Inflammatory Bowel Disease (IBD)

IBD includes Crohn’s disease and Ulcerative Colitis, both chronic inflammatory conditions affecting the digestive tract.
Unlike IBS or SIBO, IBD involves true inflammation, which can be seen on medical tests and imaging.

Understanding IBD

IBD is not caused by diet — but symptoms are deeply influenced by:

  • microbiome imbalance

  • immune activation

  • stress + the gut–brain axis

  • motility changes

  • medication effects

  • nutritional deficiencies

  • food sensitivities linked to inflammation

IBD often goes through periods of flare and remission, each requiring a different nutritional approach.

Common Symptoms of IBD

  • Abdominal pain or cramping

  • Urgency or loose stools

  • Blood or mucus in the stool

  • Fatigue or weakness

  • Weight loss or nutrient deficiencies

  • Loss of appetite

  • Joint pain or skin symptoms (extra-intestinal signs)

Symptoms don’t always reflect the level of inflammation — which is why personalised support can be so important.

IBD, the Microbiome & the Immune System

Research shows that people with IBD often have:

  • reduced microbial diversity

  • lower beneficial bacteria (e.g., Bifidobacteria, Akkermansia)

  • overgrowth of inflammatory species

  • weakened gut lining integrity

  • altered immune signalling

Supporting these areas gently can help reduce symptom severity between flares.

Nutrition & Lifestyle Support for IBD

While nutrition cannot replace medical care, it can help:

  • reduce triggers during flares

  • support remission

  • improve microbiome balance

  • calm inflammation

  • improve energy and nutrient status

  • stabilise bowel movements

  • reduce symptom unpredictability

A personalised approach is essential because every IBD case is different.

IBD & Stress

The gut–brain axis plays a significant role in IBD symptom flares, even when inflammation markers are stable. Stress isn’t the cause — but it can amplify sensitivity and trigger gut dysregulation.

Gentle mind–body work often helps the system settle, supporting easier digestion and more predictable symptoms.

This Page in One Sentence

IBD is a complex inflammatory condition influenced by immunity, the microbiome, stress and digestion — and understanding these layers helps create steadier remission and more predictable symptom patterns.