What is the role of nutritional therapy in the treatment of colitis?

Updated: Oct 02, 2017
  • Author: David A Piccoli, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Treatment of allergic colitis consists of eliminating the offending protein from the infant’s diet. Infants should receive a formula containing casein-hydrolysate as the protein source. Mothers of exclusively breastfed infants with allergic colitis should eliminate the offending proteins (typically milk or milk and soy) from their diets. Persistence of gross bleeding after 14 days after a formula change is an indication for proctosigmoidoscopy. Infants who respond to diet change should be challenged around 12-14 months of age.

A study by Baldassarre et al found that the addition of Lactobacillus rhamnosus GG (LGG) to extensively hydrolyzed casein formula (EHCF) significantly improved hematochezia and fecal calprotectin in comparison with the results noted with EHCF alone. [29]

Medical treatment of IBD includes adequate nutritional intake and social and emotional support. Nutrition therapy may be primary or adjunctive in CD but is only adjunctive in UC. Defined formula diets with polymeric, semi-elemental, or elemental formulas may induce remission in as many as 80% of patients with CD. [30]


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