greens, baby spinach without stems), well-cooked lean meats, aged cheeses, nut butters, tomatoes, pureed berries with seeds strained out, and foods baked with IBD-AID friendly flours (bean flour, nut flours).

You are feeling stronger and are becoming more comfortable eating a greater variety of foods. Your bowel movements are well controlled and solid.

Examples of foods to add: stir-fried vegetables and meats, shellfish, citrus fruits, whole beans, and apples (ideally cooked).

Note: Each persons ability to tolerate foods will be different, and foods will have to be added or removed from the diet depending on your individual tolerance. Please discuss any dietary questions with your dietitian. When adding new foods, it is normal to experience some mild stomach upset. However, if you notice a continued increase in bowel frequency/urgency or a prolonged decrease in the quality of your stools, please consider removing the new food from your diet or talking with your dietitian.

**All phases build upon each other and foods specified for earlier phases can also be eaten in later phases: Phase I recipes can be used in Phase II and III. Phase II recipes can be used in Phase III etc.

BreakfastBanana Oat SmoothieGreek Yogurt or Kefir (Optional: with maple syrup or honey)

LunchCaribbean Avocado SoupCarrot and Coriander SoupNonnies Zucchini Omelette

DinnerBaked Fish in a Parcel with Miso SauceIron-rich Shepherds Pie with Sweet Potato Topping

Snacks and dessertQuick & Easy Pumpkin TreatHomemade Chocolates

BreakfastSlow-Cooker OatsBanana Almond Oat PancakesScrambled TofuEarly Morning Smoothie

LunchButternut Squash BisqueWatermelon and Microgreens SaladSues Stuffed Mushrooms

DinnerRoast chickenTofu Stir Fry with Zesty Almond SauceSpaghetti Squash with Tomatoes, Basil, & Farmers Cheese

Snacks and dessertsMango SalsaCheddar Cheese CrackersBanana MuffinsHoney and Vanilla Roasted Pears

BreakfastKale & Fruit SmoothieFrittata with Squash and Celeriac Home FriesGluten-Free Granola and Yogurt

LunchRed Pepper and Tomato SoupMediterranean Chickpeas and VegetablesCoconut Curry Red Lentil Soup

DinnerCannellini Beans with Kale and WalnutsChickpeas With Sole And SpinachTofu Stir Fry with Miso Sauce

Desserts and SnacksCinnamon Apple MuffinsGuacamole and Cheddar Cheese Crackers

1. Get prepared

2. Relax

3. Ask Questions

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IBD Anti-Inflammatory Diet

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