Diverticulosis is the formation of abnormal pouches in the bowel wall. Diverticulitis is inflammation or infection of these abnormal pouches. Together, these conditions are known as diverticular disease. Treatment options include a change of diet, antibiotics and (rarely) surgery.
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.
Are there complications from diverticulosis? Diverticulosis may lead to several complications including inflammation, infection, bleeding or intestinal blockage. Fortunately, diverticulosis does not lead to cancer. Diverticulitis occurs when the pouches become infected or inflamed.
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.
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.
If you have diverticulosis
The main changes are adding fiber and drinking more water. Fiber absorbs water as it travels through your colon. This helps your stool stay soft and move smoothly. Water helps this process.
How is uncomplicated diverticulitis treated? 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.
Diverticular disease is caused by small bulges in the large intestine (diverticula) developing and becoming inflamed. If any of the diverticula become infected, this leads to symptoms of diverticulitis. The exact reason why diverticula develop is not known, but they are associated with not eating enough fibre.
Lifestyle remains the major culprit behind diverticulitis flare-ups. A high-fat, low-fiber diet commonly followed in Western countries can exacerbate diverticulitis symptoms. Lack of fiber in the diet can cause constipation and strain the bowel.
You can add vegetables to the foods that you are eating or have soup, salad or cooked vegetables on the side; Increasing your fiber intake slowly; And taking in enough fluids along with the high fiber foods. Go for water, seltzer, club soda, and herbal teas.
Usually, there are no symptoms at all. When diverticulosis is far advanced, the lower colon may become very fixed, distorted, and even narrowed. When this occurs, there may be thin or pellet-shaped stools, constipation, and an occasional rush of diarrhea.
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.
In the past, doctors had recommended that people with diverticular disease (diverticulosis or diverticulitis) avoid hard-to-digest foods such as nuts, corn, popcorn, and seeds, for fear that these foods would get stuck in the diverticula and lead to inflammation.
Eggs contain protein that can be easily digested, and it will not irritate your digestive tract. Therefore, scrambled eggs can be taken during diverticulitis.
“Eggs are a great source of protein, and they're easily digested,” Dr. Nazarian says. And they won't irritate your diverticula.
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.
If you have diverticulosis, it's OK to have pizza occasionally, as long as it doesn't cause any symptoms. Research shows that people who eat a Western-style diet (pizza, fast food, and sweets) tend to have more bouts of diverticulitis.
During acute attacks of diverticulitis, eat a low-fiber diet. Avoid foods that may contribute to nausea or pain, such as caffeine, spicy foods, chocolate, and milk products.
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.
A diagnosis of diverticulitis no longer means you have a long list of foods to avoid. At one time, doctors recommended avoiding nuts, popcorn, seeds and even fruits or vegetables with seeds (like tomatoes or strawberries). But recent studies suggest those foods do not contribute to flare-ups and are fine to eat.
Symptoms of diverticulitis are more severe and often start suddenly, but they may become worse over a few days. They include: Tenderness, usually in the left lower part of the abdomen.