articles

Evidence-based Recommendations for the Treatment and Management of Ulcerative Colitis

Background: Ulcerative Colitis (UC) is a chronic inflammatory bowel disease involving the mucosa of the rectum that commonly affects those between the ages of 15 and 30 years and is characterized by exacerbations and remissions. Methods: A literature review was performed relevant to the clinical practice of UC utilizing a functional approach to treatment. Nutritional interventions with evidence were analyzed and reviewed. Results: Treatment goals should focus on a combination of symptomatic remission and mucosal healing through correction of nutritional inadequacies and targeted supplementation with sufficient evidence. Support for interventions including a low FODMAP diet, restoration of gut microbiota through probiotic supplementation, and mind-body therapies were discussed. Conclusions: A functional management strategy for UC is suggested that is guided by nutritional interventions that are evidence-based

By
Derek DeCagna, Jeffrey P. Krabbe DC, MS, DACBN, FACN, CISSN, CSCS

Small Intestinal Bacterial Overgrowth – Concepts and Considerations

Background: Small Intestinal Bacterial Overgrowth (SIBO) is a condition characterized by a change in the number or quality of microorganisms present in the small intestine. It is associated with functional diseases of the gastrointestinal tract, such as irritable bowel syndrome. Methods: Factors affecting the microbiota present as possible risk sources as well as potential treatment approaches. Nutritional intervention could be effectively employed as a treatment protocol for SIBO. Results: A nutritional approach should include restoring the intestinal lining, enhancing nutritional status, and preventing recurrence. Use of the Bi-Phasic Diet Protocol, herbal therapy, and probiotic supplementation is suggested. Conclusions: Nutritional therapy for SIBO should be complex and individualized. A functional approach may be a valid method to treat the condition.

By
Jennifer Vannoy, Marc Lucente DC, MA, DIANM