8 Effective Natural Remedies for Ulcerative Colitis Flare-Ups

We’re not going to sugarcoat it: Ulcerative colitis (UC) can be erratic and hard to manage. But some natural remedies for colitis can help.

This inflammatory bowel disease is an autoimmune disease. It causes inflammation and ulcers to develop on the inner lining of the colon, or large intestine. These factors can cause diarrhea, abdominal pain and cramping, bloody stools, and other debilitating symptoms.

UC is characterized by periods of symptoms, known as flare-ups, followed by periods of remission, in which you’re symptom-free for a few days to a few years.

Technically, UC does not have a cure, but medication can help manage it, and you can significantly minimize flare-ups and extend remission with strategic diet and lifestyle tweaks.

Read on for more information on UC and the natural remedies that may combat these painful symptoms.

What are the symptoms of an ulcerative colitis flare-up?

An ulcerative colitis flare-up refers to the return of symptoms after a period of remission. During this time, inflammation increases in the colon, which can lead to the formation of ulcers and aggravate existing ulcers.

According to the Crohn’s & Colitis Foundation, symptoms of ulcerative colitis flare-ups may include the following.

• loose and urgent bowel movements
• bloody stool
• mucus in stool
• abdominal cramps and pain
• loss of appetite
• nausea
• fever
• low energy and fatigue

What causes ulcerative colitis flares?

What brings on a flare isn't always clear. And triggers can be different for everyone. But your diet, stress levels, and certain medications may all contribute. Here are some common triggers.

Certain foods and beverages

Specific foods are not the cause of ulcerative colitis, but some can exacerbate UC and contribute to flare-ups. These include foods that are pro-inflammatory or promote permeability of the gut lining, such as highly processed carbohydrates, added sugars, and alcohol, says Cori Cohen, a registered dietitian formerly with Parsley Health.

Stress

Stress is not a cause of UC, but it can exacerbate it. High-stress levels can stimulate the immune system and contribute to chronic inflammation, both of which may contribute to a flare.

In one study of ulcerative colitis and Crohn’s disease patients, 45 percent of those who experienced a relapse said they’d been exposed to “quite a lot of stress” the day prior.

NSAID pain relievers

Non-steroidal anti-inflammatories (NSAIDs), such as aspirin, ibuprofen, and naproxen, may also contribute to flares.

These drugs can irritate the gastrointestinal tract and should be avoided with UC, according to the Crohn’s & Colitis Foundation. Tylenol is generally considered a more GI-friendly over-the-counter pain reliever.

Missing your meds

Medication is often needed to keep UC symptoms in check, and missing a dose, even when symptoms are in remission, may result in a flare.

This is why having a team—like the docs and providers at Parsley Health—to manage your care plan can be beneficial.

How to prevent ulcerative colitis flare-ups

What are actionable steps you can take to make your symptom-free stretches last as long as possible?

“Nutrition and stress management are probably the two biggest things as far as prevention goes,” says Cohen.

Parsley Health providers and health coaches often work with members who have ulcerative colitis to find a diet that helps them minimize flares. And they can help you build a sustainable stress-management routine.

Below, we’ll dive into some specific ways to optimize your diet with natural remedies and make adjustments to your lifestyle while living with ulcerative colitis.

1. Eat an anti-inflammatory diet with plenty of veggies.

Because inflammation is at the root of inflammatory bowel diseases like ulcerative colitis, eating to minimize inflammation is key.

In fact, research suggests that an IBD anti-inflammatory diet—which encourages the intake of prebiotics (fiber-rich plant foods and legumes), probiotics (fermented foods), and omega-3 fats to restore intestinal flora—may ease ulcerative colitis symptoms. 

In addition to scaling back on pro-inflammatory added sugars and highly processed carbs, you can boost the anti-inflammatory power of your diet, according to Cohen. Ramp up your veggie intake and focus on health fats.

“At a minimum, you want to be having three servings of vegetables per day, since low vegetable intake is associated with a higher incidence of UC,” says Cohen. Vegetables contain a range of polyphenol antioxidant compounds to fight inflammation, and they provide digestion-supporting fiber.

And as for fat, “make sure you’re limiting omega-6s from processed seed and vegetable oils and getting enough omega-3s, which are anti-inflammatory,” says Cohen.

Most Western diets are sky-high in omega-6s and low in omega-3s, and this imbalance in essential fatty acids can promote inflammation.

Get your fill of omega-3s from fatty fish like salmon and sardines, walnuts, chia seeds, flaxseeds, and hemp seeds, or consider a supplement.

2. Prioritize gut-supporting nutrients.

No single nutrient or supplement is a magic bullet for keeping UC flares at bay. But anything that reduces inflammation in the gut, helps repair and heal the gut’s epithelial lining, and fosters growth of healthy gut bacteria may be helpful, explains Cohen.

Your veggie-heavy, anti-inflammatory diet will help. But these nutrients (which you can get via food or supplements) may provide an extra boost for gut health:

• Probiotics, naturally found in fermented foods, are a good maintenance tool for promoting gut microbial balance.
• Turmeric is a powerful spice that contains the potent antioxidant compound curcumin to help combat both chronic inflammation and gut inflammation.
• L-glutamine is the primary fuel source for cells lining the intestinal wall and has been shown to help reduce hyperpermeability of the gut lining. Collagen powder and bone broth contain this powerful amino acid.

If you want to start a supplement, talk to your healthcare provider. Parsley Health’s doctors create specific supplement protocols for each member based on the results of advanced testing.

3. Implement stress-busting practices.

Whether you’re dealing with a bad relationship, toxic job, lack of sleep, or even a medical scare, these factors can trigger a stress response in the body that initiates a flare-up.

While you can’t always control these stressors, you can combat the physiological effects they have on your body. 

Simple natural remedies to lower stress or mitigate its effects include going to bed at a reasonable hour (and on a consistent schedule), meditating, deep breathing, practicing yoga, going for a hike, or doing anything that brings you pure joy.

Feeling stuck? Think about an activity that you do where time seems to stand still and you’re completely absorbed in the moment. That’s the ideal stress-buster!

4. Keep a food and symptom journal.

A key part of preventing flare-ups is knowing your personal ulcerative colitis triggers, which can vary from person to person.

“Some people are triggered by gluten and dairy, while some people aren’t—so it’s important to identify what specific foods trigger you,” says Cohen. “Keeping up a food and symptom journal can be really helpful.”

Start jotting down what you eat and drink in a notebook so you can identify foods and beverages that may be causing flares.

If you start to see a pattern, you can try eliminating that food or drink for a while to see if you get some relief.

Parsley Health doctors and providers can guide you through the appropriate way to eliminate and reintroduce foods and help you identify triggers.

What to do during an ulcerative colitis flare to minimize symptoms

You’ll inevitably experience another UC flare-up at some point, despite your best prevention efforts.

When this happens, you can tweak your normal routine to minimize the severity of your symptoms and get back into remission ASAP.

Even some of your typically healthy habits, such as loading up on veggies, may be a no-go. Here are a few natural remedies that may help.

1. Cut out raw veggies and other gut irritants.

During an ulcerative colitis flare, you want to be as gentle on your digestive system and colon as possible. “Give your gut a little vacation,” says Cohen.

This ideally means eliminating or scaling back on the following foods that take significant digestive effort or stimulate the bowels.

• raw vegetables
• raw and cooked fruits
• high-fat foods
• high-fiber foods
• whole grains
• spicy foods
• alcohol
• caffeinated beverages

2. Opt for easy-to-digest foods.

Focus on getting the bulk of your nutrition from cooked vegetables and easy-to-digest proteins like fish, lean meats, and eggs.

Consuming some meals in the form of soups made with bone broth (which contains L-glutamine), smoothies, and veggie purees is also a great idea, says Cohen.

These are much less abrasive on the gut and take less energy to digest. This allows energy to be diverted to more urgent matters, like healing the gut and taming inflammation.

2. Eat smaller meals.

Large meals can overstimulate the bowel and make ulcerative colitis symptoms like diarrhea worse. Keep meals on the smaller side and never eat until you’re stuffed.

The Crohn’s & Colitis Foundation recommends four to six small meals per day as opposed to three larger meals.

3. Hydrate, hydrate, hydrate.

Because UC flares are accompanied by diarrhea, dehydration is a real concern.

And while you don’t want to chug water, since this could further stimulate diarrhea, you can sip on liquids throughout the day—ideally liquids with electrolytes like coconut water or bone broth, says Cohen.

Electrolytes may become depleted after bouts of diarrhea, but they are essential for maintaining proper hydration and fluid balance.

4. Find ways to chill out.

All of the stress-busting suggestions above are extra important when you’re in the midst of a flare-up.

Cohen also recommends implementing deep breathing exercises before every meal, as this “relaxes your body and mind and allows you to digest more optimally.”

And, since you’ll be eating four to six smaller meals, this is a great way to get a dose of calm at multiple points in the day.

Why working with a qualified care team is so important when it comes to managing ulcerative colitis

Patients being treated for UC may not typically receive dietary or lifestyle advice, which is a huge disservice, says Cohen.

But managing ulcerative colitis and preventing (or at least delaying) flare-ups can be done! You just might need a little help from the experts.

Because UC isn’t one-size-fits-all and triggers are highly individual, enlisting the help of a care team, like the clinicians at Parsley Health, is wise.

Providers can offer individualized supplement protocols based on lab testing, customized eating plans for periods of remission and flares, and communicate with your current GI doctor if necessary to streamline care.