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Common symptoms of Crohn's disease are abdominal pain, fever, not wanting to eat and weight loss, and a pain in the lower right quarter of the abdomen. Once Crohn's disease begins, it can cause intermittent, lifelong symptoms by inflaming the inside lining and deeper layers of the intestine wall. Both Crohn's disease and ulcerative colitis are normally treated with drugs: steroids and antibiotics.
I too find that the benefits of a low-carb diet in Crohn's disease and ulcerative colitis are felt very quickly. A high-carb diet, particularly one that contains significant amounts of cereal fibre, is the cause of both Crohn's disease and ulcerative colitis. Enteral feeds or liquid diets were by products of the space race and were originally developed by NASA to feed astronauts. The special liquid diets are sometimes referred to as ‘enteral feeds’ or the process as ‘exclusive enteral nutrition (EEN)’. There is a difference in the time required for the diets to be effective: an elemental diet is normally taken for 2-3 weeks, whereas a polymeric diet is recommended to be taken for 6- 8 weeks.
It is now also appreciated that one of the key factors governing the success of liquid diets in CD is not the form in which protein (or nitrogen) is provided, but rather the amount of fat in the feed. Elemental diets are made from the basic building blocks of foods and are pre-digested so that the normal processes of digestion in the gut are not required and virtually 100% of the nourishment is absorbed into the body high in the small intestine, leaving little if any residue to be metabolised by the bacteria which live lower down in the intestine. However, elemental diets contain large amounts of small molecules, like sugars and amino-acids, so present a high osmotic pressure to the gut. A dietitian would determine the amount of diet needed, based on individual requirements, and the volume would be achieved gradually over several days; most patients need 2-3 litres daily.


With increasing experience it has been possible to simplify and shorten the process by means of the LOFFLEX diet. The construction of a diet for CD is thus a complex procedure; it is essential it is done under medical and dietetic supervision. In a similar way to Crohn's disease, ulcerative colitis typically begins to cause symptoms in young adulthood, usually between the ages of 15 and 40.
It's the polyunsaturated fats and oils, derived from seeds such as sunflower, safflower, soy and corn, which are the major dietary sources of linoleic acid.
Eventually, if Crohn's disease and ulcerative colitis have progressed to a severe stage, surgery is used to remove part of the gut. After changing to a low-carb, low-fibre, high-fat diet, she told me: 'I am delighted that my daily visits to the toilet have now reduced to once every 3 or 4 days! My son (33) with Crohn’s disease does not seem to have got his diet sorted out yet and symptoms flare up regularly. Special liquid diets are the best treatment for Crohn’s disease (CD) currently known; in our experience 85-100% of patients will enjoy a full remission. They can be divided into three different types: elemental diets, semi-elemental diets, polymeric diets. Many different feeds are listed in the British National Formulary, but the ones we have found to be best in careful clinical trials are: Elemental 028 Extra, if an elemental diet is required and Pepdite 1+ when it is necessary to use semi-elemental diet. One new food is introduced each day and consumed in generous quantities 2-3 times on that day; if symptoms develop it is subsequently avoided whilst foods that cause no problems are left in the diet. Eliminating foods without proper testing and dietary assessment can result in a nutritionally inadequate diet.
Crohn's disease is a chronic condition associated with inflammation and injury of the small intestine.


However, if Crohn's disease and ulcerative colitis are caught before serious damage has been done, both conditions can be treated simply by restricting carbohydrates. This can be avoided if the elemental diets are slowly introduced to enable the gut to get used to this different pressure. Crohn's disease typically begins to cause symptoms in young adulthood, usually between the ages of 14 and 24. An Austrian doctor, Professor Wolfgang Lutz, MD, PhD, has treated Crohn's disease and ulcerative colitis successfully for over 40 years. Most (95%) people drink the liquid diets but some prefer administration by a fine tube through the nose into the stomach. Symptoms are recorded regularly and when they have resolved the patient is ready for Stage 2 of dietary treatment.
Why Crohn's disease develops is not clear, although Crohn's disease does seem to run in families. His figures, graphically illustrated in Figure 1, show clearly that when carbohydrates are limited, both Crohn's disease and ulcerative colitis respond very quickly.
The elimination diet is slow and often tedious; it may take 2-3 months to complete the testing process.



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