The only way to cure diverticulitis is with surgery. You may need surgery for diverticulitis when you have: Complications (obstruction, punctured colon wall, severe abscess) Repeated episodes of uncomplicated diverticulitis.
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.
Actually, no specific foods are known to trigger diverticulitis attacks. And no special diet has been proved to prevent attacks. In the past, people with small pouches (diverticula) in the lining of the colon were told to avoid nuts, seeds and popcorn.
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.
There are no specific foods you need to avoid. You do not need to avoid any foods such as nuts, seeds, corn, popcorn or tomatoes if you have diverticular disease. These foods do not make diverticular disease worse.
Plus, probiotics have anti-inflammatory effects, which may help to ease inflammation from diverticulitis. Probiotics are available in supplement form, but they can also be found in certain foods, such as yogurt, kombucha, and fermented vegetables.
If you are having a flare-up, your doctor may put you on a low-fiber or clear liquid diet for a time to give your digestive system a chance to rest and heal. Some low-fiber foods to consider during a flare-up include: White bread, white rice or white pasta. Processed fruit like applesauce or canned peaches.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better.
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.
Several drugs are associated with an increased risk of diverticulitis, including steroids, opioids and nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve).
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.
“Eggs are a great source of protein, and they're easily digested,” Dr. Nazarian says. And they won't irritate your diverticula.
The diverticulitis flare will usually go away after four to six weeks, Doerfler says. At that point, you can start eating higher-fiber foods like whole grains, fruits and vegetables, and healthy fats like nuts, seeds, avocado, and olive oil.
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.
It's also OK to eat small fruits with seeds, such as strawberries and blueberries. Research has found that these foods are not associated with an increased diverticulitis risk.
Our diets are overly refined. Eating more whole fruits, especially apples, pears and prunes, can help our digestive health.
Oatmeal is a great source of fiber – which is important for patients with diverticulitis or diverticulosis. But be sure to avoid eating high-fiber foods while experiencing a flare-up or abdominal discomfort.
High FODMAP foods
A 2016 hypothesis suggested that a high fiber diet, when combined with FODMAP foods, may cause excess gas that could contribute to diverticulitis symptoms. Some high FODMAP foods include: onions, mushrooms, cauliflower, and garlic. apples, apricots, dried fruits, pears, peaches.