Digestive Health Inflammatory Bowel Disease Nutrition IBD and Loss of Appetite By Amber J. Tresca Amber J. Tresca Facebook LinkedIn Twitter Amber J. Tresca is a freelance writer and speaker who covers digestive conditions, including IBD. She was diagnosed with ulcerative colitis at age 16. Learn about our editorial process Medically reviewed by Priyanka Chugh, MD Medically reviewed by Priyanka Chugh, MD on October 25, 2020 LinkedIn Priyanka Chugh, MD, is board-certified gastroenterologist with a background in internal medicine. She practices with Trinity Health of New England in Waterbury, Connecticut. Learn about our Medical Review Board on October 25, 2020 Print One of the common signs of inflammatory bowel disease (IBD) is a lack of appetite. In the United States, we have an obesity epidemic, and a loss of appetite might seem desirable at times. It's true that eating too much or eating unhealthy foods can lead to difficulty, but eating too little is also a problem. Image Source / Getty Images A chronic illness, especially one that causes inflammation, may actually lead to an increased need for calories to fight the disease, rather than fewer calories. That means that people with IBD may need to eat more food in a flare-up, even though the trend is often to eat less. A lack of appetite can be a major obstacle to wellness, especially in people with IBD, who often have a difficult relationship with food. Not feeling like eating is common, but there are a variety of ways to stimulate your appetite and get more calories in your body. Why IBD Causes A Lack of Appetite There are several reasons why people with Crohn's disease and ulcerative colitis experience a decrease in appetite. One main problem is that eating is often associated with symptoms such as nausea, pain, bloating, and diarrhea. Another reason is that symptoms of nausea and diarrhea tend to make people feel less like eating. Complications from IBD, such as mouth ulcers, can also prevent people with IBD from eating certain types of foods. Fatigue can also be a factor — if you're tired, you're less likely to prepare and consume healthy meals. Problems Caused by a Lack of Appetite If eating causes pain or bloating and there is a general lack of appetite, people with IBD may not eat enough calories during the day. Not eating enough calories to sustain a healthy weight can result in weight loss and a lack of nutrients. Some people with chronic digestive diseases like IBD may need to take in more calories from food, and more nutrients in order to combat the lack of vitamins and minerals being taken up by the small intestine. Dealing With a Loss of Appetite Of course, the first step in treating a lack of appetite is to consult your healthcare team. Your gastroenterologist or internist can help you treat the IBD. Treating a flare-up of IBD will help increase appetite by relieving any negative symptoms that are associated with eating, as well as help you to feel better overall. A dietitian can also help in making sure that you are eating the foods that will provide you with the nutrients you need. There are many factors that go into an eating plan, including age, weight, other diseases and conditions, and activity level. Eating when you're in a flare-up might feel like a scattershot — you might only be eating the foods that you feel you can tolerate. A dietitian can evaluate your diet and help tweak it so that it's the best it can be, considering any dietary restrictions. Other Tips That May Help While your healthcare team is working to get the flare-up under control, and you're learning how to eat more healthfully, you can also try these other tips that might increase your appetite. Eating smaller meals is a good idea — whether or not IBD is flaring. Eating small meals has many benefits, including keeping your blood glucose level constant throughout the day, which in turn keeps your energy level up. Eating a smaller meal also means that you are not eating a larger, heavier meal. A larger meal is going to be more likely to lead to symptoms such as abdominal bloating, which is not desirable at any time, least of all during an IBD flare-up.Eating foods you enjoy can help in taking in more calories. Food should be healthful and nutritious, but it should also be something that you actually want to eat. Try incorporating your favorite foods, as long as you can tolerate them.While you need to drink plenty of fluids during the day, drinking can also make you feel full. If you find that you're feeling full from drinking, you might try eating first, and then taking in your fluids. Drinks can also include calories, and in some cases, adding drinks with calories to your diet may be helpful (check with your doctor). A Word From Verywell It's important to take in enough calories to keep the body nourished. Going for weeks or months eating little food or food devoid of nutrients can leave a body malnourished. Food and eating should be a pleasant experience, so taking any steps you can to make mealtime stress-free and enjoyable is important. Was this page helpful? Thanks for your feedback! We're providing tips on how to take better care of your gut. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Prince A, Whelan K, Moosa A, Lomer MC, Reidlinger DP. Nutritional problems in inflammatory bowel disease: the patient perspective. J Crohns Colitis. 2011;5(5):443–450. doi:10.1016/j.crohns.2011.04.016 Lomer MC. Dietary and nutritional considerations for inflammatory bowel disease. Proc Nutr Soc. 2011;70(3):329–335. doi:10.1017/S0029665111000097 Farrell D, McCarthy G, Savage E. Self-reported Symptom Burden in Individuals with Inflammatory Bowel Disease. J Crohns Colitis. 2016;10(3):315–322. doi:10.1093/ecco-jcc/jjv218 Donnellan CF, Yann LH, Lal S. Nutritional management of Crohn's disease. Therap Adv Gastroenterol. 2013;6(3):231–242. doi:10.1177/1756283X13477715 Deboer MD. Use of ghrelin as a treatment for inflammatory bowel disease: mechanistic considerations. Int J Pept. 2011;2011:189242. doi:10.1155/2011/189242 Wędrychowicz A, Zając A, Tomasik P. Advances in nutritional therapy in inflammatory bowel diseases: Review. World J Gastroenterol. 2016;22(3):1045–1066. doi:10.3748/wjg.v22.i3.1045 Smith MA, Smith T, Trebble TM. Nutritional management of adults with inflammatory bowel disease: practical lessons from the available evidence. Frontline Gastroenterol. 2012;3(3):172–179. doi:10.1136/flgastro-2011-100032 Chuong KH, Haw J, Stintzi A, Mack DR, O'Doherty KC. Dietary strategies and food practices of pediatric patients, and their parents, living with inflammatory bowel disease: a qualitative interview study. Int J Qual Stud Health Well-being. 2019;14(1):1648945. doi:10.1080/17482631.2019.1648945 Haskey N, Gibson DL. An Examination of Diet for the Maintenance of Remission in Inflammatory Bowel Disease. Nutrients. 2017;9(3):259. Published 2017 Mar 10. doi:10.3390/nu9030259 Keshteli AH, Madsen KL, Dieleman LA. Diet in the Pathogenesis and Management of Ulcerative Colitis; A Review of Randomized Controlled Dietary Interventions. Nutrients. 2019;11(7):1498. Published 2019 Jun 30. doi:10.3390/nu11071498 Additional Reading Lomer MC. "Dietary and nutritional considerations for inflammatory bowel disease." Proc Nutr Soc 2011 Aug;70:329-335. Prince A, Whelan K, Moosa A, Lomer MC, Reidlinger DP. "Nutritional problems in inflammatory bowel disease: the patient perspective." J Crohns Colitis 2011 Oct;5:443-450. Sasaki M, Johtatsu T, Kurihara M, et al. "Energy Expenditure in Japanese Patients with Severe or Moderate Ulcerative Colitis." J Clin Biochem Nutr 2010 July; 47: 32–36.