I No Longer Dread Summer with IBD — Here’s Why

Summer temperatures can cause inflammatory bowel disease to flare. A bit of preparation can help you to still enjoy those long, languid days.

As excited as I am for the sunny, lazy days of summer, I also know that the rising temperatures could worsen my ulcerative colitis (UC), a form of inflammatory bowel disease (IBD).

Over the years, I’ve battled uncomfortable symptoms such as dehydration, diarrhea, and stomach pain due to the summer heat. A few years ago, I found myself dreading the hotter weather and wondering if I would ever enjoy summer activities again.

However, since then, I’ve learned a lot about why my disease flares up during the summer, and I’ve become determined not to let the change of seasons affect my physical or mental health. The key is sticking to healthy habits to help keep my gut calm during the warm weather months.

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Mind the heat

Research dating back to 2013 suggested that heat waves could trigger a flare of IBD symptoms, and lead to greater numbers of IBD-related hospitalizations.

More recently, researchers have found that extreme temperatures — both hot and cold — can exacerbate IBD. Experts speculate that seasonal differences in bacterial growth in the intestines may play a role.

Knowing that heat can put a strain on my health, I take steps to minimize my time outside in the hot air. I take my daily walk either early in the morning or in the evening when temperatures aren’t at their highest. I also make sure I spend at least a few hours each day inside a place with air conditioning.

One of my favorite things to do to beat the heat on a steamy day is to go to the movies!

If your IBD makes you sensitive to the heat, you don’t need to make major changes to your routine or activities. Just being mindful of your exposure to the heat, especially during unusually hot days, can make a difference.

If you enjoy gardening, maybe consider making that your morning activity and taking some time to cool off indoors during the afternoon.

Minimize sun exposure

Temperatures can be even higher in the direct sun, so I always choose the shade. If I’m spending a day at the beach, I’m always under an umbrella, and if I’m at my daughter’s softball game, I find a tree or other shady area to watch from.

When my body is cooler, I feel better. I have fewer stomach cramps and loose, watery stools. Overall, my body, especially my digestive system, feels calmer. So, this simple choice to stay out of the sun is well worth the relief I get.

Keep drinking

I’ve also learned that it’s important to stay hydrated during the summer months.

My doctor always reminds me that I’m more prone to dehydration on hotter days, especially if I’m sweating, so I make sure I drink plenty of water. I also like sports drinks, especially if I’m having any diarrhea, to help replace electrolytes.

Research has suggested that potassium reduces the risk of developing IBD. Much more limited research suggests potassium may also help calm inflammation in the colon in people with UC.

Orange juice and grapefruit juice are two of my favorite beverages that are high in potassium. Coconut water and pineapple juice are also great potassium-rich choices. I drink these on a regular basis during the summer to help me stay hydrated and boost my potassium intake.

Swap out trigger foods

Summer is a time for barbecues and outdoor get-togethers, and sometimes it can be challenging to enjoy them without risking a flare. This is where it’s important to know your own body well. I’ve learned which foods give me trouble, and I limit them or avoid them altogether.

Certain foods popular at summer gatherings are strict no-nos for me, like corn, chips, and sugary sauces and dressings. I also choose leaner meats, like chicken or salmon, rather than a burger or steak. If I’m not sure if there will be safe options for me, I bring my own snacks and appetizers.

I constantly remind myself that my condition is not a reason to miss out on these fun events. It just takes some preparation and a few simple swaps and substitutions to enjoy seasonal cookouts safely.

Think ahead for travel

Summer travel brings on additional challenges and concerns for those of us with IBD.

When I’m away from home, I worry about not feeling well or not being able to find a bathroom. But I’ve learned some strategies that alleviate my anxiety and help me have a fun and healthy trip.

This August, I’ll be traveling to London for 2 weeks to visit my daughter, who’s studying abroad there. To ensure I’m prepared for a safe travel experience, I’ll speak with my doctor about obtaining prescriptions for larger quantities than usual of my medications so I don’t run out while I’m there.

I’ll also make sure to pack my emergency supplies, which include extra clothes and underwear, toilet paper and wipes, safe snacks, and over-the-counter medications, such as acetaminophen (Tylenol) for pain and loperamide (Imodium) for diarrhea.

When traveling in the summer, I consider the weather and time of day for tours and excursions. A walking tour is most comfortable in the early morning hours before the sun is too strong. During the hottest point of the day, I prefer to be indoors in a museum or on an air-conditioned bus tour.

The takeaway

Summer has always been my favorite time of the year. I look forward to the break from school routines, longer days, vacations, pool parties, and beach days.

And I won’t let my UC interfere with my enjoyment of the summer months. When temperatures rise, I take control by making choices and minor adjustments that suit my health and let me make the most of the leisurely days of summer.