What is the treatment for diverticulosis? Once diverticula form, they do not disappear by themselves. Fortunately, most patients with diverticulosis do not have symptoms, and therefore do not need treatment.
Diverticulitis begins as an acute problem, which means that it comes on suddenly and goes away shortly with treatment. But some people have recurring (repeat) episodes of diverticulitis, and some people develop chronic inflammation.
In about 95 out of 100 people, uncomplicated diverticulitis goes away on its own within a week. In about 5 out of 100 people, the symptoms stay and treatment is needed. Surgery is only rarely necessary.
Diverticulosis: You can have it for years and never know — if you take care of yourself. About one or two percent of patients under 30 experience diverticulosis while people age 60 and older have some degree of the condition.
Treatment. The only possible treatment for diverticulosis is to increase fiber in the diet. Fiber will not heal existing diverticula, but it may prevent more from forming. If you have symptoms of mild diverticulitis, your doctor may recommend a short period of observation without antibiotics.
Diverticulosis: What to Eat. Cater says people with diverticulosis can benefit from eating fiber-rich foods, including: Whole grains, such as quinoa, bulgur, teff, barley, popcorn, oats, shredded wheat or bran cereals, and whole grain breads. Beans and legumes, including black beans, kidney beans, chickpeas and lentils.
Diverticulitis is often a medical emergency, requiring immediate medical attention and, frequently, admission to hospital. Mild attacks can be treated at home, but should always be assessed promptly. Treatment may include: no eating or drinking – intravenous fluids are given to rest the bowel.
Eating a low-fiber diet mostly made up of processed foods may be a cause. Constipation and hard stools are more likely when you do not eat enough fiber. Straining to pass stools increases the pressure in the colon or intestines, which may lead to the formation of these pouches.
Diverticulitis is caused by an infection of one or more of the diverticula. It is thought an infection develops when a hard piece of stool or undigested food gets trapped in one of the pouches. This gives bacteria in the stool the chance to multiply and spread, triggering an infection.
Mild cases of diverticulitis are usually treated with antibiotics and a low-fiber diet, or treatment may start with a period of rest where you eat nothing by mouth, then start with clear liquids and then move to a low-fiber diet until your condition improves. More-severe cases typically require hospitalization.
The risk of having colorectal cancer after an episode of acute diverticulitis is 44-fold higher than that of an age- and gender-adjusted reference population.
Several factors may increase your risk of developing diverticulitis: Aging. The incidence of diverticulitis increases with age.
Diverticulosis may lead to several complications including inflammation, infection, bleeding or intestinal blockage. Fortunately, diverticulosis does not lead to cancer.
Diverticulosis is quite common, especially as people age. More than 30% of U.S. adults between the ages of 50 and 59 and more than 70% of those older than age 80 have diverticulosis. Most people with diverticulosis will never develop symptoms or problems.
A Developing Problem
When stress is added to the overall picture, the problem of diverticulitis becomes an issue. This is due to the body impulses that will immediately address stressful situations by shifting the oxygen and blood from the digestive tract to the brain and muscles.
Most patients with diverticulitis are older than 50 years; the mean age at presentation appears to be about 60 years.
In addition, many patients with diverticular disease surgically treated in an emergency setting will live with a colostomy for the remainder of their lives.
Colonoscopy. A colonoscopy is a procedure that allows the gastroenterologist to examine the lining of the colon and rectum wall for any problems, including diverticula.
More frequent bowel movements were associated with increased incidence of diverticulitis, according to study results.
Bulk-forming laxatives such as Metamucil or Citrucel may be recommended after the diverticulitis flare-up has resolved. These types of supplements can help add fiber to the diet while treating either constipation or diarrhea.
Dairy: “Cottage cheese and Greek yogurt are real winners if you're recovering from a flare-up: They're high in protein, calcium and other nutrients and don't have any fiber. They're also soft, moist and easier to get down if you're not feeling well,” says Taylor.
Fresh fruits, like apples, have the most fiber when eaten with the skin. 13 However, if you're having symptoms of diverticulitis, look for lower-fiber options, like applesauce. Bananas are another good source of fruit fiber.