The Successful Management Of Ulcerative Colitis With A Nutritional Intervention: A Case Report

Kerri Felmlee, MS, RDN, LD, CDE; Danielle Heard, MS, MS, CNS, LDN, INHC; Brooke Scheller, MS, CNS; Cheryl Winter, MS; Jami Zamyad, MS, RD

Background: A 23-year-old Caucasian female was diagnosed with Ulcerative Colitis (UC) and symptoms were successfully managed with the 5-Rs (e.g. remove, replace, re-inoculate, repair, and rebalance) gut restoration program. Case/Intervention: Diagnostic laboratory testing was initially utilized which identified microbial imbalances, vitamin D deficiency, and vitamin B12 deficiency. Nutrition therapy was then implemented over a course of 7 months, which included a whole foods elimination diet that was low in fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) and avoided leading allergens such as cow dairy, soy, gluten, and corn. Nutritional supplements were implemented in phases to aid in rebalancing gut bacteria, repair the mucosal lining, and correct nutritional deficiencies. After good dietary adherence and the 5-Rs program, the patient became 100% asymptomatic with no use of mesalamine suppositories for more than 6 weeks. Conclusion: This case report demonstrates the effectiveness of the 5-Rs program approach for the successful management of UC. Long-term resolution was supported by the elimination of specific foods, nutrition supplementation, and stress management.

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