Eating to Control Ulcerative Colitis Bowel Urgency: Foods, Timing, and Habits That Can Help

If you live with ulcerative colitis (UC), you probably know what it’s like to suddenly need to run to the bathroom ASAP. Sometimes, adjusting what and how you eat can help you avoid such situations.
If you and your care team decide that dietary shifts are worth exploring, these expert-recommended changes could make a difference.
Top Foods for Bowel Urgency Control
- Avocado
- Bananas
- Beans and other legumes
- Berries
- Carrots, cooked until soft
- Chia seeds
- Oatmeal
- Psyllium
- Winter squash, peeled and cooked until soft
- Zucchini, peeled and cooked until soft
- Green bananas
- Beans and legumes, especially lima beans, kidney beans, black beans, and lentils
- Cooked and cooled potatoes (without skin)
- Cooked and cooled white pasta and white rice
- Sourdough bread
How to Time Eating for Bowel Urgency Control
Being strategic about the timing and size of your meals is another tool that can help keep sudden bathroom urges in check. You can:
- Have bowel urgency-controlling foods at breakfast. “Front-loading your day with foods that can reduce urgency is helpful,” Hurst says. Try having oatmeal, a smoothie with banana and berries, or mashed avocado on sourdough toast in the morning, for instance.
- Eat smaller, more frequent meals. Think five or six mini meals rather than three large ones. Smaller amounts of food are less likely to trigger your gastrocolic reflex, the reflex that signals the nerve endings in your GI tract to have a bowel movement, Dr. Goyal says.
- Be mindful of when you have caffeine. Caffeine can make you have to go to the bathroom — sometimes suddenly — especially when it’s paired with food. (Even decaffeinated coffee can have an effect on bowels, so stick with beverages that are naturally caffeine-free.)
- Try taking psyllium at night. Psyllium husk is a natural soluble fiber supplement that may help control your bowel movements. If your urgency is the most intense in the morning, taking psyllium husk fiber at night, especially if you’re also well-hydrated, may help reduce morning urgency by resulting in a more complete bowel movement, Collins says.
Other Helpful Habits for Bowel Urgency Control
- Alcohol
- Caffeine
- Dairy foods like milk, cheese, or ice cream
- Rich or spicy meals
- Sugar alcohols like xylitol, sorbitol, or mannitol, which are commonly found in sugarless gum, candy, and drinks
- Soda, fruit juice, or other sugary drinks
In that case, your doctor may recommend adjusting your UC treatment plan to improve your symptoms and reduce your risk for long-term complications. If your bowel urgency is accompanied by blood in the stool, fever, significant weight loss, dehydration, or symptoms that are prominent at night, seek immediate medical attention.
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- Hanes D et al. The Gastrointestinal and Microbiome Impact of a Resistant Starch Blend from Potato, Banana, and Apple Fibers: A Randomized Clinical Trial Using Smart Caps. Frontiers in Nutrition. September 29, 2022.
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- Wolf DC et al. Change in Urgency Status Among Ulcerative Colitis Patients: Understanding a Potential Unmet Patient Need From the CorEvitas Inflammatory Bowel Disease Registry. Gastro Hep Advances. 2023.

Amber Charoen, MD
Medical Reviewer
Amber Charoen, MD, is a triple board-certified gastroenterologist at Prosser Memorial Health in Prosser, Washington, where she provides comprehensive gastrointestinal (GI) care in ...

Marygrace Taylor
Author
Marygrace Taylor is an award-winning freelance health and wellness writer with more than 15 years of experience covering topics including women’s health, nutrition, chronic conditi...