Diverticulitis (flare-up) occurs when the diverticula become inflamed and/or infected. There might be an increase in diarrhea, cramping, and bowel irritability, and symptoms can include intense pain, abdominal cramping, bleeding, bloating, and fever.
The most common symptom of diverticulitis is belly or abdominal pain. The most common sign that you have it is feeling sore or sensitive on the left side of your lower belly. If infection is the cause, then you may have fever, nausea, vomiting, chills, cramping, and constipation.
The most common symptom of diverticular disease is intermittent (stop-start) pain in your lower abdomen (stomach), usually in the lower left-hand side. The pain is often worse when you are eating, or shortly afterwards. Passing stools and breaking wind (flatulence) may help relieve the pain.
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.
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.
Uncomplicated diverticulitis
Your doctor is likely to recommend: Antibiotics to treat infection, although new guidelines state that in very mild cases, they may not be needed. A liquid diet for a few days while your bowel heals. Once your symptoms improve, you can gradually add solid food to your diet.
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.
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.
If they become inflamed (diverticulitis), they cause sudden dull pain in the abdomen, accompanied by a mild fever. Other symptoms include constipation, diarrhea, bloating, nausea and sometimes cramping too.
Symptoms of diverticular disease and diverticulitis
tummy pain, usually in your lower left side, that tends to come and go and gets worse during or shortly after eating (pooing or farting eases it)
You may not need treatment if you have a mild and uncomplicated case. But it's important to see a healthcare provider about diverticulitis. If you don't, you may end up with a more severe and complicated case. Certain infections may need to be treated with antibiotics or antivirals to go away.
A mild case of diverticulitis may go away on its own without any treatment. When treatment is necessary, antibiotics and a liquid or low-fiber diet may be all that is necessary to resolve symptoms.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better.
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.
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.
Diverticulitis is an intestinal disease that can cause fatigue in some people. The fatigue may be caused by infection, inflammation, or sleep disruption due to pain. It could also be related to nutritional deficiencies such as anemia, dehydration, medication side effects, or surgery.
Dietary changes often help patients with diverticulitis. During flare-ups, “bowel rest” through a clear liquid diet can be recommended. If a patient cannot return to solid foods in three to five days or is feeling worse, a follow-up appointment should be scheduled immediately, Dr. Teetor says.
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).
Mild colonic diverticulitis can be treated without antibiotics.
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.
Your colon is shortened and therefore stool may pass at a faster rate. Give it time, approximately 6-8 weeks, and your colon should start to function more normally.