General measures
- Nicotine restriction (refraining from tobacco use); reduces the risk of relapse (risk of recurrence) by approximately 50% – participation in a smoking cessation program, if necessary.
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
- Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for the underweight.
- BMI ≥ 25 → participation in a medically supervised weight loss program.
- Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
- Avoidance of psychosocial stress:
- Conflict situations
- Stress – can lead to the occurrence of new relapses
Vaccinations
The following vaccinations are advised:
- Pneumococcal vaccination
- Flu vaccination
Important note: Patients with inflammatory bowel disease (IBD), who receive therapy with immunosuppressants, respond significantly worse to routine vaccinations. Therefore, vaccination titers should be checked regularly after vaccination.
Regular checkups
- Regular medical checkups
Nutritional medicine
- Nutritional counseling based on nutritional analysis for prevention and therapy of malnutrition or undernutrition.
- Especially in sick children, malnutrition is a major problem. Thus, as a result, the physical development, length growth as well as bone quality may be impaired.
- In adults, the risk of further complications increases. In addition, they respond worse to therapy due to malnutrition / malnutrition.
- Dietary recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- Observance of the following specific dietary recommendations:
- In the acute episode: Schonkost – By a Schonkost can relieve the gastrointestinal tract in the acute episode. However, should be started as soon as possible with the diet build-up, since a Schonkost in terms of calories and nutrients is not demand-covering.
- In the remission phase: replenish nutrient stores and aim for normal weight.
- High protein diet – meat, milk, soy and soy products, legumes, potatoes, egg.
- Diet rich in fiber (especially soluble fiber: psyllium (psyllium), pectins (a component of most fruits), vegetable gums (eg, gum arabic)).
- Diet rich in:
- Vitamins (A, D, E, K, vitamin B complex).
- Minerals (magnesium)
- Trace elements (iron, selenium, zinc)
- Omega-3 fatty acids (marine fish) – anti-inflammatory (anti-inflammatory) effect.
- Secondary plant compounds (eg beta-carotene).
- Probiotic food (if necessary, dietary supplements with probiotic cultures).
- Selection of appropriate food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – Taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance training (cardio training) and strength training (muscle training).
- Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine are available from us.
Psychotherapy
- Stress management, if necessary
- Detailed information on psychosomatics (including stress management) can be obtained from us.
Complementary treatment methods
- Acupuncture
- Moxibustion (heating of specific points of the body).
- Yoga
