Diverticulitis can be worsened by a low-fiber diet, high intake of red meat, processed foods, sugar, and fat, lack of exercise, smoking, heavy alcohol use, and certain medications (NSAIDs, steroids, opioids). During a flare-up, high-fiber foods may need to be avoided temporarily, while a long-term high-fiber diet helps prevent future attacks.
Risk factors
The worst things for diverticulitis during a flare-up are high-fiber foods, red/processed meats, sugar, fat, alcohol, and NSAIDs like ibuprofen, as they can worsen inflammation and symptoms; instead, focus on a temporary low-fiber diet (liquids/soft foods) and gradually reintroduce fiber after healing to prevent future attacks, consulting your doctor for personalized advice.
For managing mild diverticulitis pain or symptoms at home, your healthcare professional may recommend eating only clear foods and clear liquids for a few days. Examples of clear liquids that you can have include: Chicken, beef or vegetable broth. Fruit juices without pulp, such as apple, cranberry and grape juices.
As a result of our review, more than 21 case reports of acute diverticulitis presenting with lower extremity pain and swelling have been published in English literature. In the absence of clinical signs and symptoms of an intra-abdominal process, significant delay in diagnosis can lead to unfavorable outcomes.
Symptoms. People with diverticulosis often have no symptoms, but they may have bloating and cramping in the lower part of the belly.
When diverticulitis leads to sepsis, look out for these specific symptoms:
During your trip to the emergency room, your doctor will administer a blood test to identify any infections. They may also conduct other tests to help diagnose diverticulitis — including CT scans, ultrasounds of the abdomen, and x-rays of the abdomen.
The duration of a diverticulitis flare-up can vary. A mild flare-up can last from a few days to a week, while more severe cases may take longer to subside. The duration can also depend on your overall health, any underlying conditions and timing of treatment.
Lifestyle and home remedies
Treatment may consist of measures including: Taking painkillers to reduce discomfort. These may be over-the-counter pain medicines such as paracetamol or stronger medicines that require a prescription. Taking Buscopan may help with cramping abdominal pain.
In that case, the best soups are simple broths, like chicken, beef, or vegetable broth, with no chunks or solid pieces. These are easy on your gut and help it rest while you recover.
Severe cases of diverticulitis that come on quickly and cause complications will likely require a hospital stay and involve intravenous (IV) antibiotics. A few days without food or drink will help your colon rest. Severe cases of diverticulitis will likely require a hospital stay.
Common alternative conditions that can clinically mimic diverticulitis include small bowel obstruction, primary epiploic appendagitis, acute cholecystitis, appendicitis, ileitis, ovarian cystic disease, and ureteral stone disease.
Drinking alcohol can irritate the digestive system and trigger diverticulitis flare-ups. It's unclear if alcohol directly causes diverticular disease, but drinking more increases risk.
Once the sacs develop, they don't heal on their own, and they don't go away. We can cure diverticulosis by performing surgery to remove the sacs. But if you don't have symptoms and an infection doesn't develop, there's no reason to treat the condition at all, much less undergo surgery.
Diverticulitis perforation is a medical emergency with symptoms like sudden, severe abdominal pain (often lower left), high fever, chills, rapid heart rate, nausea, vomiting, and a rigid, tender abdomen, as bowel contents leak into the abdominal cavity (peritonitis). It requires immediate medical attention, with signs of worsening infection like difficulty breathing or confusion signaling sepsis.
You should seek emergency medical attention for diverticulitis if you experience one or more of the following: Blood in stool. Excessive vomiting or severe nausea. Fever over 100.4 F.
Stages of Diverticulitis
Stage III: Abscesses have burst, and pus has been discharged into the abdomen. Stage IV: Abscesses have burst into the peritoneal cavity (a fluid-filled area that houses many of the abdominal organs), resulting in the presence of feces and, subsequently, infection.
Severe cases of diverticulitis that come on quickly and cause complications will likely require a hospital stay and involve intravenous (IV) antibiotics. A few days without food or drink will help your colon rest. Severe cases of diverticulitis will likely require a hospital stay.
Urgent red flags – seek immediate medical help (999/A&E):
Severe or worsening abdominal pain with fever. Persistent vomiting, inability to pass wind or stool. Heavy rectal bleeding, black or tarry stools. Signs of shock (pale, clammy, dizzy, fainting)
Symptoms of a Diverticulitis Flare-Up
Early warning signs of sepsis include fever or low temperature, chills, rapid breathing or heart rate, confusion, slurred speech, extreme pain or discomfort, clammy/sweaty skin, and reduced urine output, with children potentially showing fewer wet nappies, vomiting, or a non-fading rash. These symptoms, often appearing after an infection, signal a severe body response and require immediate emergency care, as sepsis can rapidly worsen, according to the Mayo Clinic.
If you have a gastrointestinal or bowel perforation, you may experience: