5 Daily Habits for Managing Ulcerative Colitis

5 Daily Habits to Help You Manage Ulcerative Colitis

5 Daily Habits to Help You Manage Ulcerative Colitis
Adrian Rodd/Stocksy
Although ulcerative colitis (UC) is a chronic condition, it can often be managed with medications to reduce the frequency and intensity of symptoms.

 But those medical options can usually be more effective when paired with meaningful lifestyle habits, says Rudolph Bedford, MD, a gastroenterologist at Providence Saint John's Health Center in Santa Monica, California.

"Particularly with moderate to severe UC, medications will be the foundation of treatment. But factors like stress, sleep, and diet will play a major role when it comes to daily management," he says. "In general, it's helpful to focus on strategies that make you feel more in control, because that's a big part of quality of life when you have this condition."

Here are five daily habits that can complement standard UC treatment.

An infographic from Everyday Health titled 'Daily Habits for Ulcerative Colitis.' Features five illustrated icons representing wellness practices: Journaling, Getting morning sunlight, Deep breathing, Moving more daily, and Chewing slowly; Everyday Health

Consider trying one or more of these activities daily to help you manage ulcerative colitis.

1. Get Sunlight in the Morning, and Limit Light at Night

High quality sleep is essential when you have UC, because poor sleep can contribute to inflammation. With UC, it’s crucial to avoid factors that can worsen any inflammation you may already be experiencing because of the illness.

There are a number of sleep hygiene strategies that are useful, such as waking and going to sleep at the same time each day and avoiding caffeine in the evening. Another that may be especially helpful is to focus on light exposure that will support good sleep, by getting some sunlight in the morning and avoiding too much blue light (from smartphones, TVs, and other electronics) at night, says KyoungBin Im, MD, the medical director of sleep medicine at the University of California Irvine Health in Orange.

That's because light is the primary influence on your circadian rhythm, a daily cycle that lets your body know when to get drowsy and when to wake up.

"Light exposure in the morning advances the circadian rhythm, while light exposure in the evening delays it," he says. "Sunlight provides the strongest signal and helps stabilize the rhythm, whereas indoor lighting is usually a weaker factor but can still affect timing, especially at night. Screens with bright light can suppress melatonin and delay sleep when used at night."

2. Move More Every Day

Depending on whether you're symptomatic or in an active flare, exercise may need to be tailored for your needs, says Dr. Bedford. For example, those experiencing intense symptoms like abdominal pain and diarrhea may be advised to do gentle movement rather than vigorous exercise until their symptoms subside, he says.

But generally speaking, simply adding more movement into each day can be beneficial: It helps reduce stress, boosts energy, and supports the immune system.

There are a wide range of options. Different types of exercise can bring a wealth of benefits:

  • Flexibility exercises like yoga and stretching can reduce inflammation and improve joint function.
  • Strength exercises such as squats, Pilates, or lifting weights can increase muscle capacity and help support your joints.
  • Endurance (aerobic) exercise like walking, swimming, or treadmill training has been shown to reduce inflammation in the colon.
Consider what types of activity you like to do, and start with low- to moderate-intensity workouts as a way to ease into exercise as you increase your fitness capacity.

3. Practice Deep Breathing

Deep breathing can be an effective way to reduce stress, either along with gentle movement or as its own practice, says Bedford.

That's important for UC, as anxiety, depression, and stress have been found to trigger flares and cause worsened illness.

A daily practice that includes just 5 to 10 minutes of deep breathing from the belly can have meaningful effects. One simple tactic is to count inhales and exhales: Inhale for a count of four, exhale for a count of six, and repeat that for the duration of your practice.

You can also add visualization into the mix. For example, imagine calming, healing light centered on your gut, while also relaxing the muscles in your abdomen. A visualization practice can not only reduce stress, it can also increase focus and self-confidence, and help you develop a more positive outlook.

4. Chew Slowly

What you eat will always be a factor for UC, as there are some foods that may trigger symptoms, says Ashkan Farhadi, MD, a gastroenterologist at MemorialCare Orange Coast Medical Center in Fountain Valley, California. But how you eat should be considered as well, he says.

"Making sure to chew food slowly and thoroughly is very important with UC, and it's a good habit to get into and practice every day," he says. That's because chewing breaks food down into smaller pieces, which makes it easier for the digestive tract to process. In turn, that can alleviate symptoms like gas and bloating, says Dr. Farhadi.

Minimizing distractions while eating can help with paying attention to how you chew — make sure to avoid working, watching TV, or scrolling on your phone during meals, he says. "Another advantage here is that you often end up enjoying the food more if you slow down and eat more mindfully," he says.

5. Journal About Your Day

Take about 10 to 15 minutes before bedtime to jot down thoughts about your day in a journal. This can be a helpful way to relieve stress, acknowledge any UC-related issues, and record changes in symptoms, like increased fatigue or a need for more bathroom breaks than usual.

This is also an opportunity for positive reflection, not just detailing the negative aspects of your day. For example, write about what went right, something you're proud of, or what you have gratitude for. This can create a sense of balance and may help you feel more in control of your UC management.

How to Build Habits That Stick

When adding new daily habits to your everyday routine, it's best to focus on what feels uplifting and supportive, says Farhadi. There will be some strategies that resonate with you more than others, and these can be expanded. For instance, you might extend your deep breathing time and add meditation using an app, or you could begin to try new foods and eat them very slowly to appreciate their taste and texture.

Habits are more likely to stick when they're enjoyable and easy to follow, says Farhadi. Experimenting with different things will help you find what works best for you.

Resources We Trust

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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Rabia de Latour, MD

Medical Reviewer
Rabia de Latour, MD, is a therapeutic endoscopist and gastroenterologist at NYU Grossman School of Medicine, where she serves as the director of endoscopy and chief sustainability ...
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Elizabeth Millard

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Elizabeth Millard is a Minnesota-based freelance health writer. Her work has appeared in national outlets and medical institutions including Time, Women‘s Health, Self, Runner‘s Wo...