IBD: addressing the root causes of inflammation and gut dysfunction

Living with IBD can be unpredictable, affecting digestion, energy, and overall well-being. The functional medicine approach goes beyond symptom management to achieve long-term relief and control of your health.

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Natural treatment for IBD

Looking to find out about IBD natural treatment options? This page covers:

At Melbourne Functional Medicine, our practitioners will provide a personalised natural IBD treatment that supports you holistically, so you can feel happy in your body again.

What is inflammatory bowel disease?

Understanding your condition

IBD is a broad term describing a painful, chronic inflammation of the bowels, usually relapsing in nature. As an autoimmune condition, it is the body’s own reaction to the lining of the intestinal tract, and an altered composition of gut microbiome species which create this inflammatory response.

The two most common presentations of IBD are Crohn’s disease and ulcerative colitis. While ulcerative colitis is restricted to the colon and rectum, Crohn’s can occur anywhere in the gastrointestinal tract, and primarily occurs in the ileum. Furthermore, ulcerative colitis is limited to the mucosa and submucosa, whereas Crohn’s disease extends into all three mucosal layers.

middle aged woman with stomach discomfort sitting bent over folded arms across stomach
middle aged woman with stomach discomfort sitting bent over folded arms across stomach

What is inflammatory bowel disease?

Understanding your condition

IBD is a broad term describing a painful, chronic inflammation of the bowels, usually relapsing in nature. As an autoimmune condition, it is the body’s own reaction to the lining of the intestinal tract, and an altered composition of gut microbiome species which create this inflammatory response.

The two most common presentations of IBD are Crohn’s disease and ulcerative colitis. While ulcerative colitis is restricted to the colon and rectum, Crohn’s can occur anywhere in the gastrointestinal tract, and primarily occurs in the ileum. Furthermore, ulcerative colitis is limited to the mucosa and submucosa, whereas Crohn’s disease extends into all three mucosal layers.

melbourne functional medicine clinic manager holding gi map dna stool analysis test kit

Providing a holistic treatment for IBD

Whilst primarily autoimmune gut conditions, many factors outside the gut contribute to the inflammation, severity and triggers which can be addressed using the functional medicine approach. Our practitioners have a holistic understanding of health and the body, and will seek to detect and address your particular triggers and underlying causes contributing to IBD. A functional medicine approach to Crohn’s disease and ulcerative colitis includes a truly personalised treatment plan designed to help you be as healthy as you can be.

IBD symptoms

Ulcerative colitis and Crohn’s disease are both forms of IBD, however their symptoms whilst similar, are distinct from one another by their location and timing. Distinguishing between these conditions requires detailed case taking and functional testing and will direct the treatment strategy.

 

Ulcerative colitis

Ulcerative colitis usually presents as continuous areas of inflammation of the lining of the colon. The signs and symptoms of ulcerative colitis occur due to the colon’s inability to absorb water due to being severely ulcerated and inflamed. Relapsing, and episodic in nature, symptoms persist for days, weeks, or even months. People with ulcerative colitis commonly experience:

  • Lower abdominal pain
  • Cramps – usually relieved with defecation
  • Diarrhoea
  • Blood tinged stool
  • Stringy mucoid material
  • Both urgency and inability to pass stool
  • Weight loss due to decreased appetite
  • Fatigue
  • Fever
  • Joint pain

Ulcerative colitis may also lead to some systemic health complications including:

  • Sores in the mouth and skin
  • Osteoporosis
  • Painful and swollen joints
  • Kidney stones
  • Itchy and red eyes

 

Crohn’s disease

By comparison, Crohn’s disease presents as inflamed patches between healthy sections of intestine. People with Crohn’s disease may experience variable signs and symptoms with intermittent attacks and asymptomatic periods lasting weeks to months. Common symptoms can include:

  • Right lower abdominal pain
  • Fever
  • Bloody diarrhoea
  • Weight loss
  • Mucous in stool

While more severe indications are:

  • Intestinal obstruction
  • Fibrosing strictures
  • Peritoneal abscess
  • Perforations
  • Fistula
  • Colon cancer

Reduce your autoimmune risk, naturally

IBD root causes and contributing factors

Primarily inflammatory bowel diseases are considered idiopathic inflammatory conditions, meaning there are no specific identified causes. However, links have been drawn with some common underlying factors:

Environmental triggers: IBD has multiple triggers that may cause inflammation and alter the gut’s normal flora, causing it to flare. Some known triggers include:

  • Smoking
  • Inflammatory diet – sugar, gluten, dairy and processed foods
  • Air pollution
  • Stress and anxiety
  • Medications  like NSAIDs, antibiotics, and reflux medications
  • Oral contraceptive pill
  • Postmenopausal hormonal therapy
  • Hypoxia at high altitude
  • Not being breastfed during infancy

Genetics: Evidence suggests an increased risk of IBD among people with an affected family member by 4 to 8 times, even higher in identical twins.

Epithelial defects: The symptoms of IBD are seen as a result of multiple defects in linings of vessels, organs, and digestive system, called epithelial cells. The most dominating feature is dysfunction of the tight junction barriers or ‘leaky gut syndrome’, resulting in increasing susceptibility to IBD triggers and food intolerances.

 

Other contributing factors to IBD

Mucosal immune response: The immune system’s role in increasing the chances of IBD is well known. The T helper cells, typically Th17  cells, play an active role in Crohn’s disease.

Parasitic or bacterial infections: Bacteria and yeast can flourish in the deep ulcers and pockets that occur in IBD. These infections, such as SIBO, along with parasitic infestations, may drive and aggravate IBD.

IBD treatment – conventional treatments

Currently, no conventional treatments can completely cure IBD. Instead, the conventional medicine approach to IBD aims to manage the condition and suppress symptoms. This may include the use of:

  • Immunomodulators – to prevent the immune system from activating and flaring up the reaction
  • Corticosteroids – to reduce inflammation by suppressing the immune system.
  • Aminosalicylates – to reduce intestinal irritation
  • Antibiotics – to treat bacterial overgrowth

Despite this range of options there are potentially harmful side effects such as blood, bone, liver, and kidney dysfunction and malignant melanoma. Conventional methods of treating IBD have a high failure rate resulting in increased incidence and severity of disease with long-term complications.

As a result, many people are now turning to a functional medicine approach to IBD for lasting relief.

Left untreated/ineffectively treated, Crohn’s disease can lead to further complications outside the gut including:

  • Malnutrition/poor absorption: Iron, Vitamin A, B12 and folate deficiencies
  • Bones & Joints: Osteoporosis, osteomalacia and osteopenia, arthritis
  • Eyes: Dry eyes, episcleritis, keratopathy, uveitis
  • Kidneys: Kidney stones, glomerulonephritis
  • Liver: Fatty liver disease, hepatitis, gallstones
  • Skin: a range of seemingly unrelated skin conditions

Functional testing considerations for IBD

In an IBD alternative treatment strategy there are a range of functional tests that will help identify the root causes and triggers of your symptoms, they may include:

 

IBD natural treatment – the functional medicine approach to Crohn’s disease & ulcerative colitis

At Melbourne Functional Medicine, practitioners focus on identifying and addressing the individual factors contributing to each person’s inflammatory bowel disease diagnosis. An IBD natural treatment is tailored to the person, rather than the symptoms, and is informed by the latest science.

In clinical trials, herbal medicines and natural products used in an IBD natural treatment approach to Crohn’s disease and ulcerative colitis demonstrated efficacy in improving symptoms and health outcomes by;

  • Maintenance of the integrity of the intestinal lining
  • Regulation of the innate immune system
  • Modulation of innate and adaptive immune responses, and
  • Inhibition of TNF-α activity, a protein that triggers inflammation

Our practitioners achieve these results with a combination of lifestyle changes, dietary modifications (including removing aggravating foods and increasing beneficial nutrients), gut health support, natural anti-inflammatories and herbal medicines. Just some of the proven natural remedies for ulcerative colitis and Crohn’s disease include:

  • Curcumin: This potent extract of turmeric is known for its anti-inflammatory properties, with studies demonstrating it as a safe and effective therapy for maintaining remission of ulcerative colitis
  • Saffron: Saffron has been found to reduce the severity of ulcerative colitis and reduce inflammation by reducing pro-inflammatory cytokines, helping to prevent recurrence
  • Probiotics: Reduced microbial diversity is associated with increased rates of IBD. Probiotics, specifically Bifidobacterium spp., have consequently shown to be beneficial in reducing symptoms of IBD by restoring a healthy microbiome
  • Boswellia serrata: A potent anti-inflammatory found to restore gastrointestinal linings and improve immune response
  • Vagus nerve stimulation: Low vagal tone has a pro-inflammatory role in disease development, and studies have shown that stimulation of the vagus nerve can improve active Crohn’s disease
  • CBD & medicinal cannabis: The antioxidant and anti-inflammatory benefits of medicinal cannabis are increasingly used in the treatment of ulcerative colitis and Crohn’s disease (available only via prescription from registered medical practitioners; speak with your GP for guidance on access)
  • Eliminating processed foods/inflammatory bowel disease diet: Diets containing processed foods, including soft drinks, refined sweetened foods, salty snacks and processed meats, are associated with higher rates of IBD.  An IBD natural treatment diet is high in anti-inflammatory foods, vitamins, minerals and nutrients for restoration of healthy linings, has been shown to improve the onset and severity of symptoms of inflammatory bowel disease
  • Mindfulness and healthy lifestyle changes: IBD can be triggered or aggravated by inflammation associated with obesity, high stress levels, lack of sleep, and lifestyle choices. Mindfulness practices and healthy lifestyle changes can support both physical and psychological wellbeing in people with IBD, including yoga, breathing, movement and meditation

Together with our functional medicine practitioners, our health coaches will help provide the support you need to be successful in achieving your health goals.

woman sitting on sofa holding mobile phone smiling looking out the window
(Suzannah is a real patient but we’ve changed her name and image to protect her privacy.)

Case study

See how our approach helps our patients achieve better health and richer lives.

Suzannah’s health journey began early in life, having been diagnosed with Crohn’s disease at just 10 years old. Over the years, she endured multiple intestinal obstructions and, in 2021, underwent major surgery to remove her large bowel. While the surgery addressed structural complications, it marked the beginning of a new chapter filled with persistent fatigue, chronic sinus issues, and cognitive symptoms such as brain fog.

Read Suzannah’s story by hitting the button below.

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Frequently

Asked

Questions

What is the difference between IBD and IBS?

Inflammatory bowel disease (IBD) is an autoimmune condition that causes ongoing inflammation in the gastrointestinal tract, often leading to damage to the gut lining. The two main types of IBD are Crohn’s disease and ulcerative colitis.

In contrast, irritable bowel syndrome (IBS) is a functional gut disorder, where symptoms such as bloating, abdominal pain, diarrhoea, or constipation occur due to imbalances in the microbiome, diet, or stress – but without structural damage or inflammation.

Our functional medicine practitioners use advanced testing to help determine whether your symptoms are due to IBD or IBS, and then create a personalised natural treatment plan to support your gut health and overall wellbeing.

How does functional medicine treat inflammatory bowel disease?

Functional medicine uses natural treatment strategies to address both Crohn’s disease and ulcerative colitis. The approach is highly personalised, aiming to uncover and treat the underlying causes of your IBD.

Treatment may include:

  • Reducing exposure to triggers such as food intolerances, stress, or environmental toxins
  • Lowering inflammation throughout the body
  • Supporting immune regulation to reduce flare-ups
  • Restoring gut health with a nutrient-dense IBD diet, probiotics, prebiotics, and herbal medicines
  • Improving microbiome diversity for long-term resilience

By tailoring strategies to your unique health picture, functional medicine aims to relieve symptoms, prevent flare-ups, and support overall wellbeing.

What is the difference between ulcerative colitis and Crohn’s disease?

Both Crohn’s disease and ulcerative colitis are forms of IBD, but they affect the gut differently.

  • Crohn’s disease can affect any part of the digestive tract from the mouth to the anus and may involve the full thickness of the intestinal wall
  • Ulcerative colitis is usually limited to the large intestine and rectum, affecting only the mucosal lining of the bowel

While both conditions share symptoms such as abdominal pain, diarrhoea, and fatigue, their location and depth of inflammation are what set them apart. A functional medicine approach tailors treatment to your unique root causes and symptom picture to help reduce flare-ups and support gut healing.

Is Crohn’s disease hereditary?

Yes, Crohn’s disease can run in families, and having a close relative with Crohn’s increases your risk. However, genes are only part of the picture. Environmental factors such as smoking, pesticide exposure, and plasticisers may damage the gut lining and trigger the immune response involved in Crohn’s.

Some medications, including the oral contraceptive pill and certain reflux medicines (such as Nexium or Somac), have also been linked to an increased risk. Because Crohn’s develops through a combination of genetics and environment, working with a functional medicine practitioner can help identify and reduce your personal risk factors.

Can I treat Crohn’s disease naturally?

Yes, Crohn’s disease can be supported with natural approaches that aim to reduce inflammation, strengthen the gut lining, and restore immune balance. A functional medicine practitioner will consider your unique health history and design a personalised plan that may include:

  • Dietary changes, such as an anti-inflammatory or inflammatory bowel disease (IBD) diet
  • Lifestyle adjustments to reduce stress and support healing
  • Targeted probiotics and nutritional supplements to improve gut health and reduce flare-ups

By addressing root causes and supporting whole-body health, natural Crohn’s disease treatment can help improve quality of life and reduce reliance on medication.

What foods should I avoid with IBD?

Diet plays a major role in managing inflammatory bowel disease.

Foods that commonly trigger flare-ups include processed foods, refined sugar, alcohol, caffeine, and inflammatory oils (like canola or soybean oil). Some people are also sensitive to gluten or dairy.

A functional medicine practitioner can help you identify your personal food triggers and design a nutrient-dense diet that supports gut healing and reduces inflammation.

Can stress make IBD worse?

Yes, stress can worsen IBD by disrupting the gut-brain axis, altering the microbiome, and increasing inflammation. While stress is not the root cause of IBD, it can trigger or intensify symptoms.

Functional medicine treatment often includes stress management strategies such as mindfulness, sleep optimisation, and gentle exercise to reduce flare frequency and improve overall wellbeing.

Can’t find what you’re looking for? Reach out to the team directly – we’ll be happy to assist.