UC and Pregnancy: Eating Well to Gain the Right Amount of Weight
Getting the right balance of nutrients is always important when you have
ulcerative colitis. But when you're pregnant and have UC, getting a
well-balanced diet is absolutely essential to ensure that your baby has enough
nutrition to grow and thrive.
Gastrointestinal woes can be an everyday occurrence in people with
ulcerative colitis. This painful form of inflammatory bowel disease (IBD),
which causes inflammation and sores on the intestinal lining, can really take a
toll on diet.
When people are in pain, they don't want to eat, so their nutrition suffers,
explains Susan L. Mikolaitis, RD, LDN, clinical research dietitian in the
department of gastroenterology and nutrition at Rush University in Chicago.
Here are some ways to boost your nutrition during pregnancy, and even before
you get pregnant.
Ulcerative Colitis and Pregnancy Nutrition
When in doubt about what to eat, follow the government's MyPyramid for
Pregnancy. This balanced diet includes the nutrients you need during
- Fortified breads and cereals
- Vegetables (such as carrots, sweet potatoes, spinach, cooked greens,
squash, tomatoes, and sweet red peppers)
- Fruits (such as cantaloupe, honeydew melon, mangoes, prunes, bananas,
apricots, oranges, grapefruit, and avocado)
- Dairy (low-fat or fat-free milk and yogurt), if not lactose intolerant
- Meat and beans (cooked beans and peas, nuts and seeds, lean meat and
Of course, that may be easier said than done. Morning sickness alone could
make you swear off many of the foods on the list. And for many women with
ulcerative colitis, some of the healthiest foods also may be symptom
Adjust your diet according to how you feel, but be careful not to avoid the
nutritious foods you really need. Instead, get creative to get them in:
Grains. Some people with ulcerative colitis have trouble eating
cereals, rice, and breads. Yet these whole grains are important because they
are fortified with folic acid, a nutrient that helps prevent spina bifida and
other neural tube birth defects.
If whole grains seem to trigger your ulcerative colitis symptoms, you might
try quinoa and amaranth. They may be less likely to trigger your UC
Fruits and vegetables. If they bother you, try fruit or
vegetable juice instead. Just make sure it's 100% juice, with no added
"Sugar is not a good thing for patients with IBD," Mikolaitis tells WebMD.
Bacteria seem to be partial to disaccharides, a kind of sugar that includes
table sugar. "And we think bacteria play a big role in the flare-ups of the
disease," she says.
Drink pasteurized juice so you don't get E. coli or another
food-borne illness, which may be dangerous for your baby.
Fish. Your doctor may have recommended that you eat more fish because
it is high in omega-3 fatty acids. Omega-3s are thought to reduce inflammation,
which can be beneficial for an inflammatory disease like ulcerative
But you need to make sure you don't eat fish that are high in mercury during
pregnancy. Stick to low-mercury fish such as salmon, canned light tuna,
pollock, catfish, and shrimp. Avoid high-mercury varieties such as king
mackerel, tilefish, shark, swordfish, and albacore ("white") tuna.
Finally, make sure you are drinking enough water. Having active ulcerative
colitis during pregnancy could mean more diarrhea. This can lead to dehydration
if you don’t replace the fluid you lose.