In dietary management for a client with Crohn's disease and an enteroenteric fistula, what nutrient should they decrease?

In the context of dietary management for a client with Crohn's disease and an enteroenteric fistula, decreasing fiber intake is recommended. Fiber is a critical component of a healthy diet; however, for individuals with Crohn's disease, particularly those with complications such as fistulas, high-fiber foods can exacerbate symptoms.

Crohn's disease can lead to inflammation and narrowing of the intestine, making the passage of food more difficult and possibly aggravating abdominal pain and diarrhea. High-fiber foods can introduce additional bulk to the diet, which might lead to bowel obstruction or increased stool frequency, both of which are undesirable for a patient already facing challenges due to their condition.

By reducing fiber intake, the client may experience less intestinal irritation and discomfort, allowing for improved nutritional absorption and overall management of their symptoms. This dietary adjustment is integral to balancing the needs for nutrition while minimizing gastrointestinal stress for those dealing with Crohn's disease and associated complications, such as an enteroenteric fistula.