Diverticular disease is typically associated with pain in the lower left side of the abdomen (tummy) or – less commonly – the right side. It can also lead to bloating, constipation or diarrhea.
After you go home, you may have diarrhea on and off during the first month. It takes about three months for the bowels to learn their “new normal.” You'll need to avoid heavy lifting for six to eight weeks to prevent a hernia.
Diverticulitis stool characteristics
Color: The stool may be bright red, maroon, or black and tarry, which indicates the presence of blood. Stools may contain more mucus than normal.
Constipation or diarrhea. Everybody has constipation or diarrhea occasionally, but with diverticulitis, the change in bowel habits is significant and long-lasting. While diarrhea can occur because of irritation in your bowel, constipation usually happens when inflamed, swollen tissue makes it hard for stool to pass.
Over time, the inflammation can lead to a bowel obstruction, which may cause constipation, thin stools, diarrhea, bloating, and belly pain. If the obstruction continues, abdominal pain and tenderness will increase, and you may feel sick to your stomach or throw up.
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.
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.
Bowel rest is also important for acute diverticulitis. For home treatment, that means sticking to a diet of clear liquids for a few days, then gradually adding soft solids and moving to a more normal diet over a week or two.
The BNF (British National Formulary, an official guide to drug use) says that antimotility drugs (codeine, diphenoxylate, loperamide) are contraindicated for DD because they could exacerbate symptoms. On the other hand, if the problem is called “IBS” rather than “DD” then loperamide can be used to relieve diarrhoea.
Narrow or pellet-like stools: if you have advanced or severe diverticulitis, your large intestine may narrow, causing stool to become thin, narrow, or pellet-shaped.
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.
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.
CAUSES. The most commonly accepted theory for the formation of diverticulosis is related to high pressure within the colon, which causes weak areas of the colon wall to bulge out and form the sacs. A diet low in fiber and high in red meat may also play a role.
Probiotics combined with mesalazine have also emerged as an alternative potential therapeutic strategy in preventing recurrent attacks of diverticulitis. One series reported that treatment with mesalazine and/or lactobacillus casei induced remission in 88% of their patients at a median follow-up of 2 years.
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.
The doctor also may suggest taking a fiber product, such as Citrucel® or Metamucil®, once a day. Your doctor may recommend a low- or high-fiber diet depending on your condition. Listed below are high-fiber food options for diverticulosis and low-fiber food options for diverticulitis.
Diverticulitis can lead to the inflamed part of the bowel being in contact with the bladder. This may cause urinary problems, such as: pain when urinating (dysuria) needing to urinate more often than usual.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better.
As the name implies, uncomplicated diverticulitis is the less serious of the two. It means that the inflammation or infection is confined to one section of the colon, and that there is no evidence of complicating factors. Uncomplicated diverticulitis is typically treated at home with oral antibiotics.