By Dr. Maria Lia Scribano, Gastroenterologist at Aventino Medical Group, Rome
When Eating Out Becomes a Challenge
If you live with an inflammatory bowel disease (IBD) such as Crohn’s disease or ulcerative colitis, you know how difficult it can be to manage everyday situations. Even during remission, a restaurant meal, a weekend getaway, or a trip can become a source of anxiety.
Fear of a flare-up, not knowing what’s in your food, or having to explain your needs can be discouraging. The good news is that, with a little planning, you can enjoy these moments with more peace of mind.
What to Eat (and What to Avoid) if You Have IBD
There is no “one-size-fits-all” diet, but unless you have specific intolerances or allergies, the Mediterranean diet is generally a good ally for people with IBD.
You can enjoy:
– fresh vegetables and fruits
– complex carbohydrates such as pasta, rice, bread, and potatoes
– extra virgin olive oil, nuts (e.g., walnuts and almonds)
– lean proteins like white meats, fish, low-fat dairy, and legumes (if tolerated)
It’s best to limit or avoid:
– processed and ultra-processed foods
– artificial sweeteners and added sugars
– saturated fats
However, individual food intolerances are quite common in people with IBD, especially during flare-ups. Some problematic foods may include:
– milk and dairy products
– fried foods
– spices
– insoluble fibers (found in some vegetables, fruits with skins, whole legumes, nuts, and whole grains)
Remember: everyone is different. Some foods, if not tolerated, can be reintroduced gradually during periods of wellness. In cases like symptomatic intestinal strictures or other complications, it’s essential to follow a personalized dietary plan. The best approach is individualized, based on close observation and specialist guidance.
Practical Tips for Eating Out Without Stress
– Choose restaurants with clear menus and freshly prepared dishes
– Don’t hesitate to ask about ingredients—kindness helps!
– Prefer simple, well-cooked dishes
– Avoid overly elaborate meals
– Drink plenty of water and eat slowly
What If Something Goes Wrong? When to Call the Doctor
If you experience symptoms such as abdominal pain, persistent diarrhea, blood in the stool, urgency, or fever, it’s important to act promptly.
If you’re traveling, it’s helpful to have:
– a letter from your gastroenterologist (preferably in English) detailing your diagnosis and treatment
– a supply of your medications, ideally in your carry-on (some drugs may not be available everywhere)
– the international names of active ingredients, in case you need to find local equivalents
Frequently Asked Questions (FAQ) – Traveling with IBD
How can I find an IBD specialist abroad?
Contact the Italian embassy or consulate of your destination country—they can often refer you to local specialists. University hospitals or patient associations like EFCCA in Europe or the Crohn’s & Colitis Foundation in the U.S. can also help.
Can I bring my medication on a plane?
Yes, but carry a medical prescription in English and keep medications in your hand luggage, especially those sensitive to temperature. Always check customs regulations for your destination.
What if I forget or run out of medication?
Go to a hospital pharmacy or see a local doctor, bringing your medical records and a list of the active ingredients you take.
Is it useful to have travel insurance?
Absolutely—especially for travel outside the EU. Choose a policy that covers chronic conditions and includes medical repatriation if needed.
In Summary
Living with IBD doesn’t mean giving up the pleasure of travel or eating out. With awareness and a few precautions, you can enjoy these experiences safely and confidently.