Diverticulitis

CONTENTS
Diverticulosis
Diverticulitis
High Fiber diet
Foods to Eat and Foods to Avoid

Diverticulosis is a condition in which the inner lining layer of the large intestine or colon bulges out
(herniates) through the outer, muscular layer. These ‘outpouchings’ are called diverticula.

Diverticulitis is the term for inflammation and infection in one or more diverticula.

A person having diverticulosis (the condition), and perhaps diverticulitis (the inflammation) as well, is said to
have diverticular disease.

Diverticulosis Symptoms, Causes and Management


Diverticula occur in a colon weakened by age, when increased pressure inside the colon (usually due to constipation) causes little pea-shaped pouches of weakness in the intestine wall. The chance of developing diverticula increases with age, so that by age 50 between 20 and 50 percent of all people will have some diverticula, and by age 90 virtually everyone will.

Treatment

This diverticulosis is usually symptom-free, so that most people do not realize they have it. However, a few people will experience spasms and pain. Relieving the constipation, primarily by increasing fiber in the diet, can reduce the problems associated with diverticulosis. If cramps, bloating, and constipation are problems, the doctor may prescribe a short course of pain medication. However, many medications cause the colon to empty, an undesirable side effect for people with diverticulosis.

Diverticulitis Symptoms, Causes and Management

diverticulitis-dietA person with diverticulosis may get diverticulitis when waste matter and bacteria are trapped in a pouch (diverticula). This blockage interferes with the blood supply to the area, and infection sets in. The tissue then becomes inflamed or infected, and in severe cases may even rupture. An attack of diverticulitis can result in fever, pain and tenderness around the left side of the lower abdomen.

The infection and irritation of nearby tissues within the abdomen may cause the abdominal muscles to spasm. About 25 percent of all patients with diverticulitis will have some rectal bleeding, although this rarely becomes severe. Diverticulitis is three times more likely to occur in the left side of the large intestine, and men are three times as likely as women to suffer with diverticulitis.

Treatment

Treatment for diverticulitis focuses on clearing up the infection and inflammation with antibiotics, resting the colon with a liquid diet plus a pain reliever or a drug such as propantheline (Pro-Banthine) to control muscle spasms, and preventing or minimizing complications. Acute or repeated attacks with severe pain or severe infection may be serious enough to require a hospital stay and possibly surgery.

High Fiber Diet Recommendations

High Fiber Diet for Diverticular Disease

This diverticulitis diet is a high fiber diet for managing diverticulosis, and for reducing effects of diverticulitis. The increased fiber (the American Dietetic Association recommends 20 to 35 grams daily, including 6-8 grams of soluble fiber) in this diverticulitis diet plan produces more bulk in the stool, reducing pressure in the colon and assisting the more regular and complete elimination of waste, thereby preventing the formation of further diverticula.

Build up consumption of fiber in your diet gradually – rapid fiber increase may result in gas, cramping, bloating, or diarrhea. There are other benefits in having different kinds of fiber in a balanced diverticulitis diet: it helps to protect against cancer of the colon and rectum, and assists in preventing heart disease and a number of other health problems. Foods containing fiber also tend to comprise nutrients like vitamins A, C, and E and selenium, useful in fighting cancer.

Increase Fluid and Fiber

Anyone with diverticulitis who increases their fiber intake under this diverticulitis diet plan, should drink at least 1.5 liters (3 pints) daily. Insoluble fiber needs fluid to form stools that are easily passed. Medical advice may be to take a fiber supplement such as Metamucil daily (for soluble fiber from psyllium), and to use a cholesterol-lowering spread or margarine containing plant sterols. Fiber supplements provide about 2 to 3.5 grams of fiber per tablespoon, which is mixed with a quarter liter (8 ounces) of water before consuming.

Should Seeds Be Eaten?

Until recently, many doctors suggested avoiding foods with small seeds because it was believed that particles could lodge in the diverticula and cause inflammation. However, this is now a controversial point and no evidence supports this recommendation. So the seeds in tomatoes, zucchini, cucumbers, strawberries and raspberries, as well as poppy seeds, which are part of your diverticulitis diet, are generally considered harmless.

Diverticulitis Diet Guidelines

Foods to Eat

  • Breads and grains (6-11 servings daily)
  • Bread, pastas, pizzas, pancakes, muffins, bagels, pita bread (use whole-grain, whole-wheat flours, and
    add 2-3 tsp of unprocessed wheat bran to, or substitute oat bran for one third of all-purpose flour in homemade
    breads, muffins and other baked goods)
  • Whole-wheat, whole-grain and bran cereal products
  • Buckwheat and stone-ground cornmeal
  • Rye bread
  • Whole wheat crackers or crisp breads
  • Oatmeal, oat bran, or grits
  • Barley, dry
  • Wheat germ
  • Whole wheat pasta
  • Brown rice

Eat raw or dried fruits and raw vegetables if possible – chopping, peeling, cooking, pureeing, juicing, and processing
fruit and vegetables may reduce fiber content.

Vegetables (3-5 servings daily)

  • All vegetables such as asparagus, broccoli, Brussels sprouts, cabbage, carrots, greens (such as beet greens, kale,
    collards, Swiss chard and turnip greens), green beans, green pepper, onions, peas, potatoes with skin, Romaine,
    snow peas, green snap beans, pole beans, broad beans, spinach, squash, sweet potatoes, turnips.

Fruit (2-4 servings daily)

  • All fruits such as apple, apricot, banana, blackberries, blueberries, cherries, dates, fig, grapefruit, nectarine,
    orange, peach, pear, pineapple, prune.

Milk/dairy (2-3 servings daily)

  • Increase fiber in yogurt or cottage cheese by adding fresh fruit, whole grain or bran cereals.

Meat/meat substitutes (2-3 servings or total of about 180 gm or 6 oz daily)

  • All beans and peas such as aduki, baked beans, black beans, fava, garbanzo beans, kidney beans, lentils, lima beans,
    pinto beans and split peas.
  • Smooth peanut butter and other smooth nut butters.
  • All meat (increase fiber in meat dishes like meatloaf, casseroles, by adding 2-3 tsp of unprocessed wheat bran
    or pinto beans, kidney beans, black-eyed peas, or oatmeal), poultry, fish, and eggs

Fats and snacks

  • Whole-wheat pretzels, baked tortilla corn chips or trail mix made with dried fruits.
  • Cakes, breads, and cookies made with oatmeal or fruit.
  • Bean dip

Foods to Avoid

Any hard or difficult-to-digest foods, such as nuts, corn, popcorn hulls, and sunflower, pumpkin, caraway, and sesame seeds.

For more indepth information consider this book: Diverticulitis (How to Cope Successfully With)

These ebooks are also available.
The Fastest Way To End Digestive Pain Forever
New Diverticulitis Breakthrough

142 Comments

  • April 18th, 2009Wendy

    Hi, I was diagnosed about three years ago and began a food combining diet which separated starch or carbs from protein. That is the only thing that works for me. Keeping a food diary did not tell me much. I never could work out what suited or not. I eat everything including seeds, sweet corn etc. I just separate protein from carbs: sometimes known as the Dr HAy diet. I do think everyone is different and know someone who follows the Hay Diet but cannot eat lentils. He also ignores the eggs as being protein and counts eggs as neutral( can be eaten with carbs or protein) whereas I find this does have an adverse effect. I also take probiotic yogurt and supplements including acidophilus with bifidus and slippery elm as well as multi vits etc. As others have said – the doctors are not helpful but the Hay diet has worked for me as well as keeping up the fibre intake, helped with milled organic flaxseed which can be sprinkled on soups, added to smoothies etc. Gd luck. Wendy

  • April 15th, 2009Rita

    I had my first diverticulitis attack in August 2008. It felt like I was in labor. At the time I had been on the South Beach diet (low carbs) for several months. I was eating mostly all veggies and permittable fruits with good protein. SO I was very confused when the ER doctor told me it was from eating “bad”. I explained that my I always drink 8 or more glasses of water a day (no sodas ever – 1 cup of coffee 5 days a week) and overall I eat healthy. His comment was “its years of eating bad”. My Gastrologist told me it is hereditary. I find that when I eat yogurt with added fiber, fiberone bars (that I love), too much salad with raw veggies, and corn. I end up bloated, with an extended stomach, and major discomfort. The left-hand side of my abdomen is constantly bigger than the right and I firmly believe it will always be. I had a colonscopy in December and they had to remove a pulp, I was also able to see the “holes” in my colon. It brought clarity to me in that “I’m not crazy, I do have this disease”. My doctor says “it’s not a matter of if you’ll have another attack it’s a matter of when”. I pray he’s wrong and try to gauge myself by the reactions to what I eat. They say high fiber..high fiber…high fiber. I say if it causes me pain I’m not eating it no matter how much fiber is has.

  • April 7th, 2009Anne

    I started making peanut butter and jelly sandwiches for work and noticed painful stomach distention. Yesterday morning, I noticed a dull pain in my left side, distention, and distant pain in my lower left side of my back. Had to leave work. Never had this problem before with peanut butter. I will eliminate it, as I have read many articles regarding peanuts and allergies, as well as the effect of the nuts in the digestive tract.

  • April 2nd, 2009Stephen R

    In regard to the post made by: cheryl diodato
    March 10th, 2009

    Unreal to think your situation is SO close to mine in so many ways. I am 38 years old and I have been seen by doctors in the past 2 years for Pancreatitis, Diverticulitis, Intestinal blockage, and problems with upper intestines in regards to gas build up. So far I have been giving 8 differant meds for the things and NONE work. I did major research on vicodin, Phenergan, Tremedol, Creon and many others. The side effects to all of these meds totally blew my mind and scared me very badly. I dont take any meds now at all and haven’t been taking them for almost 2 months now. Seems I am honestly feeling more alert and stomach even feels more calm. I do watch what I eat in regards to nuts, seeds, and others as they seemed to give me a major flare up. Back in January I was told I had scarring on my pancreas which was diagnosed before as pancreatitis. I suppose they were wrong on my diagnosis… I was also told by doctor to take laxatives EVERYDAY because the doctor said I had a blockage that was not allowing anything to go down. If I had a blockage I would not even have any thing coming out at all but do everyday with no problem. He then scheduled me to have bypass surgery to bypass part of my pancreas which I did not ever feel I had a pancreas problem. I told them I would not go through the surgery because I felt I was again misdiagnosed. That was 2 months ago and I am still eating…. Since I have been seen for all my so called problems I have lost over 110 pounds and still losing which I believe is due to the fact of doctor pretty much putting me on so many meds and telling me to take laxatives everyday to keep my system flushed out. I now believe I am fighting very badly with Anorexia from this. I do not take laxatives any longer but has left me with a weak stomach that seems to not be able to digest ANYTHING except gagging it up a few hours later. I was just in hospital again for abdominal pains after going 5 more days with out eating due to nausua. When a ct scan was done doctor told me my upper instestines was a mess and they may have to do surgery to remove part of my intestines. I am sure if anyone would go for 5 days with nothing to eat their system would be a mess to BUT the doctor wonts SO bad to simply use me I guess as a cutting board for their experiments. I denied this surgery as well. I originally went in to be seen two years ago for lower abdominal pains and this is what came out of it all in the past 2 yrs. Believe me when I say I am SO MAD at the moment with these doctors that honestly think they have ALL the answers to all your problems but yet dont help at all! Goes to show you that you can NOT trust any doctors with your health unless your ready to turn your self in to them as an experimental lab rat. It is now into day 4 since I signed my own self out of the hospital for the last episode. Since then I am eating everyday and gradually getting over the MAJOR gas buildup in upper instestines which I believe is due to no food. Seems I have to eat in the early morning my bigger meals and VERY small meals at night to keep anything down. One thing I will leave off with this is, I sure hope these doctors someday realise that these things can happen to them as well and they sure wouldn’t like a doctor experimenting on them. Only thing I am doing now is handing it over to a higher power and hope that will do it cause I refuse to go back and be treated by someone for something that they dont even know for sure that I have a problem or not.

  • March 30th, 2009rose smith

    some say eat whole grains others say avoid whole grains i am confused

  • March 28th, 2009Bud Lynch

    Hi, I am 45, I had a flair up last Jan.(2008) that had me in the hosp w/IV antibiotics for 4 days. I used Metamucil powder before bed & ate no corn, seeds, nuts etc….felt good for a year. Now my MD friend told me before Christmas, that the new info is to go ahead & eat nuts corn etc….just be sure to get fiber & drink lots of water. I have been eating corn, nuts, seeds etc (in moderation), and drinking watcher & powdered fiber drinks since Jan 2009…so far so good. I had one slight bit of the feeling (stomach discomfort) last month, but I had soup for a day (chicken broth), and it passed. Wish me luck & I hope you’re all doing well. Google ‘diverticulitis diet recommendations’ and you’ll read of the new studies that say nuts, corn, seeds etc are OK (actually beneficial for our condition). Kind regards, BUD

  • March 25th, 2009David Chief

    I have suffered for about 8 years from attacks which keep getting a little bit worse each time. Two things that are rarely ever mentioned also bring on my attacks of pain: 1. Wearing a belt or clothes which are too tight for too long particularly when I am driving on a long trip. 2. Holding on too long and then rushing a bowel movement and straining too much – this is a bad habit I have had since childhood and I think it has made the disease much worse. Now I try to go to the bathroom as soon as I have the urge and try to relax and just wait patiently.

    All the different diets and fibre supplements didn’t help me very much until I learned to relax and just let the shit flow naturally.

  • March 20th, 2009Phoebe

    After reading these comments, I am still very confused. I was dianosed with diverticulosis and when I have a flare up, it feels like a baby moving around in my stomach and pressing against the walls of my abdomial cavity. It is extremely painful. I am currently eating a high fiber diet, but continue to have flare ups. I have completely gave up pop-corn which I love. I don’t drink much water so maybe I should try to drink more. Good luck to each of you. I feel we are alone on this condition.

  • March 20th, 2009Dennis M

    Good Site, thank you….

  • March 16th, 2009Randy

    Update: Don’t eat icecream, it killed my side, I don’t know how anybody can stay on just liquids for 10 days, but I guess you have to try to stay as close to that for that time for the infection to heal, I lost 13 lbs in 8 days here and im not over weight, I am self employed and loose a 2 weeks or more everytime an attack hits, after reading articles for the last 7 years on this I have learned a few things for my body, they say alcohol can bring on attacks, I like white wine, everytime in the past that I had some drinks of hard liquor for a week or so with some clients, I always had an attack, so I believe that alcohol can bring on attacks, at least for me, so I am going to go a year without and see what happens, I can’t go threw these attacks anymore, also the diets they say you have to have, has WAY to much fiber for my system to handle, also I think the info about drinking a ton of water every day is a good idea, it helps you to go to the bathroom with less fiber intake, I can tolorate a lot of water but not alot of fiber, so unfortunately with all of suffers of this we have to make some major life changes weather we like it or not, I also can not eat red meat, I always pay the next day with side pain, so fish, turkey and chicken is going to be the daily dose, I am just passing on my info and hopefully some of you can try what I have and see if it helps, I always welcome any info on this, nuts and seeds are out of my life for ever, I can eat beens in very small amounts, I just don’t know what to eat when the attacks are over, since Obama is handing out money right now, maybe the research groups for this should hit him up for some, only a person that has had one of these attack or the surgery can truly understand the pain and fear related to this decease, my last pills are tomorrow and my side is still tender, im petrified to eat in fear of another attack, sorry for writting so much, Good Luck to all..

  • March 13th, 2009Randy

    I turned 56 Wed 3-11, I am on meds right now for an attack, Levaquin & Flagyl, terrible stuff, but it does work. Was in the hospital back in 2002 for 4 days with a major attack, had me set up for surgery the next morning, the IV antibiotics did the trick so no surgery. I still have 4 more days of antibiotics left right now, I have had aprox 6 attacks or so since 02, what makes me feel worse during an attack is not eating, alot of people blame the meds (which they do make you feel horrible), but I think for me its going with no food, one doctors says don’t eat or drink anything for a few days, another says to drink fluids, if its not clear you can’t have it, so I decided to eat some baked halibut and baked yams the other days 4th day into the attack, I feel much better even though I am still on the meds, I am eating vanilla icecream with whipped cream right now because I have some nausea, but I do feel the best ive felt in weeks. Since my first attack in 02 and in the hospital, I can not take any laxatives of any kind, used to be able to take Malanta2 or milk of magnesia, since then the next day it kills my left lower side when it hits that area. Just before this attack, I had some beans which also are to much for my gut even when im feeling fine, these diets for diverticulis does not apply to every body the same, it is trial and error, every body is different, some can tollerate some things and doubles over the next person. When my attacks are over they tell me to eat a high fiber diet, well that kills my side to, so you have to trial and error and find what works for you, just avoid the obvious, I get this about once a year and it takes a month out of my life each time, gets Very Old and scary at the time when your having it and passing blood, you think you are going to die. Good Luck to you all….

  • March 13th, 2009nana

    I had a slight attack 2 yrs ago, nothing compared to this one. I’m in a Biggest Loser program in my town(honestly health weight loss not like the program). Have lost 28 lbs since 1-1-09 and then…a week ago the pain, then the fever. I couldn’t stand my clothes to touch me, couldn’t get warm enough. I was scared to death because my mother in law with alzheimers had an attack 18 mths ago that resulted in her having 6 inches of her colon removed and she still has a colostomy. I agree with some of you, I wish someone would tell what to eat, what to avoid and how to live with this. I’m 56, have finally started taking care of myself and now this. I’m also on Cipro and Metro and Vicadin for the pain. Today I was put on phenergan for the nausea. It is better than last week and I am trying to put it into perspective but why can’t some Dr somewhere tell us what to eat so we can function.
    Good luck to all of you, and God bless

  • March 11th, 2009Vicki

    I had my first attack almost two weeks ago. I had not been feeling 100% for a couple of weeks with lots of gas in my stomach and slight bouts of nausuea off and on. I thought I had a stomach virus for a few days but woke up in the middle of the night with stabbing pain, chills and constant pressue in my lower stomach area. At first I thought it was an Ovarian Cyst but found out the next day after a CT Scan that it was Diverticulitis. My docotor prescribed two medications, Metronidazole and Ciprofloxacin. After being on the meds for 3 days I began throwing up and major nauseau set in. It was Saturday night and I called the nurse on call, she told me to continue the meds and go to Urgent Care the next day. I went to Urgent Care the next day and the doctor there said to discontinue meds and gave me phenergran for the nauseau. The next day my doctor changed my meds and now has me on Avelox which seems to be working. The pain has lessened on my left side and I finally slept through the night for the first time without pain. Doctor told me to stay on the BRACK diet (bananas, rice, applesauce, toast)for a few days and then slowly add fiber in. I have been out of work for over a week and if I had it to do all all over again I would have gone to a Gastrologist instead of letting my primary care physician treat me. I had to keep pushing for help as I was getting worse instead of better. I lost 10 lbs in a week and am very nervous about eating anything at this point. I had been on the mediterrean diet for about 3 months prior to the attack due to high cholesterol. I ate only whole grains, veggies and fruits and exercized 4 times each week. I am still very confused about what I should and shouldn’t be eating. I have been researching on the internet to see what type of diet I can come up with.

  • March 10th, 2009cheryl diodato

    I was diagnosed by over a year ago. At that time I spent one week in the hospital with IV antibiotics. I follow the high fiber diet to this day and have lost almost 50 pounds just because i am not hungry. I have constand diarehha. I mean almost everyday, which can sometimes last for hours, sweating, pain everything> I have to admit most of my pain is right sided (which is where my doctor told me the diverticulitis is) About two months ago, i began to bleed, i do not like hospitals, so i bleed for two days until all that was coming out was blood. I called the on call doctor who stated that it sounds like colitis? Go to the ER if you want to. After 5 more hours of bleeding i went, got ct scan, doc came back said you have colitis, here are some antibiotics, go home. The bleeding continued for 3 more days, i began to get weaker and weaker. My GI admitted me into the hospital. Another colonscopy was done, with biopsy, negative for colitis or anything. He said it looked so bad I had to wait in the hospital for the results and added a bunch more meds. Now for the first time in my life i am have upper gi problems, i cant drink to much, i cant drink certain things, just bile comes up. So, last week and upper endoscopy (Oh, by the way, my doc went back to this has to be diverticulitis) He found an infection in my throat, some werid bumps and spirals all over my middle colon (Starts with a D) and gastristis. I am on 5 medication, none for pain (my choice) he added another two now. Biopsy came back ok, but what did he check for? Who knows, I have an appointment at the end of the month? Will i make it, I dont know. Since the endoscopy i have NOT gone to the bathroom at all, even taking things to help, as of today 8 days. This is the total opposite of my normal life. I just dont have a clue what is going on, nor does he? I also have a fatty liver (I am 40) with it protruding to liagments, well the ct scan said most likely fatty liver, although it is actually a mass, he decided not to do anything further with that. So now, upper, lower (which i have also been told might have to be cut out) liver, fungal infection in throat and ulcers in upper colon and those really weird bumps and spirals in my dud…..? Honestly, i am so sick of this, i will wait until i am almost completely dead and then maybe they will figure this out.

  • March 8th, 2009mary bone

    confused and in discomfort

  • February 28th, 2009liz Poindexteer

    I’m so very glad i found this website! My family and job don’t understand that one day your fine then in the middle of the night your body acts like you got food poisining and im weak for days and cant eat or hold anything down…then your fine for a month sometimes 2 months and boom!! your back in bed and cramping up and self medicating from ex-lax to imodium..then lose 20 lbs then gain it back..I’m so devastated I make plans for goals to finish up and then held back because of sickness again.im only 46 and my son has to help pay most bills he’s 23 wants to leave home but i can’t afford my bills while going back in forth to ER and the the antibiotics were 100.00 dollars each time. I thought about having gastral bypass because then your food intake is little and you dont gain weight and lose weight going back and forth.Do you think this a good ideal im 100 lbs over weight most the time untill i get sick i can lose 20 -30 lbs still obese though..Somebody write me lol

  • February 22nd, 2009Shirley Gray

    I am at present going through a Diverticulosis attack I know what the last person says about the doctors not knowing this person is correct they don’t know.
    I have had my attack on goinging since Xmas 2008 the net says some foods are fine and doctors say they not so I think in some ways it is pot luck.
    I have brought a dry fiber in which you can sprinkle on food at any time and you don’t taste it but gives you the fiber count or close to to stay heahlty, coconut I avoid like the plage the little grains get stuck in colon I found that out.
    Good luck to each of you I know what you are all going through.

  • February 16th, 2009Mark

    I ate cashews and went to the hospital with bad pain from diverticulitis. I was admitted for 3 days and from what I understand you have to have antibiotics pumped into you to overcome the infection. Don’t eat nuts or seeds. No popcorn or corn. These are things that can get caught in the pouches. Anything you think can get caught you shouldn’t eat. My doctor said to slowly increase fiber. a site said to avoid beans and peas, course grains, coconut, raisins, friut and vegetable skins, nuts, pickles, strawberries and tomatoes. I agree with this list and not to eat those other foods I mentioned.

  • February 1st, 2009cm

    Just had my first attack 2 weeks ago. Doctor put me on the low residue diet while I was on antibiotics for a week. Then, nothing. I am Slowly putting myself back on fiber, more fruits and experimenting with new foods. I get some pain after I eat, but nothing like when I had the attack. It is so confusing with all the different infomation I am getting. I talked to a registered dietician and all she could respond was ” so you liked salads, well, maybe cook your vegetables”, “so you liked broccoli, maybe you should avoid this”, and so on. I have not been told what to expect but I am trying to be smart about this…….add foods slowly and see(feel) the results. Wish me luck, I am going to try baked beans tonight.

  • January 30th, 2009M. Meeker

    This has been interesting. I’m 41 and had 12″ of colon removed 6 months ago with colon cancer tumor and diverticulitis. The cancer was stage 1 and contained to tumor and no further treatment needed. I have been to colorectal doc, oncologist and nutritionist and all I get is don’t eat pineapple, coconut, nuts, and dried fruit. There is no research on colon cancer survivor dietary guidelines (no research $ for that), so we are foraging our own path.

    The only thing I have found so far is EXTREME balance, eat fiber, with protein and healthy fats (safflower oil, sunflower oil, canola oil, dairy, eggs). Probiotic yogurt 1x daily, lots of vitamin supplements (multivit, low dose aspirin, calcium/Vit D for colon specific, etc.) I’m doing OK for right now but know this is frustating as my system is very delicate now. I’m bookmarking this site to learn more in the future. I’ll share anything I find that helps. I’ve been researching IBS diets, colorectal issues and looking for clues from related sites.

  • January 28th, 2009Pat Flaherty

    I need to know if coconut is taboo when one has diverticulosis (and attacks of diverticulitis). Can’t find any “coconut” references anywhere. Do you know? Thanks.

  • January 24th, 2009GaVaS

    I’ve had diverticulosis since 1997 and have been down with diverticulitis 2 to 3 times a year ever since.
    I’m suffering with diverticulitis presently and have been since the week before Christmas (08). I’m on a third regimen of antibiotics, twice on two at a time. My doctor doesn’t seem to know what I should eat or not eat. Says dairy ok, fiber good, but stay away from nuts and popcorn and anything with small seeds in it.
    I’ve been living on a liquid diet for over five weeks, occasionally eating an avocado or canned peaches. I’ve cooked Quaker oat bran a few times but I’m not sure it was a good decision so I’ve given it up. I tried eating yogurt which contains bifidus regularis, drinking a probiotic with casei immunitas and an acidophylus (live culture) capsule which seems to compound the gas & pressure problem but I’m not sure about that either. The bottom line is: I don’t know what is good or what is bad.
    The antibiotics have to be raising hell with my liver and kidneys but every time I finish a regimen, I’m on a new one in just a few days.
    I’ve lost twenty pounds in five weeks, I’m so week I can hardly stand without trembling, and I’m still in pain though the pain has abated a bit over time.
    Does anyone know for certain what I can eat before I waste away completely? It’s damn sure the doctors don’t know!

  • January 21st, 2009Dawn

    I was waking up in the middle of the night in pain and throughing up and the runs. I can’t tell you how may emergency room visits I have had. When I get there they give an antibiotic and pain med. and send you home. Finally I had a CT scan done and a colonoscopy. The Dr. said it is diverticulitis. I have a very balanced diet and do excersize. I haven’t had any problems with dairy so far. Good luck everyone, BECAUSE i BELEIVE THAT IS ALL WE HAVE.

  • January 21st, 2009Matt D

    I recently had been diagnosed with diverticulitis. I know one thing after reading all this that alot of doctor’s are pretty stupid when it comes to this disease. Defenitely gotta watch what we eat for sure. Take care everyone!!!!!!

  • January 18th, 2009Em

    I was so relieved to find this site and read everyone’s comments. Have suffered from diverticulitis for over 10 years, at least that’s when it was diagnosed. Have thought I was going to die many times. Dr’s only want to prescribe antibotics or surgery. So…I’ve found..any foods that get “glommy” (white flour products ie. breads, muffins, pizza etc)and cooked cheese, take too long to get through the system and sit there decaying cause a problem, too much fiber that zips quickly through the colon will cause irritation. A little whole wheat/oatmeal flour products now and then are ok..a little fruit (peel apples), vegetables everyday, lots of water and some exercise make this whole ordeal manageable. Listen to your body and it will let you know very clearly what works and what doesn’t. Best of luck to all of you and thanks for the good advice.

  • January 12th, 2009paul

    October 9th had severe pain on my left side.Went to the er where they told me I had Diverticulities and wound up in the hospital for over a week.Doctor told me if it happens again they will have to open me up.A week and a half later I was back in the hospital.The first hospital did not do what they said they were going to do instead they opened me up and only cleaned out the area never taking out the bad part of the colon.After the surgery I wound up with staff infection, Mercer,and two other infections I cannot pronounce OH yea also peronities.This hospital told my wife to start making arrangements for my funeral because there was nothing they could do for me.My wife could not believe what she was hearing (I mean I’m only 43 yrs old this shouldn’t happen)had me heliported to another hospital.All an all I spent 3 months in the hospital lost 44lbs only weight 165 in the begining and I have to go through this again in June to have it reveresed.Scared doesnt even describe how I feel.I’ve been out of the hospital for 3 weeks now.Eating a little better and I’ve been walking but I still have pain.Doctor says its normal and I should start feeling better once I put some weight back on.I Hope cause I still feel that I’m not out of the woods just yet.Good Luck to who ever has this.My prayers are with you

  • January 9th, 2009Dawn K

    We came home from dinner last Thursday and the abdominal pains started about an hour later. I stayed home from work on Friday. Went to the walk-in clinic Friday afternoon and did not get out of the ER until after midnight. I was SEVERLY dehydrated. I was put on two different antibiotics and given something for the pain. Thankfully, I haven’t needed that. I was afraid to eat anything. It seems that even a week later all I can keep in my is peanut butter and jelly-s, ice cream and bread/butter. I, too, am nervous about eating. I LOVE spicy foods. Anyone have a problem eating that?

  • January 8th, 2009Jean

    I’ve got diverticulosis, so I definitely understand your pain. I think those of us that do have it, should follow the guidelines, and just be careful what we eat from now on. I have been lazy in exercising, and I think that had a lot to do with it. Being that it’s so close with IBS, doesn’t help us either. I know I’ve lost 7 lbs just by watching what foods I DO eat. Drinking lots of water again, has helped me with BM’s. Not trying to be gross. It sure doesn’t feel good to be in pain, and I’m sorry for anyone, that’s ended up with surgery, trying to find out the problem. Take care

  • January 6th, 2009Laura

    I have a question for everyone with Diverticulitis. How many of you were on a low carb diet at the time you got sick? I ask because I was doing the Atkins 3-4 years ago and ended up in the hospital. Now my mom has been hospitalized for the off and on for the last 5 weeks and getting ready to under go surgery Thursday. It was not until the second week that they discovered her diverticulitis, although I told her twice that I thought she had it. She has a terrible abscess with two fistulas. I am trying to see if there is some relation with the low carb (ie no fiber) and this disease. Any feedback would be great.

  • January 4th, 2009Tonda

    Nov.10 6pm sudden discomfort.
    Nov.11 severe pain. Stayed in bed all day could not eat.
    Nov.12 seen a Doctor he requested several test.
    Nov.12 remove appendix.
    Nov.13 ongoing pain in same area Right side middle of stomach. Several test again… diagnosed Diverticulitis. Emergency Surgery that removed TWO FEET of Right side of large intestine and portion of small intestine.
    Note; I did not have any previous attacks before Nov. 10, 2008. Thought it was stomach flu.
    By the time of second surgery I was totally inflamed with bacteria from the colon leaking. After surgery I spent twelve days in Hospital. Today is Jan. 4, 2009. I have discomforts;PAIN/SPASMS above the naval area. I am afraid when I eat a meal. I am researching as of today if I need a certain Diet. I am also confused about what to eat. My Doctor said to eat anything…Nuts are ok…Just chew your food. I believe I will have to be my own care taker and research to avoid another surgery.

  • December 21st, 2008jonelle

    I was just diagnosed with Divticulitis this week , was up walking the floor with abdomilnal pain and spasms that lasted all night , called my Doc and she sent me to the ER for a CT with contrast and it showed divericulits. I’m on antibiotics and the brat diet which is bannanas , rice , applesauce and toast. I’m supposed to do this for a week then start adding a bit of fiber, like most people on here I am reading lots and it seems no one knows what to eat. I know I don’t want to go through this again.

  • November 26th, 2008Keith

    The two main causes of the diverticulae to enlarge or become infected are lack of body movement and lack of proper flora in the system. Antibiotics are BAD, folks, because they kill off healthy flora. They are the No. 1 reason for most intestinal illnesses. I’ve been taking more flora, doing yoga and avoiding both seeds (especially sesame) and dairy. I almost died 4 years ago, terrible pain, weight loss and bleeding. I took everything out of my diet and slowly put back things one by one and found that dairy was my enemy. By introducing healthy flora, stopping antibiotics and dairy, and moving more (even just daily stretches in the morning) I began having 2 bowel movements a day, zero pain and zero problems. Now if I have a Big Mac or sushi (uh oh, sesame seeds!) the pain comes right back. Lactaid or similar pills only mask dairy problems, they do NOT solve them. As long as you eat slowly, chew carefully, MOVE that body around more and help your intestine by adding healthy flora, you can really improve. Ask yourself, what mammal eats dairy past the first year? NONE. Dairy is bad for humans, you can get your calcium in hundreds of other ways. Switch to soy or rice milk.

    If you eat three times a day, you should be having at least TWO bowel movements a day. If not, you are in serious trouble. Your body will get used to the schedule, 12 hours apart works very well. Soon your body will tell you “Hey, I need to go” and you need to heed the call and NOT PUT IT OFF, no matter what. Excersise is the answer to helping movements!

    Dr’s know nothing about intestinal health, they only know two things: Surgery and antibiotics and pain relievers because that’s what they’re taught. I asked a Dr. about intestinal flora supplements and he had NO IDEA what I was talking about. This was a degreed gastroenterologist! I gave them to a friend recovering from throat cancer who was being fed thru a stomach tube. The Dr.s would not let him off the tube until he gained weight. He couldn’t because of the antibiotics were killing off his flora, result? Loose, bloody stools. I told him to stop the antibiotics and go on the flora supplements. He gained 10 pounds in two weeks and the Dr’s. took out his stomach tube. He’s now quite healthy and is extremely thankful.

    I hope this info helps people, because it really helped me and I’m still alive!

  • November 24th, 2008Bud Lynch

    In April 2008 the AMA revised the opinion & now says that seeds & nuts are OK. The important thing is to get lots of fiber & water in the diet.

  • November 18th, 2008awa

    Diverticulosis Symptoms, Causes and Management

  • November 18th, 2008Kenneth M. Cereño

    I went to the Doctor’s thinking that I had an upper respitory infection. She diagnosed me with diverticulitis and prescribed antibiotics. I called her later that day asking what to use for the pain. She suggested that I go to ER. Waited a few hours, went to ER and was hospitalized 3 days. Still not sure what caused this. WIll be trying to eat the bare minimal of what’s allowable.

  • November 18th, 2008kenneth

    Nice

  • November 10th, 2008gail lansbury

    I just got back from the Dr and results from a CT scan. Have been in pain for a week and was in the hospital in April for 5 days with a blood clot in the large intestine and have had recurring problems. He has me on a No fiber or lactos diet until this calms down, than he said to go to fiber. Apparently everybody agrees on enriched white bread, potatoes, etc but avoid all raw fruits and vegies. Does this mean I’m going to weigh 300 lbs? I love to cook and eat 2 vegies a night and eat healthy, so it wasn’t a lack of fiber that did this. Anybody have a clue? Doctors don’t seem to know very much about this.

  • November 10th, 2008Judith Hammmond

    I am searching for a guide for cooking for one

  • November 9th, 2008Mary

    I went to the Doctor’s thinking that I had an upper respitory infection. She diagnosed me with diverticulitis and prescribed antibiotics. I called her later that day asking what to use for the pain. She suggested that I go to ER. Waited a few hours, went to ER and was hospitalized 3 days. Still not sure what caused this. WIll be trying to eat the bare minimal of what’s allowable.

  • October 28th, 2008virgil graves

    i know that divertriclitis pain is mostly found in the lower left portion of the stomach area. but at times i also have alot of more pressur then pain in my upper quad region left side of my stomach when it acts up on me does anyone else have this same symptom or am i alone with this.

  • October 19th, 2008matt g

    i find it hard to believe a diet with pizza, pancakes, muffins and alot of the other crap is healthy for anyone- let alone a person with a stomach issue- IS THIS FOR REAL?????

  • October 2nd, 2008EMK

    Why is there no clear facts on what to eat? I have been to several different sites, and every one is different on what to eat. I am afraid to eat anything, I don’t want the pain anymore, I can’t afford the hospital bills.

  • September 12th, 2008John

    Not much comment of gut flora. My guess is the big different between the people with DD that never get sick and the people that do is the flora / blood supply in the intestines.

    I have had many bouts of diverticulitis and tomatoes (with seeds removed) or red sauce have been involved each time along with some rough food like nuts. I have a garden and compost vegetables. When I add lots of tomatoes to the nicely smelling earthy mix, it sours the next day. The bacteria digesting the vegetables turns so foul I have to find a new place to compost for a while.

    I can give myself canker sores in my mouth by drinking 3 glasses of orange juice for three days in a row. The OJ does something to my mouth lining that causes bacteria to invade and cause an infection. I picture diverticulitis to have similar means of flare-up.

    I hope someday they find something similar to the H.Pylori/peptic ulcer connection for diveticulitis. We are still in the dark ages for this disease. It is amazing how little is known about a major killer disease. Suffers have to sort the myth from fact at every turn.

    Fiber does not stop acute attacks. I eat as much fiber as a human can and still get attacked.

  • September 5th, 2008scott

    The main thing for me is to avoid dairy. Someone commented to eat pizza. This is the biggest no no and i cant even believe a doctor would say this. The cheeze gets into the pouches and ferments and causes infection and great pain. also very fatty foods are not good like pepperoni and fatty sausage.

  • August 30th, 2008Me

    I know that the last two bouts (most recently the last 3 weeks) that it was nuts that nailed me with the diverticulitis. A couple years ago, I had cooked with crunchy peanut butter against my better judgement and sure enough, a couple days later, I was in the ER with an attack. Most recently, I’d been good and been staying away from cashews and thought, well, maybe just this once. I had cashew chicken at a buffet and, you guessed it, this has been the sickest I’ve ever been. In and out of the ER for the last 3.5 weeks or more admitted for 4 days acute diverticulitis and dehydration. Now I’m looking to have another colonoscopy in a couple weeks and praying that I don’t need surgery. 3 bouts of diverticulitis since 2001 and 2 of them being in the past couple years. Stay away from nuts..

  • August 7th, 2008Laura

    I was just recently diagnosed with diverticulitis. On my vacation this past 4th of July week I went to the Dr. because I thought I had some kind of an infection. My right side had been hurting and I didn’t want to be ill on the 4th and miss the fireworks at an annual party my husband and I go to. My doctor couldn’t find an infection but said my white blood count was 20,000 and should only be 10,000. He immediately thought it was my appendix, the signs and symptoms were there, and when he pushed on my right side where my appendix is it nearly brought me off the table. He sent me strait to the hospital for a CT SCAN. Once the scan had been read the emergency room Dr. said my appendix was fine and perfectly normal but….I had SEVERE Diverticulitis and my colon was on the verge of rupturing and they admitted me immediately.and told me there was a very good chance they would have to do surgery, and could possibly have to remove 6 inches of my colon. Luckily I have not had to have this done. It has only been a few weeks and I have already been back to the Dr. and am on antibiotics.
    The odd thing was every time I would ask my Dr’s what can I eat or not eat the only things they would say was Nuts, & seeds and of course popcorn. Apparently no one is to educated on this. I just hope others are smart enough to look it up on the WEBMD site and read and learn. Good luck to us all who have this because it appears to be up to each individual to control or even eliminate this from our lives.

  • July 4th, 2008George

    My GI doctor says to not only avoid all nuts, but also said he wants me to avoid all raw vegetables, including salads. He said if my primary or only why to get fiber is through salads then go ahead since fiber is very important, but otherwise avoid uncooked vegetables. Heck I use to sit down and eat small bags of baby carrots for snacks rather than a bag of chips.
    This diet seems sensible and I can tell you from experience drink a ton of water as it makes a huge difference. I recently was on antibiotics on and off for 6 weeks because I developed an abscess that got so bad it created a fistula connection to my bladder. I heard this could happen but was not common. Well guess what, it happened and it is unpleasant. Though I am felling much better, the doctors say I must have a portion of the “diseased colon” removed and have the fistula repaired. The colon is then resected and if everything goes according to plan my down time will be a couple of weeks if done laproscopically. It is however major surgery and I am not looking forward to it. Anyway a ton of water and lots of fiber seem to be the consensus to help avoid flare ups and you had better believe that I will improve my diet so as to not go through this again.

  • June 30th, 2008Red Sailor

    Moderation in all things, a healthy balanced diet, regular exercise, chewing your food properly and drinking plenty of water. All these will help prevent diverticulitis and many other ailments as well.

  • June 17th, 2008Z River

    I have read many sites concerning this issue since ending up in the hospital. This is a good definition of the disease but I dont know if I can eat the amount of food suggested here. I would be obese if I did. This issue about seeds & nuts is confusing.

    Why would nuts or seeds that are chewed into a paste or somehow mashed up be bad for you? If the issue is the seeds getting caught in the diverticuli, then would chewed well nuts & seeds be ok? Or are they toxic in themselves. The health benefits of some nuts & sunflower seed is a great loss. Some Diverticulosis sites say the nuts & seed theory is not proven and some sites blame meat because it putrifys and some blame processed foods. Everyone agrees on Fiber but Flax seed is seed,small cracked seed. Some folks say no to dairy & the Drs. just completely drown you with antibiotics which may be necessary but they dont seem concerned w/your lack of good bacteria when thats over. I think everyone needs to get as much info as you can & try to make sense of it. Don’t forget the probiotics & herbs-especially Slippery Elm. I hate this disease & hope all who are bothered by it will not give up.

  • April 22nd, 2008Anonymous

    Straight forward giving you the understanding of what the problem is and how to manage what you eat. Not too much of a menu.








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Last modified: November 23, 2009