While the cause of diverticular diseases is unknown, several studies have associated the conditions with low fiber intake, excessive alcohol use, anti-inflammatory medications, steroids, obesity, lack of exercise, and smoking.
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.
Recovering from a flare-up of diverticulitis could take as long as two weeks. 1 The first few days of recovering from uncomplicated diverticulitis at home will include following a liquid diet, resting, and using recommended medications for pain relief.
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.
Diverticula usually develop when naturally weak places in your colon give way under pressure. This causes marble-sized pouches to protrude through the colon wall. Diverticulitis occurs when diverticula tear, resulting in inflammation, and in some cases, 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.
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.
However, overstimulation of the bowels for those with diverticulitis can cause more pain. Coffee may also increase lower abdominal pain and worsen diarrhea. The bottom line is that diverticulitis and drinking coffee aren't a great combination.
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.
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.
Despite having some symptoms in common, diverticular disease isn't associated with more serious conditions, such as bowel cancer. However, diverticulitis is often a medical emergency, requiring immediate medical attention and, frequently, admission to hospital.
Symptoms of diverticulitis include nausea, vomiting, abdominal pain, fever, and constipation or diarrhea. Pain often affects the lower left side of the abdomen, but it can radiate to the back, legs, groin, and side as well.
Once diverticula form, they do not disappear by themselves. Fortunately, most patients with diverticulosis do not have symptoms, and therefore do not need treatment.
For those who have subsequent episodes, particularly two or more, surgery is often required to remove the affected portion of the colon. You may be at an even greater risk of having a second or third episode if your first attack of diverticulitis was at age 50 or younger.
It's not known exactly what causes or triggers a diverticulitis flare-up, but risk factors may include: Having had an episode of diverticulitis in the past4. Eating red meat regularly. Not including enough fiber in the diet.
You may have heard advice that people with diverticular disease should avoid small, sharp and hard foods such as nuts, seeds and corn. The thinking is that there is a risk of undigested remnants of these foods lodging in the diverticula and causing inflammation.
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.
Diet and diverticulitis
During an episode of acute diverticulitis, your appetite may be poor. It is also recommended to avoid foods which are poorly digested or high in fibre, such as onions, nuts, seeds, fruit and vegetable skins, wholegrain cereals etc. Try to stick to plain foods which do not irritate your bowel.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better.
“Eggs are a great source of protein, and they're easily digested,” Dr. Nazarian says. And they won't irritate your diverticula.
Research suggests that a diet low in fiber and high in red meat may increase your risk of getting diverticulitis—inflammation of one or a few pouches in the wall of your colon. Eating high-fiber foods and eating less red meat may lower the risk.
Other pain relievers might be your preferred drugs of choice. But when it comes to diverticulitis, acetaminophen is your best bet. This is because ibuprofen and aspirin can cause abdominal pain and make an already upset stomach feel worse.