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How specific foods might cause Crohn’s disease is not clear. Dr Hunter believes that an abnormal population of bacteria in the gut might be the problem, as in IBS . The discovery that bacterial peptides attract immune cells into the gut (described above) could fit in quite well with this explanation, and Dr Hunter suspects that enzyme deficiencies might play a part. It certainly looks as if several different factors could be at work in producing this puzzling disease.
Given that corticosteroids have some side-effects, including making the patient more susceptible to infections, an alternative non-drug treatment with a good success rate should seem very attractive. At present, however, elimination diets are not widely used for Crohn’s disease, and the serious nature of this illness makes it unsuitable for self-help treatment. If you have Crohn’s disease, you should not consider trying an elimination diet without full medical supervision.