Navigating the menu before you go
Eating at a restaurant with colitis is much easier with some pre-planning. A little research can save you significant stress and discomfort. Most restaurants have their menus available online, allowing you to review options and decide on a meal that won't aggravate your symptoms before you even arrive. This gives you time to identify simple, safe dishes or even call ahead to ask questions about ingredients or preparation methods.
Prioritize simple preparations
The method of cooking can significantly impact how well your body tolerates a meal. Opt for dishes that are simply prepared, such as grilled, baked, or steamed options. This allows you to avoid unnecessary fats and oils that can be problematic for an inflamed gut. Always ask for sauces, dressings, and gravies to be served on the side, so you have complete control over what you consume.
What to look for on the menu
When reading a menu, focus on ingredients and cooking styles that are gentle on your digestive system. Look for meals centered around lean proteins, refined grains, and well-cooked, low-fiber vegetables.
Lean proteins
- Fish: Excellent choices include grilled salmon, tuna, or mackerel, which are rich in anti-inflammatory omega-3 fatty acids.
- Poultry: Go for a grilled or baked skinless chicken breast or turkey.
- Eggs: Cooked eggs, such as scrambled or hard-boiled, are an easily digestible protein source.
- Tofu: Firm tofu is another versatile and lean protein option.
Refined grains and starches
- White rice: A staple for many people with colitis, white rice is low in fiber and easily digestible.
- White potato: Plain baked, boiled, or mashed potatoes (without high-fat toppings like butter or sour cream) are often well-tolerated.
- Sourdough bread: Some individuals find sourdough bread easier to digest than other breads.
- Refined pasta: Plain white pasta with a simple sauce can be a good choice, as opposed to high-fiber, whole-grain pasta.
Well-cooked vegetables and low-fiber fruits
- Cooked vegetables: Choose peeled and cooked varieties like squash, zucchini, green beans, and carrots. Steaming or roasting vegetables until very tender breaks down their fibers, making them easier on your digestive tract.
- Low-fiber fruits: Options like bananas, melons, and applesauce are generally well-tolerated.
Cuisine-specific tips
Different types of restaurants present unique challenges. Here are some ideas for popular cuisines:
- Italian: Opt for gluten-free or refined-grain pasta with a plain, tomato-based sauce (ensure it's free of garlic and onion). A simple dish of baked fish or chicken with steamed vegetables is also a safe bet. Avoid creamy sauces, excessive cheese, and high-fat, processed meats like sausage.
- Asian: Simple sushi rolls with plain fish (like salmon or tuna) and cucumber are often safe choices. Steamed rice, rice noodles, and simple stir-fries with lean protein and low-FODMAP vegetables (like carrots and bell peppers) are also good. Be mindful of sauces, which often contain garlic, onion, or high-sugar ingredients. Avoid fried items like tempura and high-sodium soy sauce.
- American/Diner: A plain grilled chicken sandwich (without the bun), grilled fish, or a plain baked potato can work. Request a side salad with simple oil and vinegar dressing. Skip the fried food, fatty burgers, and creamy soups.
- Greek: Grilled fish or meat skewers (souvlaki) served with rice or baked potatoes are excellent options. Ask for salad without onions and get the dressing on the side. Avoid creamy dips like tzatziki and hummus, which often contain high-FODMAP ingredients like garlic.
Comparison table: Flare vs. Remission
| Feature | Eating During a Flare-up | Eating in Remission |
|---|---|---|
| Fiber | Extremely low-fiber, low-residue diet. | Higher-fiber foods may be tolerated; the Mediterranean diet is often recommended. |
| Texture | Soft-textured foods are preferred to reduce digestive work. | Can handle more variety in food texture and preparation. |
| Protein | Focus on simple, lean, well-cooked proteins like boiled chicken or eggs. | Lean proteins like fish and chicken, plus other sources as tolerated. |
| Fat | Strictly limit fat intake, avoiding fried and processed foods. | Healthy fats like olive oil and omega-3s are beneficial. |
| Beverages | Plenty of water; avoid caffeine, alcohol, and sugary drinks. | Adequate hydration remains important; low alcohol intake may be tolerated. |
| Restaurant Approach | Look for bland, very simple dishes and inform the server about sensitivities. | Greater flexibility in menu choices, but still cautious about known triggers. |
Communication is key
Don't be afraid to speak up and make your needs known. When ordering, clearly communicate your dietary restrictions to your server. Some find it effective to frame requests in terms of a food allergy to ensure the message is taken seriously by the kitchen. You are not a burden for asking how a dish is prepared or requesting modifications like leaving out certain spices or serving a sauce on the side. The restaurant's goal is for you to have a good dining experience, and most are willing to accommodate simple requests.
Conclusion
Dining out with colitis requires a proactive and thoughtful approach, but it is certainly possible to enjoy a meal out with friends and family without risking a flare-up. The most effective strategy involves planning ahead by reviewing menus online, prioritizing simple and lean options, and not hesitating to ask for special preparation to ensure your food is safe. Listening to your body, particularly by distinguishing between flare-up and remission needs, is the most powerful tool you have. By focusing on simple preparations and communicating clearly, you can enjoy a flavorful and social dining experience while keeping your gut health a top priority.
For more resources and information on managing inflammatory bowel diseases, visit the Crohn's & Colitis Foundation.