The Hard Truth About Crohn’s & Ulcerative Colitis Medications – And What Your Doctor Won’t Tell You

If you’re struggling with Crohn’s or Ulcerative Colitis, I see you. I know the pain, the frustration, and the exhaustion that comes with these conditions. The endless bathroom trips, the unpredictability of flares, the embarrassment of having to cancel plans last minute – it can feel like your body has turned against you. It’s not just about the physical discomfort; it’s the emotional toll, the anxiety over meals, and the exhaustion from trying to function normally when your body is anything but cooperative.

And if you’re on medications like Xeljanz, Rinvoq, Humira, or Enbrel, I get that too. You just want relief. You want to live a normal life, eat a meal without fear, and not constantly worry about where the nearest bathroom is. Doctors prescribe these meds like they’re the only way to manage symptoms, but they often don’t tell you the full picture of what these drugs do to your body. They focus on symptom management, but what about true healing?

What You Need to Know About These Medications

Most of these drugs are immunosuppressants, meaning they work by shutting down parts of your immune system to reduce inflammation. Sounds good, right? Except that your immune system is there for a reason. By suppressing it, you’re making yourself more vulnerable to infections, viruses, and even long-term complications like cancer. The trade-off is often far greater than what most people realize.

Here are some potential risks:

• Increased risk of infections – Since these drugs weaken your immune system, even a common cold can turn into something serious. Everyday illnesses that wouldn’t normally slow you down can become a big deal.
• Higher cancer risk – Studies have linked long-term use of immunosuppressants with an increased risk of lymphoma and skin cancer. The idea that the very medication meant to help you could put you at risk for something as serious as cancer is unsettling.
• Severe side effects – Think blood clots, liver problems, and even worsening autoimmune responses over time. These aren’t just minor inconveniences; they can be life-altering.
• They don’t actually fix the problem – These meds are designed to manage symptoms, not heal your gut. That means you could be on them indefinitely, while your body continues to struggle at the root level. It’s like constantly mopping up a leak instead of fixing the broken pipe.

The Missing Piece: Diet & Lifestyle Matter More Than You Think

I know meal planning and prepping can feel overwhelming, especially when you’re already dealing with fatigue and pain. But I also know that small, intentional changes can do what these meds never will – help your body heal. You don’t have to overhaul your life overnight, but every small change adds up to real progress.

What Can You Do Instead?

1. Eliminating Trigger Foods – Gluten, dairy, processed sugars, and seed oils can be inflammatory for many people with IBD. Keeping a food journal can help you identify what’s causing flares.
2. Nourishing Your Gut – Bone broth, properly prepared meats, and easy-to-digest veggies can help restore your gut lining. Healing your gut isn’t just about removing triggers; it’s also about providing the right nutrients to rebuild and strengthen your digestive system.
3. Managing Stress – Stress is a massive trigger for flares. Incorporating deep breathing, movement, and good sleep hygiene can make a world of difference. Chronic stress can actually alter your gut microbiome, making your symptoms worse.
4. Hydration and Digestion – Drinking enough water (but not chugging it during meals) helps with digestion. Adding lemon or apple cider vinegar to your water can give your digestive system an extra boost.
5. Supporting Your Nervous System – Your gut and brain are connected. Stimulating the vagus nerve through practices like deep breathing, singing, or even gargling can help regulate digestion and reduce inflammation.

What Doctors Don’t Always Tell You About Healing

Doctors are great at managing acute crises, but they’re not always trained in nutrition and holistic healing. Many patients find themselves frustrated because their doctors dismiss diet and lifestyle changes as ineffective. But emerging research shows just how powerful these changes can be.

• The gut microbiome plays a key role – Your digestive system is home to trillions of bacteria, and when those bacteria are out of balance, your symptoms worsen. Medications don’t fix gut dysbiosis; targeted diet and lifestyle changes do.
• Food sensitivities aren’t just in your head – Many people with IBD feel brushed off when they mention that certain foods trigger symptoms. The reality is, what you eat does matter, and eliminating irritants can make a huge difference.
• Inflammation isn’t just about your gut – Chronic inflammation affects your entire body, leading to fatigue, joint pain, skin issues, and even mental health struggles. Addressing gut health can improve your overall well-being.

Take Back Control of Your Health

You don’t have to settle for a life dependent on medications with scary side effects. Your body isn’t broken – it’s asking for the right support. By making changes to your diet and lifestyle, you can give it what it actually needs to thrive. And you don’t have to do it alone.

If the idea of making changes feels overwhelming, start small. Swap one processed food for a whole food option. Add in one gut-supporting habit, like drinking bone broth or practicing deep breathing. Small steps lead to big results.

I know it’s hard. I know it feels overwhelming. But you are not alone, and you can take back control of your health.

Ready to Get Started?

If you're tired of relying on medications and ready to explore a natural approach to healing your gut, download my free Daily Gut Reset Checklist! It’s packed with simple daily habits to help you reduce bloating, improve digestion, and support your overall health. Click here to grab your copy now!