This Perspective highlights an accumulating body of literature that outlines a direct role for oral-associated bacteria in inflammatory bowel disease pathogenesis. The authors propose a model by which oral-associated species might expand in the inflamed intestinal environment to exacerbate...
www.nature.com
In this Perspective, we propose that in inflammatory bowel disease, oral disease-associated bacteria translocate to the intestine and directly exacerbate disease.
Would be a good idea if people on EN rinse their mouths thoroughly with plain water after each drink. It's always possible that EN works because it's aqueous and therefore has an impact on the oral cavity.
I don't know how solid and liquid food habits impact the bacterial load in the oral cavity, but it would be silly if the elephant in the room was that EN lead to remission because EN is simply fully soluble, and study after study missed this. EN that is prepared too viscous might not be so effective then.
There's always been people on the forum who claimed that putting their food in a blender and drinking it helps them control their crohn's disease. I don't know what not chewing on food and just chugging down a liquid does in the oral cavity, but it has to have some kind of impact on oral bacterial populations that depend on accessible carbs.
I have always been interested in knowing why people with crohn's disease develop aphthous ulcers and why it coincides with disease activity. I had these ulcers too in my mouth. This does not happen during foodborne infections or intestinal TB afaik. It is a typical feature of crohn's disease that has been largely overlooked.
