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10 Healthy Foods That May Worsen Your UC Symptoms



Are All Healthy Foods Good for Ulcerative Colitis (UC)?
Fruits, veggies, and whole grains usually help you feel better after eating them. But with ulcerative colitis – especially during a flare – some healthy foods can make your symptoms worse. Even though everyone reacts differently, here’s a look at 10 nutritious options that you may want to rethink and why.

Roasted Chickpeas
Popping chickpeas – also called garbanzo beans – into the air fryer makes for a high-protein, high-fiber snack with very few calories. There're even many different flavored chickpea-chip alternatives to choose from.
But whole beans and legumes can trigger diarrhea, bloating, and gas pains with ulcerative colitis. Instead, you might want to try hummus — you can even buy small on-the-go packs.

Cereal Fan?
Maybe you just swapped your usual sugary cereal out for the healthy whole-grain stuff. But later, you noticed more bowel movements and bloating. That’s because the outer layer of whole grains are rich in nutrients and fiber which can inflame your GI tract.
That’s particularly true with ulcerative colitis, making the rough grains tough to break down. On flare days, stick to plain cereals like Cheerios or cornflakes.

Dried Apples
You already know to steer clear of apple peels. Maybe you take the skin off and enjoy the fleshy apple parts. They're packed with antioxidants and fiber – easy to grab for lunch or a snack. Perhaps you also have a favorite flavor of apple chips.
All of that plant fiber, especially dried apples, can be tough to digest. And there's more insoluble material to irritate your stomach and trigger urgent trips to the potty in the dried version, too. Go for softer fruits like applesauce, bananas, or raspberries instead.

Trail Mix
A nutritionally dense snack, trail mix, is easy to take on the go. But the blend of nuts, dried fruits, and seeds is high in fiber and fat – both of which can bring on a flare.
The uneven nut and seed edges can be rough on your GI tract as they’re swallowed and digested. Opt for nut butters which you can add to your fast-food oatmeal or spread over some crackers in a pinch.

Green Smoothies
Green smoothies made of fruits, greens, seeds, and Greek yogurt pack nutrients and protein. But many of those healthy foods can also mean looser bowels and more gas.
Fiber from raw leafy greens and seeds, and lactose from dairy can take a toll. Instead, try adding bananas, avocado, and a non-dairy milk or yogurt — it's a great way to get your vitamins, too.

Whole-Wheat Bread
Making a sandwich with whole-wheat bread can usually be a healthy choice. Whole-grain foods are high in lots of vitamins, iron, protein, and fiber. But as you might guess, all that fiber can cause discomfort, especially if you’re already inflamed.
On those days, it’s probably easier on your stomach to grab sourdough bread or try white rice until your UC symptoms ease up.

Kale Salad
Kale is called a superfood because it’s a leafy green packed full of:
- Potassium
- Vitamins A and K
- Carotene
- Fiber
But the high amounts of insoluble fiber can be harder to digest. Cooked, pureed kale still has the same amount of fiber and may upset your ulcerative colitis during a flare. Try to reach for the sliced peaches or a hard-boiled egg.

Citrus Fruits
Citrus fruits – like oranges and grapefruit – are loaded with vitamin C to boost your immune system and healing. They can also be acidic and high in fiber which may lead to more bowel movements, skin problems, and bathroom trips.
Some research suggests that pectin, the fiber in citrus, may actually help repair GI tissue and lower inflammation. But if citrus is an issue, try a watered-down juice or something smoother, like papaya juice.

Veggie Cups
You may feel good about grabbing a raw veggie cup as a low-calorie snack instead of potato chips. High in vitamin C, calcium, and folate, the higher fiber content in raw veggies can create gas, painful bloating, and bigger bowel movements.
Try well-cooked veggies, only eat the carrots, or go for a cheese stick instead.

Granola Bars
The more wholesome granola bars are usually higher in fiber and protein. Although better than eating a candy bar, the whole grains, bran, and nuts can add up to a lot of fiber and protein.
All that fiber and protein can still upset your GI tract, especially if you’re in a UC flare. Try cooked oatmeal or a plant-based protein shake.
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SOURCES:
NHS, Milton Keynes University Hospital: "Dietary Advice for Ulcerative Colitis."
Crohn's and Colitis Foundation: "What Should I Eat with IBD?" "Tips for Enjoying Fruits and Veggies While Living with IBD," "Sick Day Diet for IBD."
Cleveland Clinic: "A Nutritional Plan for Anyone Living With Crohn's Disease or Ulcerative Colitis," "7 Reasons Why Apples Are Good for You."
St. Louis Children's Hospital: "Diet for Inflammatory Bowel Disease," "Are Snack Bars Too Good to Be True?"
Mayo Clinic: "Ulcerative colitis flare-ups: 5 tips to manage them," "Chart of high-fiber foods."
World Journal of Gastroenterology: "Diet and nutritional factors in inflammatory bowel diseases."
Hackensack Meridian Health: "8 Dietary Myths Related to IBD."
UMass Chan Medical School: "IBD-AID Allowable Foods List, By Phase," "Anti-Inflammatory Diet for IBD (IBD-AID) Quick-Reference."
Mayo Clinic Health System: "Kale: Discover the 'secret powers' of this superfood," "Boost vitamin C with in-season citrus."
Barnes Jewish Hospital: "Kale, Nutrition Facts."
Johns Hopkins Medicine: "How to Make a Healthy Smoothie."
McMaster Children's Hospital: "What to eat when your inflammatory bowel disease (IBD) flares up."
Frontiers in Immunology: "Dietary Fiber Pectin Ameliorates Experimental Colitis in a Neutral Sugar Side Chain-Dependent Manner."
Harvard T.H. Chan School of Public Health: "Whole grains."
Oldways Whole Grain Council: "Myths Busted: Why White Bread Is NOT Just as Healthy as Whole Grain Bread."
University of Massachusetts Amherst: "Broccoli and cauliflower."
West Virginia University School of Medicine: "Crunchy roasted chickpeas."