pureed veggies

Hi, sorry about the flare up...
Blending food does not remove any fibre. It does make the food slightly easier to digest, but the fibre remains. There are some juicers that remove fibre by using a fine mesh screen.
Try bland food and see if it helps. It is easier than the elemental diet!

Good luck.

I'd recommend seeing your gasteroenterologist and taking some appropriate prescription medications like mesalamine.

Oh good. FYI 4 x 500 mg = 2,000mgs daily dose of asacol and that's a maintenance dosage. A typical flare dosage of asacol is 4,000mgs a day. I'd ask your gasteroenterologist for a dose increase for your asacol.

Let us know how your scope goes! That's always a good thing to assess exactly how far in extent and how severe your inflammation currently is. It helps decide what is the best, next step for you. Even though the scopes themselves are a royal pain in the arse both the prep and procedure.

If what you have is only mild inflammation and limited in extent then certainly try lesser treatments first as that makes perfect sense.

If, however, you're a complete mess with severe inflammation everywhere then I'd strongly consider immunomodulators (azathioprine/imuran or Mercaptopurine) and/or biologics (remicade/humira). It's all about quality of life with chronic illness, and using a treatment that's appropriate for your UC severity. Treat appropriately but don't over treat.

If it comes to the next class of meds, we're all initially a little scared (i was too). Risk versus benefits always helps me rationalize my decision. What are the odds a treatment will help me? For biologics and immunomodulators that's 65-70 percent. What are the odds i'll experience a side effect? All are under the serious but rare category, impacting less than 1 percent of UC patients.

Undertreating UC has a risk too (besides just an awful quality of life). Longterm inflammation can become dysplasia (pre-cancer). So we want to treat UC appropriately for each individual. Colorectal cancer costs you your large intestine, so it's nothing to triffle with. We do what's necessary, when it becomes necessary, and nothing more.

There is a huge mixed bag of people who think fiber either hurts or helps them. Fiber hasn't been a problem for me nearly as much as sugars, breads, fried greasy things, etc. Veggies whether steamed, sauteed, barbecued, make no difference and I think they are some of the better foods for me. People advocating eliminating vegetables from diet still bewilders me seeing as fermentable fiber is needed for microbes to do their job. I'm not advising to eat vegetables if you know it hurts you but it sounds like you still haven't figured out whether they do or not. If you really want to eliminate fiber from your veggies I suggest investing in a masticating juicer. The types of vegetables are often more to blame than vegetables themselves. Cruciferous vegetables like kale seem to effect some more than others.

Post Edited (eekseel) : 6/7/2017 2:42:29 PM (GMT-6)