Grains include wheat, rice, oats, cornmeal, barley and others. These grains are used to make products such as bread, pasta, oatmeal and breakfast cereal. In their natural form, grains have three components: bran, germ and endosperm. Whole grain products contain all three.
Refined grains have been milled to remove the bran and germ, and they have a finer texture. Grains are important sources of fiber, B vitamins and minerals (such as iron, magnesium and selenium). Nutritionists often recommend eating whole grain products because the process of refining grains removes some of the iron and B vitamins. But this is not always advisable
for people with Inflammatory Bowel Disease because the insoluble fiber in the bran and germ may be irritating, especially during a flare. (5)
During a disease flare, foods containing refined grains are generally easier to digest. Most refined grain products are enriched with B vitamins and iron, so you won’t be missing these nutrients. Avoid bread and other grain products that contain seeds and nuts. Potato bread, French bread and sourdough are all good choices. If you reduce your fiber intake during a flare, slowly increase the amount you consume when you are feeling better. Start by adding only a few grams per week. (6)
