Solutions for

Digestive Disorders
  • Ulcerative Colitis

    Ulcerative colitis (UC) is inflammatory bowel disease that is limited to the colon. The lining of the large intestine and rectum become inflamed and superficial ulcers develop. Ulcerative colitis is not always distinct from Crohn's disease. The deeper inflammatory process of CD sometimes involves the colon and rectum and can be confused with UC. Ulcerative colitis affects all age groups but tends to be more common in young people. It affects males and females equally and appears to run in some families. The main symptoms are abdominal cramps, bowel movement urgency, fever, malaise, weight loss, fatigue, mucosal ulcers, rectal bleeding and diarrhea.

    The cause is listed as unknown, but I am going to persevere with the approach that it is food-related disease until proven otherwise. Foods associated with the occurrence of UC are milk, wheat, meat, sweets,d sugar/confectionery, fast foods. Jowett et al. reported that dietary factors, such as a high meat or alcoholic beverage intake were associated with an increased likelihood of relapse for UC patients.[i] Hydrogen sulfide, which is a bacterially-derived cell poison, is produced in the large intestine from animal meat and milk.

    There is an obvious interaction between environmental, genetic, immunological factors, and infection. The colon is full of pathogenic bacteria and any break in the surface automatically is infected. Ulcers in the mouth form by contact with an antigenic food. Ulcers in colon also probably develop on contact with antigenic material in the colon. The colon, of course, is a septic tank full of smelly food residues and massive amounts of microorganisms. From an immune network point-of view, the colon is populated with microbial antigens in chaotic profusion. The symptoms of ulcerative colitis are abdominal pain and diarrhea. Loose to watery stools that contain blood and mucus strongly suggest the diagnosis. When the disease is chronic other symptoms become obvious, such as fatigue, weight loss, loss of appetite and malnutrition. Prolonged bleeding leads to anemia. Other systemic symptoms occur that suggest delayed pattern food allergy; these are mouth ulcers, skin eruptions, joint and back pain, inflammation of the eyes, and hepatitis. The diagnosis is made by looking at the lining of the bowel with an endoscope A biopsy is usually done.

    Aminosalicylates are first-line therapy for induction and maintenance of remission in active, mild-to-moderate disease; corticosteroids are prescribed when symptoms of active colitis do not respond to aminosalicylates. Immunosuppressants and biologics are used in moderate-to-severe UC. Most patients with mild or moderate disease are first treated with Sulfasalazine. People with severe disease and those who do not respond are treated with prednisone orally and topical hydrocortisone applied by the administration of enemas. Biological therapies may improve the care of patients with UC. Infliximab was the first biologic approved for moderate-to-severe disease; then, 2 more tumour necrosis factor (TNF) antagonists, adalimumab and golimumab, and 1 anti-α4β7 antibody, vedolizumab, received regulatory approval. They have shown good efficacy and safety profiles. Recently, tofacitinib, an oral small-molecule Janus kinase inhibitor, was shown to be more effective than placebo for induction and maintenance of remission in adults with moderate-to-severe UC.

    In the USA, 25 to 40% of ulcerative colitis patients have their colons removed because of bleeding, severe illness, rupture of the colon, or risk of cancer. The most common surgery is a proctocolectomy with ileostomy; the colon is removed and the surgeon creates a small opening in the abdomen and attaches the end of the small intestine. A pouch is worn over the opening to collect waste, and the patient empties the pouch as needed.

    About 5 percent of people with ulcerative colitis develop colon cancer. The risk of cancer increases with the duration and the extent of involvement of the colon. Screening for colon cancer is recommended to patients who have had generalized UC for more than 8 years; they should have a colonoscopy every 1 to 2 years to check for cell dysplasia.

    Since the colon is such a terrible place to have a wound (ulcerated lining), effective measures are required to promote healing. The best idea, in my opinion is a long food holiday, using Alpha ENF. Early research on elemental formulas showed a dramatic decrease in the microorganism population. With Alpha ENF feeding, the colon becomes almost empty and rests. How long should the food holiday last? The best idea is until the colon heals, but this may be weeks and many people are not that patient. A reasonable compromise would be an initial food holiday for 1-2 weeks, followed by careful and slow re-feeding. You would stay on cooked Phase 1 foods with some Alpha ENF for at least another 4 weeks. When the colon is healed, you can slowly and carefully add some phase 2 foods, but not go too far beyond phase 1 for many months. The use of prednisone for several weeks is often required – hopefully, at a low dose such as 10 mg per day or less.

    [i] Jowett SL, Seal CJ, Pearce MS et al. Influence of dietary factors on the clinical course of ulcerative colitis: a prospective cohort study. Gut 2004; 53: 1479–84.


  • This website features topics from the book, Digestive Disorders by Stephen Gislason MD Print and eBook versions are available. 178 Pages. The book discusses food-related digestive tracts diseases and common disorders such as food allergy, inflammatory bowel disease, irritable bowel syndrome, chronic diarrhea, liver diseases, foodborne infection and motility disorders. Nutritional concerns with digestive disease are discussed and case histories illustrate problems and their solution. The solution is found in the Alpha Nutrition Program, a standard method of diet revision. There are many conditions that improve with diet revision. Elemental nutrient formulas are recommended for serious digestive disease.
  • The latest edition is available as an eBook for download. Download eBook

    Nutrient Formulas and Printed books are shipped from Alpha Online to all destinations in Canada and USA. Prices are listed in Canadian dollars.

  • Digestive Disorders Rescue Help in understanding and managing the most common digestive tract disorders: Crohn's Disease, Ulcerative Colitis, Irritable Bowel Syndrome, Functional Dyspepsia, GERD, constipation, diarrhea and abdominal pain. The starter pack includes one 500 gram jar of Alpha ENF, the Alpha Nutrition Program, and the book Food & Digestive Disorders.

  • Three steps to solving a digestive problem
  • 1 You stop ingesting the problem foods and beverages.
  • 2 You eat safe foods and pure nutrients until you clear symptoms.
  • 3 Reintroduce more of the best, nourishing, low-risk foods
  • Order Digestive Disorders Rescue
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