Yoga guide

Yoga for Crohn's disease and ulcerative colitis: fatigue, stress and quality of life, flares, surgery and stomas, and a gentle class

Crohn's disease and ulcerative colitis are inflammatory bowel disease (IBD), long-term inflammation of the gut, and they're different from irritable bowel syndrome (IBS). Yoga isn't a treatment for IBD: it hasn't been shown to calm the inflammation, and it never replaces your medicines. But in the best trial, people with ulcerative colitis in remission had a better quality of life after 12 weekly classes, mostly because their stress fell.

This guide covers what the trials show, stress and fatigue, what to do in a flare, yoga after bowel surgery and with a stoma, the poses to use and change, and a gentle 25-minute class with a seated version, every pose shown in 3D. Our exercise guide for Crohn's and colitis covers walking, strength training, bones and core exercise after surgery in more depth. Severe tummy pain, heavy bleeding or vomiting blood needs urgent help: the warning signs are below.

The short version

IBD isn't IBS, and it needs medical treatment

"IBD is different to irritable bowel syndrome (IBS), even though some of the symptoms may be similar." Crohn's disease "cannot currently be cured, but there are treatments that can help prevent or manage the symptoms". Our yoga for IBS guide covers IBS.

Sources 1, 2

Yoga isn't a treatment for IBD

Crohn's & Colitis UK says there is "not enough to recommend them as treatments" for complementary therapies, and "Continue taking your usual medicines for Crohn's or Colitis, even if you do try a complementary therapy." Yoga goes alongside your medicines and IBD team, never instead.

Sources 3, 4

What it has shown: feeling better, with less stress

In one well-run trial, 77 people with ulcerative colitis in remission did 12 weekly classes or used a self-care book, and the yoga group had better quality of life at 12 and 24 weeks, mostly because their stress fell. It was one centre, against a book, so treat it as encouraging, not proof.

Sources 5, 6

It hasn't been shown to calm the inflammation

An online yoga, breathing and talking therapy programme cut stress but didn't change symptoms or inflammation markers, and relaxation and psychological approaches have little or no effect on disease activity. The European Crohn's and Colitis Organisation (ECCO) says yoga may improve quality of life, with limited evidence on symptoms.

Sources 7, 8, 9

Flares: scale back, and know the signs

No trial has tested yoga during a flare, and exercise in active disease could make symptoms worse. On flare days, breathing, a few seated moves and rest are enough if you feel up to it; bleeding, severe tummy pain, a high temperature or a fast heartbeat need medical help, not yoga.

Sources 10, 9, 11

After surgery and with a stoma: a gentle way back

The UK stoma nurses' expert consensus recommends Pilates or yoga first after stoma surgery, starting at a beginner level, and says lying on your stoma is safe. Up to 1 in 3 people with a stoma get a hernia next to it, so watch for bulging and follow your stoma nurse.

Sources 12, 13

IBD, not IBS

Crohn's disease and ulcerative colitisStrong evidence

Crohn's disease is "a long-term condition where part of your gut becomes inflamed", with symptoms that "usually come and go over time, called flare-ups and remissions. A flare-up can last from a few days to several months." Ulcerative colitis affects the large bowel and back passage. Together they're inflammatory bowel disease.

Sources 2, 1

Not IBSStrong evidence

Crohn's & Colitis UK: "IBS has some symptoms which are similar to Crohn's, but this is a different condition and treatment for IBS is not the same." Some people with IBD in remission also have IBS-type symptoms; our yoga for IBS and yoga for digestion guides cover those.

Sources 1, 14

Cause and treatmentStrong evidence

"It's not clear what causes inflammatory bowel disease (IBD). It's thought it happens when your immune system attacks your bowel." Treatment is medicines, sometimes nutrition treatment or surgery. The US National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) says "Medicines do not cure Crohn's disease." and "Surgery will not cure Crohn's disease." The National Institute for Health and Care Excellence (NICE) guideline on Crohn's disease doesn't mention exercise or yoga.

Sources 1, 15, 16

Where yoga might fit (our reading)

In the trials, yoga may help in three ways:

  • Lower stress, which carried the quality-of-life effect in the main trial.
  • Gentle movement that fits low-energy days.
  • Some leg strength and balance from standing poses, which matters if your bones are at risk.

Sources 6, 10

What it doesn't do

Yoga doesn't massage or detox the bowel: no study has tested either idea. Our searches found no study of yoga twists and the bowel, and none of 18 records on yoga and detox was about the gut.

Sources 10, 17

How the yoga in the trials ranEmerging evidence

The main trial used a 90-minute hatha class once a week for 12 weeks, with home practice, in adults in remission. A Canadian online programme used 20 to 30-minute yoga, breathing and meditation videos 2 or 3 times a week plus talking therapy videos. An Indian study used an hour a day of postures, breathing and meditation for 8 weeks. A US programme for children and teenagers used weekly classes for 12 weeks.

Sources 5, 7, 18, 19

What yoga can and can't do

The yoga evidence in IBD is small: one well-run adult trial, a few smaller studies, and reviews that pool them. No trial has tested yoga in a flare.

Quality of life in ulcerative colitis: one good trialEmerging evidence

77 adults with ulcerative colitis in remission but poor quality of life (75% women, average age 45) did 12 weekly 90-minute hatha classes or used a self-care book, with outcomes measured by assessors who didn't know the groups. Quality of life scores were 14.6 points higher with yoga at 12 weeks and 16.4 at 24, and disease activity was 1.2 points lower at 24 weeks. Serious adverse events happened in 3 people in the yoga group and 1 in the self-care group, not a significant difference.

Source 5

Stress was the pathwayEmerging evidence

A re-analysis of the same 77 people, not a second trial, found that lower stress at 12 weeks "fully mediated" the gains in quality of life and disease activity at 24 weeks. The authors suggest yoga as an extra for highly stressed people with ulcerative colitis.

Source 6

The limits, said plainlyMixed evidence

It was one centre in Germany, only ulcerative colitis in remission, mostly women, with a self-reported main outcome, and a book gives far less attention and company than 12 classes; an editorial asked whether yoga beats other supportive activities. It shows yoga can help people feel better living with colitis, not that it treats the inflammation. Applying it to Crohn's disease is our reading: no comparable trial has been done in Crohn's.

Sources 5, 20

Online yoga with talking therapy: less stress, same symptomsEmerging evidence

In 101 adults with raised stress at 4 Canadian centres, a 12-week online programme of yoga, breathing and meditation with cognitive behavioural therapy (CBT) videos cut perceived stress by 22.4% and improved anxiety, mood and quality of life, but "did not impact IBD symptom indices or inflammatory biomarkers". Yoga was mixed with CBT, so its own effect can't be separated.

Source 7

Other studies are smallMixed evidence

In 100 people in remission in India, fewer with colitis reported joint pain after 8 weeks, with no change in blood markers, in a journal outside MEDLINE that doesn't describe randomisation or blinding. A 29-person workshop study reported only before-and-after changes. In 78 children and teenagers, quality of life rose after 12 weeks and 85.2% said yoga helped them control stress, with no separate comparison group. In active disease, a 4-week, 26-person pilot of an abdominal routine inspired by yoga had a handful of people per group. Laughter yoga in 55 people with a stoma didn't change stoma quality of life.

Sources 18, 21, 19, 22, 23

What the reviews sayMixed evidence

Pooling 7 trials (502 people), yoga-based programmes lowered anxiety and stress and improved quality of life, with a borderline effect on disease activity; an implausibly large depression result and some low-quality trials make the numbers shaky. Mindfulness and yoga together "do not lead to significant improvements in the physical symptoms of IBD". There's no trial data on yoga for depression or fatigue in IBD specifically, and across non-drug treatments in IBD, effects on anxiety and depression were small.

Sources 24, 25, 26, 27

Psychological and relaxation approachesStrong evidence

A 2025 Cochrane review found "Psychological interventions in adults are likely to improve the quality of life, depression and anxiety slightly." and that they "may have little to no effect on disease activity". In quiet IBD, psychological therapy didn't reduce relapses.

Sources 8, 28

What ECCO saysStrong evidence

ECCO's expert review: "There is limited evidence on the efficacy of yoga to reduce IBD symptoms, but yoga may improve QoL in adults with IBD." (QoL means quality of life.) It's a consensus view, not a graded recommendation, and one of its authors also co-wrote the main yoga trial. A narrative review that says ECCO recommends yoga overstates it.

Sources 9, 29

What the guidelines and charities sayStrong evidence

No guideline recommends yoga as a treatment for IBD. The US Crohn's & Colitis Foundation says complementary medicine "will not cure your disease and it should not replace conventional therapies". Crohn's & Colitis UK says "Tell your IBD team before you try any complementary therapies." The British Society of Gastroenterology (BSG) says psychological therapies may be offered "as an adjunctive therapy", an addition to treatment.

Sources 3, 4, 30

Being active with IBD

Safe for most peopleStrong evidence

Crohn's & Colitis UK: "It is safe to be physically active or to exercise with Crohn's or Colitis. Current research suggests it does not cause flare-ups." But "For some people, being active can trigger these symptoms.", and "Most research on exercise has involved people in remission or with mildly active Crohn's or Colitis".

Source 11

What exercise did in trialsMixed evidence

Pooled exercise trials lowered disease activity a little, on low-certainty evidence, without clearly improving quality of life. In 47 adults with stable Crohn's disease, impact and strength training 3 times a week for 6 months raised spine bone density and muscle function and lowered fatigue. Muscle training was easier to stick with than endurance training in another trial.

Sources 31, 32, 33

A link in a large cohortEmerging evidence

In 1,857 people in remission, those who exercised more were less likely to have active Crohn's disease 6 months later, though not clearly so for colitis. It's self-reported and observational, so it can't show cause.

Source 34

Where yoga fits (our reading)

Yoga is a reasonable part of being active with IBD, mainly for stress, quality of life, gentle movement on low days and balance. Add walking and strength work for fitness and bones; our exercise guide for Crohn's and colitis sets it out.

Sources 11, 32, 30

Flares

No yoga trial in a flareStrong evidence

The main trial left out people with active disease, and a search for yoga in IBD flares found 7 records, none of them a trial during a flare.

Sources 10, 5

Exercise in active diseaseEmerging evidence

ECCO notes that "for active disease there is a possibility that exercise could exacerbate symptoms". Crohn's & Colitis UK says: "There are no specific recommendations for exercising with Crohn's or Colitis. It will probably depend on how active your condition is and your symptoms at the time." In 18 people walking 30 to 50 km a day for 4 days, disease activity didn't change in those with colitis but rose in those with Crohn's.

Sources 9, 11, 35

In a flare, scale back

If you feel up to it, swap long or hard sessions for short walks, gentle stretching and breathing, and rest when you need to: Crohn's & Colitis UK says, "If you're not feeling up to it, don't put pressure on yourself." Drink plenty of fluids if you have diarrhoea, and build back up gradually as the flare settles (our editorial advice).

A seated or lying practice of slow breathing and supported rest poses suits flare days, with a toilet within reach; leave out hot classes (our suggestion).

Sources 11, 36

Get the flare checked

Bloody diarrhoea, a high temperature, a fast heartbeat or severe tummy pain need medical advice, not exercise (see the warning signs). See a GP or your IBD team if your symptoms are getting worse or your treatment isn't helping.

Sources 36, 2

Fatigue and stress

Fatigue is commonStrong evidence

About 47% of people with IBD have fatigue: 72% during active disease and 47% in remission. Poor sleep, anxiety, depression and anaemia add to it.

Source 37

What helps fatigue is uncertainMixed evidence

A Cochrane review of 14 trials says "The effects of interventions for the management of fatigue in IBD are uncertain." Non-drug approaches together reduced fatigue a little, with no yoga trial among them. Crohn's & Colitis UK says exercise programmes "may help lower fatigue", and that around 1 in 3 people with Crohn's or colitis have anaemia, so ask your team to check for it.

Sources 38, 39, 40

Short sessions on low days (our editorial starting point)

Do 10 to 15 minutes on low days and the full class on better days. Crohn's & Colitis UK: "If you're able to exercise, take it gently at first and build up your strength over time." If small efforts leave you crashing a day or two later, see the warning signs and our yoga for chronic fatigue guide.

Source 40

Stress and symptomsEmerging evidence

In 704 people followed for a year, high perceived stress was the one factor linked with a later symptom flare (2.4 times the odds). But in 478 people, stress "was unrelated to concurrent intestinal inflammation". The BSG says "Stress can promote a flare of IBD." Stress seems to track symptoms more than gut inflammation.

Sources 41, 42, 30

Stress doesn't cause IBDStrong evidence

The NHS: "It's not known what causes ulcerative colitis", and some flares have no obvious trigger. Managing stress can make living with IBD easier, but a flare is never your fault for being stressed.

Sources 36, 15, 43

Help with stressStrong evidence

Yoga and slow breathing are one way to manage stress. Psychological therapies are another, with more trials behind them, though their gains in quality of life, anxiety and mood are slight; ask your IBD team about them, especially if stress or low mood feels heavy.

Sources 8, 30

Bones and steroids

A higher fracture riskStrong evidence

People with IBD have a higher fracture risk, especially of the spine, and the BSG says "Approximately 35 to 40% of patients with IBD suffer from osteopenia and 15% from osteoporosis". Steroids are a major cause.

Sources 44, 30

Weight-bearing and strength workStrong evidence

The BSG advises people on steroids to "partake in regular muscle-building and weight-bearing exercise such as weight training or running". Crohn's & Colitis UK: "Weight-bearing exercise (where your feet and legs support your weight) is important to keep bones strong and healthy."

Sources 30, 45

Where yoga fitsStrong evidence

Standing poses bear weight and train balance, but yoga hasn't been shown to build bone, so add strength and impact work. With osteopenia or osteoporosis, or after long courses of steroids, hinge from the hips instead of folding deeply, and twist smoothly; the warning signs give the site's wording.

Sources 46, 47

After surgery and with a stoma

EXPASS (Exercise and Physical Activity after Stoma Surgery) is the 2025 expert consensus of the Association of Stoma Care Nurses UK, funded by educational grants from stoma product companies. It's expert opinion reached by formal voting, not trial evidence.

When to start: the advice differsMixed evidence

The NHS says to avoid strenuous activities or heavy lifting for 3 months after an ileostomy, on a page past its review date. Crohn's & Colitis UK says to avoid lifting "anything heavier than a full kettle for at least the first four to six weeks". EXPASS says "The evidence does not support placing an outright restriction on lifting in general or implementing a specific weight limit or timeframe". Follow your own surgical team and stoma nurse.

Sources 48, 11, 12

Yoga or Pilates firstStrong evidence

EXPASS says "Pilates and yoga are often recommended as ideal exercise for individuals with a stoma" and, after stoma surgery, "we would recommend either Pilates or yoga initially". Gentle core work (breathing, knee rolls, pelvic tilts) can start about 24 hours after surgery, and beginner-level yoga is in its lowest-demand group. Our Pilates for Crohn's disease and colitis guide covers the Pilates side.

Source 12

Lying on your front is fineStrong evidence

People can be told "that lying on their stoma (face down in a prone position) is safe and unlikely to cause any harm"; it's a matter of comfort.

Source 12

Breathe out on effortStrong evidence

"Exhale at the point of effort or exertion and avoid breath holding." Leave out forceful breathing such as kapalabhati, with its rapid, forceful out-breaths from the tummy (our suggestion, from that line and US advice that beginners avoid forceful breathing).

Sources 12, 49

Harder core moves come lastStrong evidence

EXPASS puts "Planking (on elbows, long duration), Russian Twists, V sits, anchored feet sit ups, straight leg lower/lifts (on back)" at the advanced level and says "Some may NOT be appropriate for an individual." In yoga terms, boat pose, long plank holds, double leg lifts and strong seated twists come last (our reading).

Source 12

Hernias next to a stomaEmerging evidence

"Up to 1 in 3 people with a stoma get a hernia." In a US survey, 29.7% of 443 people reported one, and those with hernias exercised less, which can't show cause. A Pilates-based programme for people with a hernia or bulge was workable, with no result yet on whether it helps. EXPASS says core exercise "Potentially reduces risk of parastomal hernia", which is its expert view, not trial evidence.

Sources 13, 50, 51, 12

Breathing and rest

Slow breathing: "At least 5 minutes, done regularly as part of your daily routine" (the move page's dose), in for about 4 and out for about 6, sitting or lying, with no holds. Lateral breathing, 5 breaths (our core exercises after bowel surgery routine); skip the pelvic floor squeeze with an internal pouch unless your consultant advises it. Alternate nostril breathing, 1 to 2 minutes of slow rounds with no holds (our seated chair yoga class). Reclining bound angle: "Rest 2 to 5 minutes with a support under each thigh" (the move page's dose). Corpse pose: "Lie still for at least 5 minutes, up to 10" (the move page's dose), with a blanket over you.

Gentle core, after surgery or with a stoma

Level 1: pelvic tilts, 3 to 5 reps holding 5 to 10 seconds; knee rolls, 3 to 5 each way; heel slides, 3 to 5 each side. Level 2: knee folds, 3 to 5 each side; small bridges, 3 to 5, holding for a count of 3; cat-cow, 4 to 6 slow reps (all our core exercises after bowel surgery routine, from the stoma nurses' levels). Move up a level only when it feels controlled, with no bulging or pressure.

Standing, for strength, balance and bones

Mountain pose, 5 slow breaths, near a wall if you feel light-headed; chair pose, 2 holds of 3 to 5 breaths; warrior II, 3 to 5 breaths each side; tree pose, 2 holds of 20 to 30 seconds each side, fingertips on a wall (all our gentle yoga for beginners class). Sit to stand, 8 to 10 slow stands (our yoga for balance class). Breathe out as you sink or stand, and never bear down.

Gentle mobility

Thoracic rotation, seated with arms crossed, 5 each side with 5-second holds (our seated chair yoga class). Supine spinal twist, 45 seconds each side with your knees on a cushion, a small twist only, once your team is happy for you to twist after surgery (our editorial starting point). Hip hinge fold, 5 slow folds (our gentle yoga for beginners class), the forward bend if you take steroids or your bones are thin. Child's pose, 30 to 60 seconds with your knees wide so your tummy has room (our gentle yoga for beginners class).

Flare days and low energy: seated

Only if you feel up to it; rest is fine. Breath reach, 5 breaths, and cat-cow, 8 slow waves, both seated (our seated chair yoga class). Seated march, 30 seconds (our core exercises after bowel surgery routine). Slow breathing, 3 minutes, one hand on your belly (our yoga for digestion class).

Poses to change or leave out

Leave out forceful breathing (kapalabhati, or breath of fire) and breath holds, including the holds in box and 4-7-8 breathing, especially with a stoma or after surgery. Boat pose, long plank holds, double leg lifts and strong twists are the stoma nurses' advanced level: last, if at all, after surgery. Belly-down poses such as locust and sphinx are fine with a stoma if they're comfortable. There's no reason to include headstands, shoulder stands or plough. Leave out hot yoga in a flare or with an ileostomy that loses a lot of fluid (our suggestion). No pose massages or detoxes the gut.

A 25-minute class and other workouts

Our 25-minute class first, for remission or mild, steady symptoms, with a seated version for low days in its tips. It's our own selection, untested in a trial, built from the main trial's mix of postures, breathing and rest and the stoma nurses' first two core levels. In the first weeks after bowel surgery, use the core exercises routine, then levels 3 and 4. The breathing and restorative classes suit low-energy days and stress; the walking, cardio and strength workouts cover what yoga doesn't. Our yoga for digestion class was built for IBS and bloating: fine if its knee-to-chest holds are comfortable.

Gentle yoga for Crohn's and colitis: a 25-minute class to breathe, move and rest

A gentle 25-minute yoga class for Crohn's disease and ulcerative colitis: breathing, standing poses, the stoma nurses' first core levels and a long rest.

25 minBeginner15 movesFirm cushion

Core exercises after bowel or stoma surgery

A gentle 20-minute core routine for the weeks after bowel or stoma surgery: breathing, tummy and pelvic floor work lying down, then chair and standing moves.

20 minBeginner14 movesBench or box, wall

Core exercises with a stoma: levels 3 and 4

The next step after the first core routine: 20 to 30 minutes of level 3 and 4 core work, 2 to 3 times a week, from the UK stoma nurses' recommendations.

25 minIntermediate14 movesNo equipment

Breathing exercises to relax

A 6-minute breathing routine: slow breathing, crocodile breathing, alternate nostril breathing, box breathing and 4-7-8 breathing.

6 minBeginner5 movesNo equipment

Restorative yoga sequence: 45 minutes of supported rest

A 45-minute restorative yoga sequence: five fully supported poses held for 4 to 10 minutes each, with slow breathing and a long final rest.

45 minBeginner6 movesFirm cushion, wall

Seated chair yoga: 15 minutes, no standing

A 15-minute chair yoga routine done entirely sitting: slow breathing, neck, shoulder and wrist stretches, seated twists and side bends, and a calm finish.

15 minBeginner16 movesBench or box

Chair yoga for seniors

A free 20-minute chair yoga class for older adults: slow breathing, gentle seated stretches and twists, standing poses holding the chair, and a calm finish.

20 minBeginner18 movesBench or box, something with weight

Gentle yoga for beginners

A 25-minute gentle yoga class for complete beginners and over-50s: slow breathing, a warm-up, supported standing poses, floor poses and a closing rest.

25 minBeginner14 movesNo equipment
Show all 14 workoutsShow fewer workouts

Warning signs: when to get help

These are the warning signs from our Crohn's and colitis exercise guide and our yoga guides, word for word, with one line of our own. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999.

Call 999 or go to A&E (911 in the US)

Don't drive yourself; ask someone to drive you or call an ambulance, and bring your medicines. Go now if:

  • You have severe tummy pain.
  • You're bleeding non-stop from your bottom.
  • There's a lot of blood, or large blood clots, when you poo.
  • You're vomiting blood or poo, or your sick looks like coffee grounds or soil.

Source 36

Ask for an urgent GP appointment or call NHS 111

  • Very bad diarrhoea or bloody diarrhoea, or poo that is black or dark red.
  • A high temperature, or feeling hot, cold or shivery.
  • A fast heartbeat.
  • You can't fart or poo.

Sources 36, 2

In a flare

If you feel up to it, swap long or hard sessions for short walks, gentle stretching and breathing, and rest when you need to: Crohn's & Colitis UK says, "If you're not feeling up to it, don't put pressure on yourself." Drink plenty of fluids if you have diarrhoea, and build back up gradually as the flare settles (our editorial advice).

Bloody diarrhoea, a high temperature, a fast heartbeat or severe tummy pain need medical advice, not exercise (see the warning signs). See a GP or your IBD team if your symptoms are getting worse or your treatment isn't helping.

Sources 11, 36, 2

With a stoma

  • Ileostomy output of more than 2 litres a day for 3 days or more: contact your hospital urgently.
  • Thirst, tummy cramps, dizziness or faintness, or dark wee: contact your stoma nurse.
  • Less output than usual, feeling sick or bloated, and tummy pain can mean a blockage: if the pain gets worse or you're sick, go to A&E.
  • A new bulge around your stoma: contact your stoma nurse.
  • After exercise, a swollen or pale stoma, a change in output, a bigger bulge, or pain around your stoma or scar that lasts 24 hours: get medical advice if it doesn't settle.

Sources 13, 12

During yoga with a stoma or after bowel surgery

Ease back, or drop a level, if you notice any of these during or after exercise (EXPASS's self-check):

  • Doming or bulging around your stoma or across your tummy.
  • Pressure around your stoma, pelvic floor or bottom, or a pulling or tugging feeling at the stoma.
  • Your stoma pushing out further (prolapse), or swelling or a change in its shape afterwards.
  • Holding your breath or bearing down.
  • Soreness or tiredness that lasts more than 24 hours.

Source 12

If you think you have a hernia

Contact your stoma nurse, and keep active: EXPASS says harder core levels needn't be avoided if you can do them well without extra bulging. A support belt or girdle may help with comfort, and some hernias need surgery.

Sources 13, 12

After surgery

Throbbing pain and swelling in one leg, usually the calf or thigh, can be a blood clot: ask for an urgent GP appointment or call NHS 111, and call 999 if you're also short of breath or have chest pain.

Source 52

See your GP or IBD team

  • Your symptoms are getting worse or your treatment isn't helping.
  • Back pain that has lasted more than 3 months and gets better with exercise but not rest.
  • New hip, groin or knee pain, especially if you take steroids.
  • Fatigue that doesn't lift, so the causes can be checked.

Sources 2, 30, 45, 53

If you crash after small efforts

If activity is followed hours or days later by a crash out of proportion to what you did, that's post-exertional malaise: don't push through it, and see a GP. Our long COVID and ME/CFS guides cover pacing.

Source 54

Steroids

Don't stop taking steroids without talking to your doctor: if you've taken them for more than 3 weeks or at a high dose, they usually need to be reduced gradually.

Source 55

If your mood is low

The NHS lists depression and anxiety among the complications of ulcerative colitis, and our anxiety and depression guides can help. If you are thinking about suicide or can't keep yourself safe, call 999 or go to A&E. For urgent help, call Samaritans free on 116 123, any time, or in England call 111 and select the mental health option. In the US, call or text 988.

Source 36

Chest pain or fainting: call 999

Call 999 if:

  • You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
  • The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
  • You have chest pain and feel sweaty, sick, light-headed or short of breath.
  • Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.

Sources 56, 57

Bones and head-down poses

Modify or avoid exercises that round your back deeply or repeatedly, especially with a weight: sit-ups, toe touches, Pilates roll-downs and curl-ups, and extreme yoga forward folds. Bend from the hips instead. You do not need to avoid bending, twisting or lifting altogether: move smoothly and keep your upper back straight.

With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.

Sources 47, 49

During yoga

A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.

Stop a pose that brings on sharp tummy pain rather than a stretch (our suggestion).

Source 49

Before you start

The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.

Myths

"Yoga cures Crohn's or colitis"Strong evidence

Crohn's disease "cannot currently be cured", and complementary medicine "will not cure your disease and it should not replace conventional therapies". The trials improved quality of life and stress, not the inflammation.

Sources 2, 4, 5, 7

"If yoga helps, you can come off your medicines"Strong evidence

"Continue taking your usual medicines for Crohn's or Colitis, even if you do try a complementary therapy." Never stop or change a medicine without your IBD team; steroids usually need to be reduced gradually.

Sources 3, 55

"Yoga detoxes your gut"Strong evidence

No study has tested it: none of 18 records on yoga and detox was about the gut. The US National Center for Complementary and Integrative Health says a 2015 review found "no compelling research" to support detox diets, and that colon cleansing harms are more likely after colon surgery or with gut disease.

Sources 10, 17

"Twists massage or wring out the bowel"Strong evidence

Our searches found no study of this. The only trial of yoga-style tummy movements was a 26-person, 4-week pilot that can't show any massaging effect. Gentle twists are fine if they're comfortable; strong twists are the stoma nurses' advanced level.

Sources 10, 22, 12

"Stress causes IBD"Strong evidence

The cause isn't known. Stress went with later symptom flares but not with measured gut inflammation. Managing stress can make living with IBD easier; a flare isn't your fault.

Sources 36, 15, 41, 42

"IBD is just a bad case of IBS"Strong evidence

They're different conditions: "IBD is different to irritable bowel syndrome (IBS)".

Source 1

"With a stoma you can't do yoga, or lie on your front"Strong evidence

The stoma nurses' consensus recommends Pilates or yoga first after stoma surgery and says lying on your stoma is "safe and unlikely to cause any harm".

Source 12

"Exercise will set off a flare"Strong evidence

"Exercising with Crohn's or Colitis is safe and shouldn't cause a flare-up." Very long or hard efforts are different, and in a flare, scale back.

Source 11

Questions people ask

Is yoga good for Crohn's disease?

It can help you feel better day to day. In the main trial, people with ulcerative colitis in remission had better quality of life after 12 weekly classes, mostly because their stress fell. No comparable trial has been done in Crohn's disease, so applying it there is our reading. It hasn't been shown to calm the inflammation, so it goes alongside your medicines, never instead.

Is yoga good for ulcerative colitis?

The best trial was in ulcerative colitis: 77 people in remission had higher quality of life at 12 and 24 weeks with yoga than with a self-care book. It was one small trial in one centre, so treat it as encouraging, not proof.

Can yoga cure Crohn's or colitis?

No. Crohn's disease can't currently be cured, though treatments help, and complementary therapies should never replace conventional treatment. Tell your IBD team about anything you try, and keep taking your medicines.

What are the best yoga poses for Crohn's disease and IBD?

Gentle ones you can do on a good or a low day: slow breathing, standing poses like mountain, chair and tree for strength and balance, pelvic tilts, knee rolls and small bridges, and a long supported rest. Our 25-minute class puts them in order, with a seated version.

Can I do yoga during a flare?

Only if you feel up to it, and keep it to breathing, a few seated moves and rest. No trial has tested yoga in a flare. Bloody diarrhoea, severe tummy pain, a high temperature or a fast heartbeat need medical advice, not yoga.

Is yoga safe with a stoma?

Yes. The UK stoma nurses' recommendations suggest Pilates or yoga first after stoma surgery, starting at a beginner level, and say lying on your front is safe if it's comfortable. Breathe out on effort, never hold your breath, and ease back if you notice bulging around the stoma.

When can I start yoga after bowel surgery?

Gentle breathing and core moves can start in the first days, guided by your team. Build up to a gentle class over the following weeks to months, as your surgical team or stoma nurse advises. Advice on lifting and timing differs between sources, so follow your own team.

Does yoga help Crohn's fatigue?

It might, but the evidence is thin: fatigue affects about half of people with IBD, and the treatments tested so far are uncertain. Start with short sessions, and ask your team to check for anaemia and active disease.

Can stress cause a Crohn's flare?

High stress has been linked with later symptom flares, but not with measured gut inflammation, and stress doesn't cause IBD. Yoga and breathing can help with stress; so can psychological therapies, which your IBD team can talk to you about.

Is yoga better than other exercise for IBD?

No trial has compared them head to head in adults. Walking, running and strength training are safe for most people in remission, and strength and impact work helps bones. Yoga's best evidence is for stress and quality of life.

Is IBD the same as IBS?

No. IBD is inflammation of the gut, treated with medicines and sometimes surgery; IBS is a different condition, though some symptoms overlap. Our yoga for IBS guide covers IBS.

Can yoga help my bones if I take steroids?

Standing poses bear weight and help balance, but yoga hasn't been shown to build bone. Add strength training and some impact, and use the flat-back hinge instead of deep forward folds if your bones are thin.

Sources

  1. NHS · Inflammatory bowel disease (IBD)
  2. NHS · Crohn's disease
  3. Crohn's & Colitis UK · Other treatments for Crohn's and Colitis
  4. Crohn's & Colitis Foundation 2020 · Fact sheet: complementary medicine
  5. Cramer 2017 · Yoga against a self-care book in 77 people with ulcerative colitis in remission (randomised trial, Aliment Pharmacol Ther)
  6. Koch 2020 · Stress and the effect of yoga in ulcerative colitis: a re-analysis of the same 77 people (secondary analysis of a randomised trial, J Psychosom Res)
  7. Peerani 2022 · An online yoga, breathing, meditation and CBT programme in 101 adults with IBD and raised stress (randomised trial, Therap Adv Gastroenterol; read in full)
  8. Tiles-Sar 2025 · Psychological interventions for IBD (Cochrane review)
  9. Torres 2019 · ECCO topical review on complementary medicine and psychotherapy in IBD (expert consensus, European Crohn's and Colitis Organisation, J Crohns Colitis; read in full; a 2023 erratum couldn't be read)
  10. PubMed · Searches for yoga in IBD: 49 records; 7 for yoga in a flare, relapse or active disease, none a trial during a flare; 0 for yoga twists and the bowel; 18 for yoga and detox, none about the gut (helper's searches, 1 November 2026)
  11. Crohn's & Colitis UK · Being active with Crohn's or Colitis
  12. Russell 2025 · EXPASS: exercise and physical activity after stoma surgery (expert consensus recommendations, Association of Stoma Care Nurses UK, funded by educational grants from stoma product companies; revised March 2026)
  13. Crohn's & Colitis UK · Life with a stoma
  14. Crohn's & Colitis UK · Crohn's Disease
  15. NIDDK · Symptoms and causes of Crohn's disease (US National Institute of Diabetes and Digestive and Kidney Diseases)
  16. NICE NG129 · Crohn's disease: management, recommendations (National Institute for Health and Care Excellence)
  17. NCCIH 2025 · "Detoxes" and "cleanses": what you need to know (US National Center for Complementary and Integrative Health)
  18. Sharma 2015 · A yoga-based programme in 100 people with IBD in remission (trial, Int J Yoga Therap; a 2016 erratum, which appears to change the author list, couldn't be read)
  19. Leiby 2024 · A 12-week yoga programme in 78 children and teenagers with IBD (study with no separate comparison group, J Pediatr Gastroenterol Nutr)
  20. Andrews 2017 · Yoga for quality of life in ulcerative colitis: any better than other supportive activities? (editorial, Aliment Pharmacol Ther)
  21. Gerbarg 2015 · A breathing, movement and meditation workshop for 29 people with IBD (trial, Inflamm Bowel Dis)
  22. Werner 2026 · An abdominal exercise routine inspired by yoga in 26 people with active IBD (pilot trial, J Sci Med Sport)
  23. Harputlu 2023 · Laughter yoga in 55 people with a bowel stoma (randomised trial, J Wound Ostomy Continence Nurs)
  24. Pan 2025 · Yoga-based mind-body programmes in IBD: 7 randomised trials, 502 people (meta-analysis, Complement Ther Med)
  25. Ewais 2019 · Mindfulness and yoga in IBD (systematic review and meta-analysis, J Psychosom Res)
  26. Wilke 2021 · Yoga in IBD and its common fatigue and depression (systematic review, Complement Ther Clin Pract)
  27. Davis 2020 · Non-drug treatments for anxiety and depression in adults with IBD: 10 trials (systematic review and meta-analysis, Front Psychol)
  28. Riggott 2023 · Psychological therapies in people with IBD (systematic review and meta-analysis, Lancet Gastroenterol Hepatol)
  29. Kaur 2022 · Yoga in patients with IBD (narrative review, Crohns Colitis 360; read in full)
  30. Lamb 2019 · British Society of Gastroenterology guidelines on managing IBD in adults (guideline, Gut; read in full; a 2021 erratum couldn't be read)
  31. Jones 2022 · Structured exercise programmes in adults with IBD (systematic review and meta-analysis, PLoS One)
  32. Jones 2020 · Impact and resistance training in 47 adults with stable Crohn's disease (randomised trial, Aliment Pharmacol Ther)
  33. Seeger 2020 · Endurance and muscle training in quiet or mildly active Crohn's disease (randomised trial, United European Gastroenterol J)
  34. Jones 2015 · Exercise and later disease activity in 1,857 people with IBD in remission (cohort study, Inflamm Bowel Dis)
  35. Klare 2015 · Long-distance walking in people with IBD (study of 18 walkers, Digestion)
  36. NHS · Ulcerative colitis
  37. D'Silva 2022 · Fatigue in adults with IBD: how common it is and why (systematic review and meta-analysis, Clin Gastroenterol Hepatol)
  38. Farrell 2020 · Interventions for fatigue in IBD: 14 randomised trials (Cochrane review)
  39. Davis 2020 · Non-drug interventions for fatigue in adults with IBD (systematic review and meta-analysis, Complement Ther Clin Pract)
  40. Crohn's & Colitis UK · Fatigue
  41. Bernstein 2010 · Triggers of symptom flares in 704 people with IBD (cohort study, Am J Gastroenterol)
  42. Targownik 2015 · Stress, symptoms and gut inflammation in 478 people with IBD (cohort study, Am J Gastroenterol)
  43. Black 2022 · Psychological stress in IBD (systematic review, Aliment Pharmacol Ther; read in full)
  44. Szafors 2018 · Fracture risk and low bone density in adults with IBD (systematic review and meta-analysis, Osteoporos Int)
  45. Crohn's & Colitis UK · Bones (past its review date: reviewed October 2023, review due October 2026)
  46. Fernández-Rodríguez 2021 · Pilates and yoga for bone density in adult women: 11 studies, 591 women (systematic review and meta-analysis, PLoS One)
  47. Brooke-Wavell 2022 · Strong, steady and straight: UK consensus on physical activity and exercise for osteoporosis (BJSM; read in full)
  48. NHS · Recovering from an ileostomy (past its review date: reviewed March 2023, review due March 2026)
  49. NCCIH 2023 · Yoga: effectiveness and safety (US National Center for Complementary and Integrative Health)
  50. Park 2023 · Parastomal hernia and exercise: 443 people with a stoma (survey, Dis Colon Rectum)
  51. Munro 2023 · A Pilates-based activity programme for people with a parastomal hernia or bulge (feasibility study, Pilot Feasibility Stud)
  52. NHS · DVT (deep vein thrombosis)
  53. NHS · Falls
  54. NHS · ME/CFS: symptoms
  55. NHS · Steroids
  56. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  57. NHS · Fainting

Exercise education, not a personal prescription, and clinical review of these guides is pending. If you are pregnant, have a health condition such as glaucoma, high blood pressure or osteoporosis, or have had recent surgery, check with a doctor, midwife or physiotherapist before starting, and stop for sharp or increasing pain. Health disclaimer.