5 to Try and How to Prepare Them

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Even when summer fades, it’s still possible to enjoy fruits’ flavor and nutrients, because several are still in season as the weather starts changing. When you have an inflammatory bowel disease (IBD), such as Crohn’s disease or ulcerative colitis (UC), though, you may need to modify how you prepare fruits to make them more digestible, and fall selections are no different.

“Although fruit is considered healthy on its own, raw fruit can increase the risk of gastrointestinal distress for those with IBD,” says Adiana Castro, RDN, a registered dietitian specializing in gut health who owns Compass Nutrition in New York City.

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“Because of that, preparation is key, particularly peeling the fruit and then cooking, since that can break down the fiber and make that food easier to digest.”

Using this method, you can enjoy fall fruits with a lower risk of experiencing symptoms. Here are five to consider, along with ideas on how to prepare them.

1. Apples

A quintessential autumnal fruit, apples are available in a number of varieties and are naturally low in fat, sodium, and calories. They’re also high in antioxidants and soluble fiber, which helps prevent loose stools.

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Also, particularly when cooked, mashed, or pureed, apples have a great deal of natural sweetness that can satisfy a craving for sugary treats, says Nayana George, MD, a gastroenterologist at Orlando Health Digestive Health Institute in Florida.

“That’s helpful because sugar consumption can lead to inflammation for those with IBD, which increases risk of flares,” she says. “Substituting something healthy like apples can feel like a treat without risking IBD symptoms.”

How to Prepare It Apple peels may contain too much fiber for the digestive tract to handle when you have IBD, so a peeled apple is a better choice, says Dr. George. Also, baking the fruit for 20 to 30 minutes at 450 degrees F gives it a softer consistency and makes it more digestible. Try sprinkling a little cinnamon and nutmeg on it before baking for more fall flavor.

2. Pears

High in vitamin C and potassium, pears are free of cholesterol and contain only trace amounts of sodium and fat. They’re rich in flavonoids, a type of polyphenol — antioxidants that help reduce cell damage that can cause inflammation. Pears also help regulate blood sugar and promote the growth of beneficial bacteria in the gut.

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“Options like pears that include plant compounds like polyphenols, [which] help reduce inflammation, can support gut health in a significant way,” says Castro.

How to Prepare It As with apples, peeling pears first reduces their fiber content and makes them more digestible, says George. You can bake them the same way, too. For more flavor, try drizzling with some vanilla extract or maple syrup. You can also briefly puree cooked pears for an applesauce-like treat.

3. Cranberries

Because of their tartness, cranberries are often heavily sweetened with sugar, so people with IBD may avoid them because of that, says George. In their natural form, they’re a good source of vitamin C and manganese and contain healthy complex carbohydrates, with virtually no fat and low sodium.

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Cranberries have been shown to be effective for preventing a specific bacteria, called Helicobacter pylori, from attaching to the stomach lining, which is important for people with IBD because it means a lower risk of stomach inflammation and gastrointestinal distress, George says.

How to Prepare It To make a low-sugar cranberry sauce, consider adding orange juice to the water as you simmer cranberries in a saucepan for 10 to 15 minutes, along with an alternative sweetener like honey. Unlike table sugar, honey has been shown to have antioxidant and anti-inflammatory properties, making it a healthier choice for those with IBD. It’s still a form of sugar, however, so it’s best consumed in limited quantities.

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4. Pumpkins

Although it may seem like a vegetable, pumpkin is actually an abundant fall fruit. Pumpkin is packed with nutrients, including beta-carotene, an antioxidant that gives the fruit its orange color. The body converts beta-carotene to vitamin A, which has anti-inflammatory properties and boosts eye and immune health. Pumpkin also has potassium, which research suggests may help lower blood pressure.

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Preliminary research has shown that polysaccharides, which are complex carbohydrates found in pumpkin, improve the balance of the gut’s collection of bacteria (microbiome) and reverse the inflammatory reaction in mice with a UC-like disease. More research is needed to see if similar effects occur in humans.

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How to Prepare It Remove the tough outer skin and seeds, which can be too fibrous for people with IBD to digest, and cut pumpkin into small cubes, says Castro. From there, you can bake, boil, or steam the pieces and then mash them, similar to mashed potatoes. Use a pinch of cinnamon or maple syrup for flavor if you prefer.

5. Bananas

Although bananas aren’t only available in the fall — they’re an imported year-round option that’s widely available — they’re still worth putting on your fall shopping list, says Castro. That’s because bananas are high in prebiotics, especially when they’re slightly unripe or green, and act as food for beneficial bacteria in the gut.

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“Prebiotics are nondigestible fibers that give gut bacteria the fuel they need to maintain a balanced and strong microbiome,” she says. “Bananas are a top choice for this.” They’re also a food that research has found to decrease inflammation when eaten regularly.

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How to Prepare It Although bananas can be baked the same way as other fall fruits, you can safely eat them raw after peeling, Castro says. You can also freeze banana slices and then puree them in a blender or food processor, which creates a soft-serve ice cream consistency.

Tips for Enjoying Fall Fruits

Because IBD affects everyone differently, there may be one or two options on this list that don’t work for you even if they’re cooked, low-sugar, and peeled. That’s why it’s helpful to keep a food diary (or use a nutrition app) and pay attention to how certain fruits are affecting you, says Castro.

Other tips from Castro include:

  • Expand your fruit choices when you’re in remission, rather than when you’re in an active flare.
  • Introduce new fruits one at a time, so you can identify potential trigger foods.
  • During a flare, canned fruit in juice (rather than syrup) may be tolerated if you don’t have time to cook your fruits.
  • Choose ripe, soft fruits whenever possible, even if you plan to cook them.

In general, adding more fruit into your diet can help you increase your consumption of key vitamins and minerals, and provide fiber that’s often easy for people with IBD to digest, particularly when cooked.

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