What is diverticulitis and how does diet impact it. Which foods should you eat and avoid with diverticular disease. How much fiber is recommended for diverticulitis prevention. What are the best sources of dietary fiber for digestive health.

Understanding Diverticular Disease and Its Relationship to Diet

Diverticular disease refers to a condition where small pouches (diverticula) form in the wall of the colon. When these pouches become inflamed or infected, it’s called diverticulitis. Research indicates that diet plays a crucial role in both the development and management of this condition.

Studies suggest that a diet low in fiber and high in red meat may increase the risk of developing diverticulitis. Conversely, consuming high-fiber foods and reducing red meat intake may lower this risk. This connection between diet and diverticular disease highlights the importance of making informed dietary choices for prevention and management.

The Prevalence of Diverticular Disease

Diverticular disease is particularly common in Western and developed nations, likely due to dietary and lifestyle factors. In the United States, it’s estimated that:

• 30% of people between ages 50 and 59 have diverticulosis
• 70% of those over age 80 have diverticulosis

These statistics underscore the importance of understanding and addressing this condition through dietary interventions.

The Crucial Role of Fiber in Diverticulitis Prevention

Fiber plays a pivotal role in maintaining digestive health and potentially preventing diverticulitis. The Dietary Guidelines for Americans, 2020-2025, recommends a dietary fiber intake of 14 grams per 1,000 calories consumed. For a 2,000-calorie diet, this translates to 28 grams of fiber per day.

How does fiber help prevent diverticulitis? Fiber adds bulk to the stool, making it softer and easier to pass. This can help prevent constipation, which is a risk factor for diverticular disease. Additionally, fiber promotes the growth of beneficial gut bacteria, which may help maintain colon health.

Gradually Increasing Fiber Intake

If you’re looking to increase your fiber intake, it’s important to do so gradually. A sudden increase in fiber consumption can lead to digestive discomfort. Health care professionals often recommend increasing fiber intake slowly, allowing your body to adjust to the change.

Top Fiber-Rich Foods for Diverticulitis Prevention

Incorporating fiber-rich foods into your diet is essential for preventing diverticulitis. Here are some excellent sources of dietary fiber:

Fiber-Rich Grains

• High-fiber, unsweetened ready-to-eat cereal (1/2 cup): 14.0 grams
• Cooked bulgur (1/2 cup): 4.1 grams
• Whole wheat crackers (1 ounce): 2.9 grams
• Whole wheat tortillas (1 ounce): 2.8 grams

Fiber-Rich Fruits

• Raspberries (1 cup): 8.0 grams
• Asian pear (1 medium): 6.5 grams
• Apple with skin (1 medium): 4.8 grams
• Dried plums or prunes (1/4 cup): 3.1 grams

Fiber-Rich Vegetables and Legumes

• Cooked green peas (1 cup): 8.8 grams
• Cooked lentils (1/2 cup): 7.8 grams
• Cooked pinto beans (1/2 cup): 7.7 grams
• Cooked sweet potato (1 cup): 6.3 grams
• Cooked chickpeas (1/2 cup): 6.3 grams
• Cooked kidney beans (1/2 cup): 5.7 grams
• Cooked broccoli (1 cup): 5.2 grams
• Cooked collard greens (1 cup): 4.8 grams

Debunking Myths: Foods to Avoid with Diverticulosis

In the past, doctors often advised patients with diverticulosis or diverticular disease to avoid certain foods, particularly nuts, popcorn, and seeds. However, recent research has challenged this longstanding recommendation.

Current evidence suggests that these foods are not harmful to people with diverticulosis or diverticular disease. In fact, many of these foods are excellent sources of fiber and other nutrients that may be beneficial for overall digestive health.

Should you eliminate any specific foods if you have diverticulosis? Most people with diverticulosis or diverticular disease do not need to avoid specific foods. However, it’s always best to consult with your healthcare provider about your individual dietary needs. They can provide personalized advice based on your specific condition and overall health status.

Managing Diverticulitis: Dietary Considerations During Flare-Ups

While a high-fiber diet is generally recommended for preventing diverticulitis, dietary needs can change during active flare-ups of the condition. During these periods, your doctor may recommend a temporary low-fiber diet or even a liquid diet to allow your digestive system to rest.

Low-Fiber Diet During Acute Diverticulitis

During an acute episode of diverticulitis, your healthcare provider might recommend a low-fiber diet. This typically includes:

• Low-fiber cereals
• White bread and pasta
• Cooked fruits without skin or seeds
• Cooked vegetables without skin or seeds
• Lean meats, fish, and poultry
• Eggs
• Dairy products (if tolerated)

It’s important to follow your doctor’s recommendations closely during this time and gradually reintroduce fiber as your symptoms improve.

The Impact of Lifestyle Factors on Diverticular Disease

While diet plays a significant role in managing diverticular disease, other lifestyle factors also contribute to its development and progression. Understanding these factors can help in developing a comprehensive approach to prevention and management.

Physical Activity and Diverticulitis

Regular physical activity has been associated with a lower risk of diverticulitis. Exercise can help maintain a healthy weight, promote regular bowel movements, and reduce inflammation in the body. Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week, as recommended by health authorities.

Obesity and Diverticular Disease

Obesity is a known risk factor for diverticulitis. Excess body weight, particularly around the abdominal area, can increase pressure in the colon, potentially leading to the formation of diverticula. Maintaining a healthy weight through a balanced diet and regular physical activity can help reduce this risk.

Smoking and Alcohol Consumption

While the direct link between smoking and diverticulitis is not fully established, smoking is known to negatively impact overall digestive health. Similarly, excessive alcohol consumption may increase the risk of diverticulitis flare-ups. Limiting or avoiding these habits can contribute to better digestive health.

The Role of Probiotics in Diverticular Disease Management

Probiotics, or beneficial bacteria, have gained attention for their potential role in managing various digestive conditions, including diverticular disease. While research is ongoing, some studies suggest that probiotics may help maintain a healthy balance of gut bacteria and potentially reduce inflammation in the colon.

Potential Benefits of Probiotics

The potential benefits of probiotics for diverticular disease include:

• Improving overall gut health
• Reducing inflammation in the colon
• Potentially decreasing the risk of diverticulitis flare-ups
• Supporting regular bowel movements

However, it’s important to note that more research is needed to fully understand the role of probiotics in diverticular disease management.

Sources of Probiotics

Probiotics can be obtained from both food sources and supplements. Probiotic-rich foods include:

• Yogurt with live active cultures
• Kefir
• Sauerkraut
• Kimchi
• Kombucha
• Miso

If considering probiotic supplements, it’s crucial to consult with your healthcare provider to determine the most appropriate type and dosage for your individual needs.

Hydration: An Often Overlooked Aspect of Digestive Health

Proper hydration is crucial for overall health, including digestive health. Adequate fluid intake can help prevent constipation, which is a risk factor for diverticular disease. Moreover, staying well-hydrated can support the beneficial effects of a high-fiber diet.

How Much Water Should You Drink?

The amount of water needed varies from person to person, depending on factors such as age, sex, activity level, and climate. However, a general guideline is to aim for about 8 cups (64 ounces) of fluid per day. This can come from water, other beverages, and water-rich foods.

Tips for Staying Hydrated

Here are some strategies to ensure adequate hydration:

• Carry a reusable water bottle with you throughout the day
• Set reminders to drink water regularly
• Consume water-rich foods like fruits and vegetables
• Drink a glass of water with each meal
• Limit intake of dehydrating beverages like alcohol and caffeine

Remember, if you’re increasing your fiber intake, it’s particularly important to increase your fluid intake as well to help the fiber move through your digestive system effectively.

The Importance of Individualized Dietary Approaches

While general guidelines for managing diverticular disease through diet are helpful, it’s crucial to remember that everyone’s digestive system is unique. What works well for one person may not be as effective for another. This is why personalized dietary approaches are so important in managing diverticular disease.

Working with a Registered Dietitian

A registered dietitian (RD) or registered dietitian nutritionist (RDN) can be an invaluable resource in developing a personalized dietary plan. These professionals can:

• Assess your current diet and nutritional status
• Help you gradually increase fiber intake in a way that’s comfortable for you
• Provide guidance on managing symptoms during flare-ups
• Offer strategies for maintaining a balanced diet while managing diverticular disease
• Address any other dietary concerns or restrictions you may have

Working with an RD or RDN can help ensure that your dietary approach is not only effective for managing diverticular disease but also supports your overall health and nutrition needs.

Keeping a Food and Symptom Diary

Maintaining a food and symptom diary can be a useful tool in identifying potential trigger foods or dietary patterns that may exacerbate your symptoms. This involves recording:

• What you eat and drink
• When you eat and drink
• Any symptoms you experience
• The timing of these symptoms in relation to your meals

Over time, this information can help you and your healthcare provider identify patterns and make informed decisions about your diet.

The Future of Diverticular Disease Management: Emerging Research

As our understanding of diverticular disease continues to evolve, researchers are exploring new avenues for prevention and treatment. Some areas of ongoing research include:

The Gut Microbiome and Diverticular Disease

Scientists are increasingly interested in the role of the gut microbiome – the community of microorganisms living in our digestive tract – in diverticular disease. Some studies suggest that alterations in the gut microbiome may contribute to the development of diverticulitis. This research could potentially lead to new probiotic or prebiotic treatments in the future.

Anti-Inflammatory Diets

Given the inflammatory nature of diverticulitis, researchers are investigating whether anti-inflammatory diets, such as the Mediterranean diet, could help prevent or manage the condition. These diets typically emphasize:

• Fruits and vegetables
• Whole grains
• Lean proteins
• Healthy fats like olive oil
• Limited processed foods and red meat

While more research is needed, following an anti-inflammatory diet may have additional health benefits beyond potentially managing diverticular disease.

Genetic Factors in Diverticular Disease

Recent studies have suggested that genetic factors may play a role in susceptibility to diverticular disease. As this research progresses, it could lead to more personalized approaches to prevention and treatment based on an individual’s genetic profile.

As we await the results of these and other ongoing studies, it’s clear that diet remains a cornerstone in the management of diverticular disease. By focusing on a fiber-rich, balanced diet and working closely with healthcare providers, individuals can take proactive steps to manage their condition and promote overall digestive health.

Eating, Diet, & Nutrition for Diverticular Disease

Does what you eat and drink play a role in causing or preventing diverticular disease?

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.

The Dietary Guidelines for Americans, 2020–2025, recommends a dietary fiber intake of 14 grams per 1,000 calories consumed. For example, for a 2,000-calorie diet, the fiber recommendation is 28 grams per day.

What should I eat and drink if I have diverticular disease?

If you have chronic symptoms of diverticular disease or if you had diverticulitis in the past, your doctor may recommend eating more foods that are high in fiber.

Your doctor may recommend eating more foods that are high in fiber.

Talk with a health care professional, such as your doctor or a dietitian, to plan meals with the right amount of fiber for you. Health care professionals may recommend increasing the amount of fiber you eat a little at a time, so your body gets used to the change.

The amount of fiber in a portion of food is listed on the food’s Nutrition Facts label. Some examples of fiber-rich foods are listed in the table below.

Examples of fiber-rich foods

Fruits
Food and Portion Size	Amount of Fiber
1 cup of raspberries	8. 0 grams
1 medium Asian pear	6.5 grams
1 medium apple, with skin	4.8 grams
1/4 cup of prunes or dried plums	3.1 grams

Vegetables
Food and Portion Size	Amount of Fiber
1 cup of green peas, cooked	8.8 grams
1/2 cup of lentils, cooked	7.8 grams
1/2 cup of pinto beans, cooked	7.7 grams
1 cup of sweet potato, cooked	6.3 grams
1/2 cup of chickpeas (garbanzo beans), cooked	6.3 grams
1/2 cup of kidney beans, cooked	5. 7 grams
1 cup of broccoli, cooked	5.2 grams
1 cup of collard greens, cooked	4.8 grams

Should I avoid certain foods if I have diverticulosis or diverticular disease?

Most people with diverticulosis or diverticular disease do not need to avoid specific foods. In the past, doctors used to recommend avoiding nuts, popcorn, and seeds. However, more recent research suggests that these foods are not harmful to people with diverticulosis or diverticular disease.

If you have diverticulosis or diverticular disease, talk with your doctor about whether you should change what you eat and drink.

Diverticulitis Diet: Best and Worst Foods for Prevention and Treatment

Eating a diet high in fiber can help prevent diverticulitis. But it’s important to avoid fiber if you have the condition.

By Angela Lemond, RDNMedically Reviewed by Ira Daniel Breite, MD

Reviewed: December 12, 2022

Medically Reviewed

Fiber-rich foods, such as beans, may play a key role in helping prevent diverticulitis. Claudia Totir/Getty Images

If you’re at risk for or have been diagnosed with diverticulitis, your doctor has likely recommended antibiotics and over-the-counter medication as first-line treatments. Or, if your diverticulitis has progressed, you may need surgery. But when it comes to helping ward off or treat diverticulitis, what you put into your body during breakfast, lunch, and dinner also matters.

Fiber and Diverticulitis: What’s the Connection?

Diverticulitis is a condition in which small, sac-like pouches form on the top layer of the colon (called diverticulosis) and become infected or inflamed. 

This condition affects Western and developed nations most, likely because of diet and other lifestyle factors. It’s estimated that 30 percent of Americans between ages 50 and 59 and 70 percent over age 80 have diverticulosis. (1)

Risk of diverticulitis is tied to age, history of constipation, obesity, a lack of physical activity, and, importantly, a lack of fiber.

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Why Is Fiber Important in Digestive Health?

One study found that diverticulitis is seen in up to 50 percent of the population of Finland due to low fiber intake and an aging population. (2) And research suggests that people in Africa and Asia, where high-fiber diets are common, rarely suffer from diverticulitis. It’s also notable that in Asian countries, most cases of diverticulitis are “right-sided” — that is, they involve the right side of the colon — as opposed to cases in Western countries, which are usually “left-sided.” Research indicates that left-sided diverticulitis causes more complications, which may be another reason diverticulitis is reported in greater numbers in the West.

Fiber, or plant material, serves an important role in the digestive process, softening stool and helping it move more smoothly through the colon. A lack of fiber can cause constipation, which makes stools harder and more difficult to pass, putting stress on the muscles of the colon.

And because diverticula typically form in areas where digestive muscles are strained or weakened, constipation may make the development of diverticula more likely.

Because constipation causes pressure to build up in the colon, it may also lead to inflammation or infection of diverticula that are already present in the colon, causing diverticulitis.

Luckily, high-fiber foods aren’t difficult to find.

Top Foods to Eat for Preventing Diverticulitis

Fiber is your friend when it comes to good digestive health. It promotes good bacteria, keeps the digestive tract clean, and helps bulk the stool so it’s easier to pass.

If you’re looking to ward off or mitigate diverticulitis, here are some of the best high-fiber foods to eat, and how many grams (g) of fiber each serving has:

• Bran cereal (? cup): 8.6g
• Kidney beans (? cup): 7.9g
• Lentils (½ cup): 7.8g
• Black beans (½ cup): 7.6g
• Chickpeas (½ cup): 5.3g
• Baked beans (½ cup): 5. 2g
• Pear (1 medium): 5.1g
• Soybeans (½ cup): 5.1g
• Sweet potato, with skin (1 medium): 4.4g
• Green peas (½ cup): 4.4g
• Bulgur (½ cup): 4.1g
• Mixed vegetables (½ cup): 4g
• Raspberries (½ cup): 4g
• Blackberries (½ cup): 3.8g
• Almonds (1 ounce): 3.5g
• Spinach, cooked (½ cup): 3.5g
• Vegetable or soy patty: 3.4g
• Apple (1 medium): 3.3g
• Dates, dried (5 pieces): 3.3g

For many years, doctors advised people with diverticulosis not to eat nuts, seeds, or popcorn, which they believed could block the openings of diverticula and lead to flare-ups of diverticulitis. (3)

But research has shown that there is no link between eating these foods and an increased risk of developing diverticulitis, and doctors no longer make this recommendation.

Because foods that are high in fiber are typically also high in vitamins and other nutrients, it’s best to get the fiber you need from food.

But if dietary restrictions prevent you from consuming all the fiber you need at meals, your doctor may recommend fiber supplements. (4)

• Psyllium, which is present in supplements like Metamucil and Konsyl, is one fiber option. This supplement may be sold as a powder or liquid, in granules, capsules, or as a wafer.
• Methylcellulose-based supplements, such as Citrucel, are typically sold in powder or granular form.
• Chicory root fiber, inulin, oligofructose, and fructooligosaccharides (FOS) may increase good bacteria and improve immune function. (5,6)

Is Too Much Fiber a Bad Thing When It Comes to Diverticulitis?

The short answer: Yes! Be mindful that some studies suggest eating too much fiber (more than 50 g per day) may actually lead to diverticular disease by causing constipation. Fiber bulks the stool, so remember to match your fiber intake with water. (9)

The recommended amount of dietary fiber is 30 to 38 g per day for adult males and 21 to 25 g per day for adult females. (10) There are two kinds of fiber found naturally in the foods you eat:

• Soluble fiber
• Insoluble fiber

Soluble fiber dissolves in water, forming a gel-like material that makes stools softer and larger, allowing them to pass easily through the intestine. Insoluble fiber helps move waste through the digestive system by absorbing water and adding bulk to stools. (11)

Most plant-based foods contain both soluble and insoluble fiber. But some foods contain more of one kind of fiber than the other.

What Are Some Other Nutritional Needs of People With or at Risk for Diverticulitis?

An overall nutrient-rich diet that includes naturally occurring foods containing fiber is the best way to eat for diverticulosis and diverticulitis prevention. The U.S. Department of Agriculture (USDA) Dietary Guidelines suggest that we vary our protein sources. (12)

That means increasing your intake of fish and enjoying vegetarian meals with plant-based protein, along with keeping any meat or poultry you eat lean. If you’re having trouble adjusting your diet, consider adding a registered dietitian to your healthcare team. You can find one at EatRight.org.

That said, there are some foods you should eliminate from your diet if you’re managing acute diverticulitis.

Top Foods to Avoid if You’re Having a Diverticulitis Attack

When diverticulitis causes sudden (acute) symptoms, such as abdominal pain and nausea, some people call this a diverticulitis attack or flare-up. Attacks can be triggered or made worse by what you eat.

Diverticulitis causes inflammation and affects how your colon works. So when symptoms flare up, you should avoid fiber-rich foods. (13) This may seem counterintuitive, because these are the very foods you’re encouraged to eat to prevent the condition in the first place. 

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Here’s why it makes sense: Fibrous foods, while very good for you, are not soothing for an irritated digestive system. For that reason, it is advised to wait until the inflammation is under control before eating fiber again. (14)

If the diverticulitis is causing severe symptoms or symptoms of infection like fever, the doctor may call for bowel rest (nothing by mouth) until the condition is under control. A clear liquid diet may be the next step, where you can progress to water, broth, and apple juice. (13)

If your symptoms are mild to moderate, however, you will most likely be put on a low-fiber diet (consuming less than 15 g per day) until symptoms such as abdominal pain and diarrhea stop. (15)

Foods low in fiber (less than 2 g per serving) include:

• Beef, poultry, and fish (3 oz)
• Bread, white (1 slice)
• Cottage cheese (½ cup)
• Cream of wheat, instant (¾ cup)
• Egg (1 whole)
• Fruit juice (½ cup)
• Green beans, canned (½ cup)
• Ice cream (½ cup)
• Lettuce, all types (1 cup)
• Mashed potatoes, no skin (½ cup)
• Milk, all types (1 cup)
• Nut butters (smooth), including peanut, soy, almond, and sunflower (2 tablespoons)
• Pasta, white (½ cup)
• Peaches, canned (½ cup)
• Pears, canned (½ cup)
• Pudding or tapioca (½ cup)
• Rice, white (½ cup)
• Soy milk, rice milk, or almond milk (1 cup)
• Tofu (½ cup)
• Tuna, canned (3 oz)
• Yogurt (6 oz)

Some Simple Steps to Help Prevent Diverticulitis

Other than diet, there are several other ways you can maintain good digestive health and prevent diverticula from forming, including avoiding eating too much red meat, avoiding fatty foods, and drinking plenty of fluids. (16)

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, naproxen (Aleve), and ibuprofen (Advil) have been linked to increased instances of diverticulitis. (17) Smoking and obesity have also been shown to be risk factors for developing the condition.

High-fiber diets need water to function properly. If you don’t drink enough water, you can put yourself at greater risk of constipation. (18)

Finally, delaying bowel movements can lead to hard stools and increased strain on the muscles of the colon, which may lead to diverticular disease. (20)

Here are some habits to practice to avoid diverticulitis:

• Exercise regularly
• Quit smoking (smokers are at a higher risk of developing diverticulitis as well as  complications from the condition)
• Avoid the use of NSAIDs
• Drink plenty of fluids
• Maintain a healthy body weight
• Respond to bowel urges
• Moderate red meat intake

The Takeaway: How Important Is Diet for Preventing and Managing Diverticulitis?

Diet is central to the prevention of diverticulitis. A high-fiber diet that is rich in fruits, vegetables, beans, legumes, and whole grains will help prevent the sac-like pouches from forming and getting infected. If you are diagnosed with diverticulitis and are having acute symptoms, allow your digestive tract some time to heal by following a low-fiber diet. (20,21)

Editorial Sources and Fact-Checking

1. Definition and Facts for Diverticular Disease. National Institute of Diabetes and Digestive and Kidney Diseases. August 2021.
2. Makela J, Kiviniemi H, Laitinen S. Prevalence of Perforated Sigmoid Diverticulitis Is Increasing. Diseases of the Colon & Rectum. July 2002.
3. Strate LL, Liu YL, Syngal S, et al. Nut, Corn, and Popcorn Consumption and the Incidence of Diverticular Disease. JAMA. August 27, 2008.
4. Treatment for Diverticular Disease. National Institute of Diabetes and Digestive and Kidney Diseases. August 2021.
5. Gibson GR, Roberfroid MB. Dietary Modulation of the Human Colonic Microbiota: Introducing the Concept of Prebiotics. The Journal of Nutrition. June 1995.
6. Roberfroid M, Gibson GR, Hoyles L, et al. Prebiotic Effects: Metabolic and Health Benefits. British Journal of Nutrition. August 2010.
7. Deleted, November 22, 2022.
8. Deleted, November 22, 2022.
9. Robbins SE. A Common Cause of Irritable Bowel Syndrome and Diverticulitis: Chronic Distal Colon Distention From Sedentary Behavior and Excessive Dietary Fiber. Expert Review of Gastroenterology & Hepatology. July 2013.
10. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. National Academies of Sciences, Engineering, and Medicine. 2005.
11. Mudgil D, Barak S. Composition, Properties, and Health Benefits of Indigestible Carbohydrate Polymers as Dietary Fiber: A Review. International Journal of Biological Macromolecules. October 2013.
12. Protein Foods. U.S. Department of Agriculture.
13. Diverticulitis Diet. Mayo Clinic. December 1, 2021.
14. Diverticular Disease and Diet. University of California San Francisco.
15. Low-Fiber/Low-Reside Diet [PDF]. University of Michigan Health System. October 2015.
16. Strate LL, Keeley BR, Cao Y, et al. Western Dietary Pattern Increases, and Prudent Dietary Pattern Decreases, Risk of Incident Diverticulitis in a Prospective Cohort Study. Gastroenterology. April 1, 2017.
17. Yuhara H, Corley DA, Nakahara F, et al. Aspirin and Non-Aspirin NSAIDs Increase Risk of Colonic Diverticular Bleeding: A Systematic Review and Meta-Analysis. Journal of Gastroenterology. June 2014.
18. Your Digestive System and How It Works. National Institute of Diabetes and Digestive and Kidney Diseases. December 2017.
19. Deleted, November 22, 2022.
20. Diverticulosis and Diverticulitis. American College of Gastroenterology.
21. Eating, Diet, and Nutrition for Diverticular Disease. National Institute of Diabetes and Digestive and Kidney Diseases. August 2021.

Additional Sources

• Kim, CN. What Is the Difference Between Right- and Left-Sided Colonic Diverticulitis? Annals of Coloproctology. December 2016.
• EatRight.org. Academy of Nutrition and Dietetics. 

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A new look at the diet for diverticulosis and diverticulitis

Currently, severe dietary restrictions are used less and less in gastroenterology. This is based on the results of clinical studies that have not confirmed the effectiveness of strict diets for a number of diseases of the gastrointestinal tract, including diverticular disease of the colon. In this article, we have compiled new trends regarding dietary recommendations for this disease.

First of all, the diet for diverticular disease depends on its stage. Therefore, we first briefly consider these stages and determine how they differ.

What is diverticulosis and diverticulitis?

Diverticular disease is a chronic disease associated with the presence of at least one diverticulum in the colon. Most often and in greater numbers, diverticula are found in the sigmoid colon, which is a section of the large intestine.

D iverticulum – a limited sac-like protrusion in the wall of a hollow organ, communicating with its cavity through a narrow lumen called the stalk or neck. It is the most commonly detected pathology during colonoscopy

Diverticular disease can have both uncomplicated and complicated course:

• diverticulosis is an asymptomatic, uncomplicated condition, accompanied by the formation of one or more diverticula.
• diverticulitis – inflammation of a diverticulum with spread to the adjacent tissue and intestinal wall without involvement of the abdominal wall or other abdominal organs in the inflammatory process.

Examinations to confirm the diagnosis

In the case of uncomplicated diverticulosis, colonoscopy is used to identify single or multiple diverticulum orifices (entrances to diverticula) in the intestinal wall. In the case of acute diverticulitis, colonoscopy is recommended no earlier than 1 month after its treatment.

In case of exacerbation and suspicion of acute diverticulitis, the following tests are usually carried out:

1. X-ray examination of the abdominal cavity to exclude the formation of a hole in the intestinal wall and intestinal obstruction.
2. Intestinal ultrasonography to evaluate for bowel wall thickening and signs of edema to rule out acute inflammation.
3. Computed tomography of the abdominal organs is the “gold standard” for diagnosing acute diverticular disease, it helps to assess not only the presence of inflammation, but also its extent, involvement of neighboring organs.

Causes of diverticulosis

The main reason for the formation of diverticula is the weakness of the intestinal wall. It is assumed that it can be caused by a “Western” style of eating with a deficiency of dietary fiber.

In addition to dietary fiber deficiency, low physical activity, being overweight, genetic predisposition, and aging may contribute to the development of diverticular disease.

Variants of the course of the disease

Most patients with diverticula do not experience symptoms, but about 25% of them regularly visit a gastroenterologist with complaints of abnormal stools, abdominal pain, bloating, and 5% of patients develop acute diverticulitis.

The prevalence of diverticulitis increases with age, the risk group includes smokers, obese people, and a sedentary lifestyle. The unfavorable course of diverticular disease is often associated with the treatment of concomitant diseases: hormonal therapy, NSAIDs, drugs to prevent blood clots, and anticancer chemotherapy.

General principles of nutrition in non-acute diverticular disease

In asymptomatic and non-acute conditions, the diet should be healthy, balanced and contain sufficient fiber.

A high fiber diet (25-40 g/day) plays an important role in the prevention as well as in the non-pharmacological treatment of uncomplicated diverticular disease. Studies have noted that a 23%, 41%, and 58% reduction in the risk of diverticulosis was observed at 20, 30, and 40 g/day of dietary fiber, respectively, compared with 7.5 g/day.

A diet high in fiber helps fight constipation by promoting comfortable stools. In addition, there is less pressure on the diverticula, which prevents diverticular disease from flaring up.

For more information on which foods contain fiber, see our article .

You can use the “healthy plate” rules compiled by scientists from the Harvard School to select a diet. They help rationally distribute products throughout the day for breakfast, lunch and dinner without counting calories.

Healthy plate rules:

1. Half of every meal is vegetables and fruits. Vegetables are consumed boiled, stewed and fresh, potatoes are limited, as they can increase blood sugar levels. Fruit is fresh and cooked.
2. Whole grains – ¼ plate.
3. Whole and unrefined grains – whole wheat, barley, wheat grains, quinoa, oatmeal, buckwheat, brown rice and products made from them, such as whole wheat pasta.
4. Protein – ¼ plate. Lean beef, turkey, chicken, fish, beans, nuts are healthy and varied sources of protein. They can be added to a salad and go well with vegetables.
5. Healthy vegetable oils such as olive, corn, sunflower, peanut and others – in moderation.
6. Water, coffee or tea.

Changes in dietary advice for diverticulosis

B dietary advice at diverticulosis (uncomplicated diverticular disease) the following changes have recently been made:

1. Consumption of nuts, seeds and cereals and other products containing seeds . Some time ago, it was believed that eating nuts and seeds in uncomplicated diverticular disease could lead to inflammation of the diverticula and cause diverticulitis, but this has not been confirmed by studies. Therefore, without exacerbations, such foods are safe to eat, including foods containing small seeds, such as tomatoes and strawberries. There are also no contraindications to the use of cereal products.
2. To coffee and alcohol . Previously, the consumption of coffee and alcoholic beverages was strictly prohibited. However, at present, no relationship has been found between the development of the disease, as well as the frequency of its exacerbations, and the use of these drinks in adequate doses.
3. Fresh fruits and vegetables . Fruits and vegetables can be consumed without peeling. In the presence of poor tolerance of fresh vegetables and fruits, they are consumed in a crushed form in small portions and after cooking.

What foods and drinks are excluded?

• spicy and smoked food, “fast food”;
• sugary drinks, the main source of calories with low nutritional value;
• partially hydrogenated oils that contain harmful trans fats;
• processed red meat such as bacon, sausages, sausages.

What needs to be limited?

• natural red meat in any form;
• milk and dairy products up to one or two servings per day;
• juice freshly squeezed (preferably) or packaged up to a small glass per day.

Diverticulosis Diet and Lifestyle Tips

1. For cooking, use non-crusted baking, boiling, stewing, sautéing.
2. Choose the right carbohydrates. The composition of carbohydrate sources in your diet is more important than their quantity, because some of them – such as vegetables (except potatoes), fruits, whole grains, legumes – are healthier than simple carbohydrates and starches.
3. Do not forget about the use of healthy vegetable oils.
4. Drink enough water, this can be calculated using the formula 30 ml of water/kg of body weight.
5. Nuts can be soaked or ground in a blender to reduce swelling.
6. Be sure to separate the seeds of pumpkin, watermelon, melon during meals.
7. Include fiber in your diet, there are no contraindications to eating bran.
8. For the prevention of exacerbations, physical activity is useful: walking – 50 minutes a day.
9. Meals should be regular, 4-5 times a day.
10. The composition of the intestinal microflora plays an important role. In the presence of dysbacteriosis, as a rule, symptoms such as rumbling, bloating will also appear with recommended foods. Therefore, it is required to eliminate the violation of the composition of the microflora.

Diet during exacerbation of the disease, diverticulitis

In case of exacerbation of diverticular disease (diverticulitis), it is recommended to exclude fresh fruits, vegetables, dairy products, nuts, berries until the exacerbation subsides. Also, during an exacerbation, it is recommended to reduce the amount of fiber in the diet.

High-fiber foods to avoid in diverticulitis

1. Whole grain cereals, wholemeal bread and pasta.
2. Fruits and vegetables with skin and seeds.
3. Nuts and seeds.
4. Beans.
5. Popcorn.

In some cases, at the onset of a flare-up, your healthcare provider may recommend a few days of an all-liquid diet including clear broths, pulp-free juices, fruit jellies and ice cream without fruit pieces, tea, water, followed by a reduced-fiber diet.

A sparing diet is characterized by a low fiber content of up to 8-12 g, depending on the severity of the exacerbation. It is recommended to observe it until the symptoms of diverticulitis disappear.

Low-fiber meal options

• white flour pasta, bread and crackers, and white rice;
• steamed vegetables;
• eggs and egg whites, tofu, shredded chicken, lean ground beef, and soft baked fish;
• preserved fruits such as peaches or pears, applesauce, ripe bananas. Fruit should be peeled, as the skin is a source of insoluble fiber, which can irritate inflamed diverticula.

After the flare-up subsides, it is recommended to gradually increase fiber intake over several days or weeks to avoid constipation or bloating.

Outside of an flare-up, a high-fiber diet should be followed to reduce the risk of future attacks of diverticulitis.

Modern approaches to the treatment of diverticulosis

Recently, there have been significant changes in understanding the features of diverticular disease and in approaches to its treatment. Studies have not confirmed the effectiveness of the use of preventive surgery in patients with exacerbations of the disease or chronic symptoms. Operative treatment is considered only in case of complicated forms of diverticular disease.

In general, the treatment of uncomplicated forms of this disease is similar to the methods used for the treatment of irritable bowel syndrome (IBS) – normalization of stool frequency, administration of drugs to relieve intestinal spasm and restore intestinal microflora.

In the case of diverticulitis, it is possible to use antibacterial drugs in the form of repeated courses during the year under the supervision of the attending physician. During the period of remission, if antibiotics are prescribed for any concomitant pathology, therapy is supplemented, on the recommendation of a doctor, with pro- and prebiotics in order to prevent exacerbation. If diverticular disease occurs with constipation, then the appointment of laxatives is not contraindicated.

You can get a diagnosis of diverticulosis and receive an individual treatment plan for the disease and dietary recommendations at the Expert Gastroenterology Center. More information about the diagnosis and treatment of diverticular disease can be found on our website in section We are treating .

References

1. Diverticular disease, clinical guidelines 2021, All-Russian public organization “Association of Coloproctologists of Russia”, Russian Gastroenterological Association. Approved by the Scientific and Practical Council of the Ministry of Health of the Russian Federation.
2. European Society of Coloproctology: guidelines for the management of diverticular disease of the colon. 2020
3. AGA Clinical Practice Update on Medical Management of Colonic Diverticulitis: Expert Review, 2021

menu for diverticular disease of the colon and colon

Contents

• 1 Diverticular disease of the intestine: coping with diverticular disease of the colon and colon
  • 1.1 Diet for diverticulosis of the intestine: menu and nutrition
  • 1.2 Intestinal diverticulosis: treatment with diet
  • 1.3 Colon Diverticulosis Diet: Nutritional Principles
  • 1.4 Do’s and Don’ts for Diverticulosis Colon
    • 1.4.1 You can eat:
    • 1.4.2 You can’t eat:
  • 1.5 Menu for a week with intestinal diverticulosis: what to include and exclude
    • 1.5.1 What to include in the menu:
    • 1. 5.2 What to exclude from menu:
    • 1.5.3 Sample menu for the week:
  • 1.6 Healthy recipes for diverticular bowel disease
    • 1.6.1 Bean and vegetable salad
    • 1.6.2 Turkey and oatmeal cutlets nk
    • 1.6.3 Porridge from buckwheat with vegetables
  • 1.7 Cooking and eating tips for intestinal diverticulosis
    • 1.7.1 Food selection
    • 1.7.2 Food preparation
    • 1.7.3 Drinking routine

    9 0024

  • 1.8 What to eat instead of raw vegetables and fruits for intestinal diverticulosis ?
  • 1.9 Peculiarities of diet in the period of exacerbation of intestinal diverticulosis
  • 1.10 Weight loss in intestinal diverticulosis: what you need to know
    • 1.10.1 Diet in intestinal diverticulosis and weight loss
    • 1.10.2 Remove unhealthy foods from your diet
    • 1.10.3 Increase your water intake
    • 1.10.4 Increase the amount of protein in your diet
    • 1. 10.5 Complete
  • 1.11 Recommendations for people with intestinal diverticulosis when choosing a café and restaurants
  • 1.12 Additional tips to reduce the risk of diverticula
  • 1.13 Q&A:
    • • 1.13.0.1 What is intestinal diverticulosis?
      • 1.13.0.2 What is the recommended diet for intestinal diverticulosis?
      • 1.13.0.3 What foods are recommended for intestinal diverticulosis?
      • 1.13.0.4 Is it possible to consume dairy products in case of intestinal diverticulosis?
      • 1.13.0.5 Which drinks should be limited in case of intestinal diverticulosis?
      • 1.13.0.6 What exercise restrictions are recommended for intestinal diverticulosis?

Diverticular Diverticulosis Diet – Basic principles and recommendations for nutrition in diverticular disease of the colon and colon. Find out what you can and can’t eat with diverticulosis to reduce the risk of new bulges and improve bowel health.

Intestinal diverticulosis is a common disease that is manifested by the appearance of diverticula (protrusions) on the walls of the intestine. A feature of diverticular disease is that if it is present, it is necessary to control the diet and follow a special diet.

Diet for diverticular disease is mainly focused on the consumption of healthy fiber-rich foods. Such a diet can help regulate peristalsis and prevent the appearance of diverticula and symptoms of the disease in general.

In this article, we will go over the details of the diet for diverticular disease, make a menu and talk about which foods to eliminate from the diet, and which ones can be consumed in larger quantities.

Diet for intestinal diverticulosis: menu and dietary rules

Intestinal diverticulosis requires a special approach to nutrition. The goal of the diverticulosis diet is to reduce the burden on the intestines and prevent the formation of new diverticula. Eliminating foods with a hard texture and increased roughness from the diet, as well as limiting the intake of animal fats and meat broths, will be one of the key points in compiling a menu for diverticular disease of the colon and colon.

When compiling a menu for diverticulosis, it is important to eat regularly and in small portions. While eating, do not rush and chew each piece carefully. For better absorption of food, it is also useful to include foods rich in bifidobacteria in the diet – this group includes kefir, yogurt or yogurt with a low fat content.

A sample menu for intestinal diverticulosis for a week might look like this:

• Breakfast: oatmeal with water with dried fruits, an apple, green tea;
• Snack: pear, rye bread, low fat cheese;
• Lunch: steamed chicken, vegetable salad with vegetable oil, oatmeal bread, dried fruit compote;
• Snack: low-fat kefir, 2-3 whole grain biscuits;
• Dinner: fish baked in foil, stewed vegetables, wheat cakes, berry dessert;
• Before bedtime: low-fat yoghurt with fruit filling.

Intestinal diverticulosis: treatment with diet

Intestinal diverticulosis is a disease in which multiple outgrowths, diverticula, appear in the intestinal wall. It can manifest with a variety of symptoms, from subtle manifestations to severe bleeding and peritonitis. However, most patients with intestinal diverticulosis do not experience any symptoms.

Diet is one of the treatments for intestinal diverticulosis. Proper nutrition will help solve many of the problems associated with intestinal diverticulosis and reduce the risk of complications. However, before you start following a diet, you should consult with your doctor.

• Eat more fiber. Fiber-rich foods help reduce intestinal pressure and prevent diverticula. Fiber is found in vegetables, fruits, cereals and grains.
• Reduce animal fats and sugars. These foods may worsen symptoms of intestinal diverticulosis. It is wise to limit or completely eliminate them from your diet.
• More liquid. Drinking enough fluids helps to soften the stool and speed up the process of its digestion. It is recommended to drink at least 2-2. 5 liters of water per day.
• Avoid canned and smoked foods. They may cause intestinal irritation and contribute to symptoms of intestinal diverticulosis.

Regular adherence to a proper diet is a very important factor in the treatment of intestinal diverticulosis and the prevention of its complications. Avoid the wrong foods that can make your condition worse, and opt for foods that are fortified with vitamins and minerals.

Colon diverticulosis diet: principles of nutrition

Intestinal diverticulosis is a disease characterized by the formation of diverticula on the walls of the intestine. Initially, it manifests itself with minor symptoms, but if left untreated, it can lead to serious complications. Among the most effective treatments for diverticulosis is diet. It plays a key role here, and proper nutrition avoids complications and relieves symptoms.

The basic principles of the diet for people with intestinal diverticulosis are:

• Moderation in food: do not overeat, it is better to increase the number of meals and reduce portions.
• A diet rich in fiber: vegetables, fruits, grains and their products should be the main part of the diet. They are rich in fibers and are able to stimulate intestinal motility.
• Avoiding fatty foods: Excessive consumption of fatty and fried foods causes slow bowel movement, which increases the risk of diverticula.
• Meal regularity: should aim for consistency in meals to balance bowel movements.
• Moderate Dairy: Dairy is rich in calcium, which is essential for healthy bones. However, a large amount of dairy products can cause additional stress in the intestines.

Therefore, when dieting for diverticulosis of the colon and colon, it is necessary to follow certain rules, follow the doctor’s recommendations and reduce the intake of bad foods in order to avoid complications.

Do’s and Don’ts for Intestinal Diverticulosis

If you have intestinal diverticulosis, you should watch your diet and avoid some foods that can worsen the intestinal condition. It is also important to drink enough fluids.

Eatable:

• Pieces of meat, fish and poultry without skin or fat;
• Canned fish in own juice;
• Low-fat dairy products;
• Vegetables and fruits, but only those which are well tolerated;
• Whole grain bread and cereals.

Do not eat:

• Fatty meat, poultry, sausages, smoked meats;
• Marinades, sauces, hot spices;
• Blue cheeses and butter;
• White bread, rolls, pastries;
• Potatoes and mushrooms;
• Alcohol and strong tea and coffee.

Fluid intake is a very important aspect of the diet for intestinal diverticulosis. You need to drink at least two liters of water per day, this will help keep the feces soft and prevent constipation, which will negatively affect the bowels.

Weekly menu for intestinal diverticulosis: what to include and exclude

What to include in the menu:

• Foods high in plant fibers: fruits, vegetables, herbs.
• Fiber-rich cereals: buckwheat, oatmeal, barley.
• Meat and fish that have been boiled/stewed/baked instead of fried.
• Dairy products: kefir, yogurt, cottage cheese.
• Nuts and seeds, but in small quantities.
• Cranberries and lingonberries, which will help prevent inflammation in the intestines.

What to exclude from the menu:

• Spicy condiments and sauces that can irritate the intestines.
• Fatty foods that can cause constipation and worsen symptoms.
• Sausages, sausages and other foods high in fat and preservatives.
• Limit sweets, especially chocolate and sweets, as they can cause gas explosions in the intestines.
• Alcohol and coffee, which may cause stomach discomfort.

Sample menu for the week:

9049 3 Oatmeal on kefir with hazelnuts

Day	Breakfast	Lunch	Dinner
Monday	Chicken broth with rice, vegetable salad with olive oil	Boiled steamed fish with vegetables
Tuesday	Two-egg scrambled eggs, whole wheat flakes with yogurt	Buckwheat with chicken stew, green salad	Boiled meat, vegetable salad with kefir
Wednesday	Kefir casserole with berries and maple syrup	Baked chicken fillet with steamed vegetables	Stewed vegetables with fish oh
Thursday	Fruit salad, green tea	Steamed porridge with vegetables, green salad	Stewed beef with steamed vegetables
Friday	Sandwiches with cottage cheese and cucumbers, cranberries in the form of a drink 9C hearty beef soup, green salad with fresh carrots and cabbage	Steamed fish with vegetables
Sunday	Cottage cheese and berry pudding, green tea	Baked vegetables with pork	Boiled meat with steamed vegetables

Healthy Recipes for Diverticular Bowel Disease

Bean and Vegetable Salad

This salad is a rich source of calories, vitamins and proteins. To prepare the salad you need:

• 1 can of beans
• 1 cucumber
• 1 bell pepper
• 1 tomato
• 2 tbsp. l. olive oil
• 1 tbsp. l. vinegar
• salt and pepper to taste

Dice vegetables, season with olive oil and vinegar. Add beans, stir, salt and pepper to taste.

Turkey and oatmeal patties

These patties do not contain fat, but contain a sufficient amount of protein and fiber. To prepare turkey and oatmeal cutlets you need:

• 200 g turkey
• 100 g oatmeal
• 1 egg
• 1 onion
• herbs to taste
• salt and pepper to taste

Grind the turkey in a blender, add oatmeal cereals, egg, finely chopped onion and herbs, salt and pepper to taste. Mix all the ingredients, form cutlets and bake in the oven until tender.

Buckwheat porridge with vegetables

To prepare buckwheat porridge with vegetables you need:

• 1 glass of buckwheat
• 2 glasses of water
• 1 onion
• 1 carrot
• 1 bell pepper
• salt and pepper to taste

Rinse buckwheat and add water, let it boil over low heat. In a separate pan, fry finely chopped onions with carrots and bell peppers. Add vegetables to buckwheat, salt and pepper to taste, bring the porridge to readiness.

Food preparation and eating tips for intestinal diverticulosis

For intestinal diverticulosis, it is especially important to monitor the quality and quantity of food consumed, as well as prepare it correctly. Below are a few tips to help reduce the burden on the intestines and improve the condition of the body as a whole.

Choice of foods

First of all, you should avoid fatty, fried and spicy foods, as well as foods that cause fermentation in the intestines (legumes, fresh vegetables and fruits).

• Eat seafood and lean meats (turkey, rabbit, chicken).
• Introduce low-fat dairy products (cottage cheese, yogurt, kefir) into your diet.
• Avoid foods with coarse fibers (white bread, pasta).

Cooking

Proper cooking will help preserve the nutritional value of foods and improve their absorption.

1. Prefer stews and baked dishes.
2. Do not use cooking oil or margarine, use olive or sunflower oil instead.
3. Add spices that increase intestinal peristalsis (ginger, cumin).
4. Chew food well before eating and avoid swallowing large chunks.

Drinking regimen

It is very important to drink enough fluids in intestinal diverticulosis to avoid constipation and facilitate the process of digestion.

• Drink at least two liters of water a day.
• Add freshly brewed lemon juice to water to improve intestinal motility.
• Avoid carbonated drinks and coffee.

What to eat instead of raw vegetables and fruits for intestinal diverticulosis?

During an exacerbation of intestinal diverticulosis, do not eat raw vegetable and fruit foods, as they can harm the intestinal mucosa. Instead, warm, well-cooked vegetable foods can be consumed. For example, it can be boiled vegetables, boiled roots, baked or stewed vegetables.

You can also replace raw fruit foods with sweet berries such as raspberries, blueberries, cranberries, red and black currants, which are gentle on the stomach and contain less dietary fiber.

Dried fruits such as raisins, figs, apricots, which are rich in a form of fructose more accessible to almost any organism, can be a substitute for fresh fruits. It is also recommended to consume pomegranate, which has pronounced antioxidant properties, improves digestion and maintains intestinal health.

• Boiled vegetables: cabbage, broccoli, potatoes, carrots, cauliflower, green peas.
• Well cooked vegetables: zucchini, eggplant, pumpkin, tomatoes, peppers.
• Vegetable and fruit puree: apple, pear, pumpkin, carrot.
• Berries: raspberries, blueberries, cranberries, red and black currants.
• Dried fruits: raisins, figs, apricots.
• Pomegranate: fresh or in juice.

Features of the diet during an exacerbation of intestinal diverticulosis

Diverticulosis of the intestine is a common disease that can lead to exacerbations, accompanied by abdominal pain, changes in the intestinal microflora and other unpleasant symptoms. During the period of exacerbation of intestinal diverticulosis, especially after severe pain and intestinal disorders, it is necessary to follow a special diet.

During an exacerbation, the diet should contain more profibrotic foods such as vegetables, fruits, berries, nuts, buckwheat and rye bran. This helps to stabilize intestinal motility and improve digestion. It is important to eat regularly and not overeat, as this can lead to intestinal overload.

It is also recommended to increase the amount of fluid intake during an exacerbation of intestinal diverticulosis. A reasonable choice can be water, low-fat broths, green tea. The liquid helps to soften the feces and reduce trauma during passage through the intestines.

In general, with intestinal diverticulosis, a special diet should be followed, and during an exacerbation, even more closely control the diet. Remember that proper nutrition is the first step in restoring health.

Losing weight with intestinal diverticulosis: what you need to know

Diet for intestinal diverticulosis and weight loss

If you have intestinal diverticulosis, following a diet is an important aspect of treatment. But what if you want to lose weight? There are certain diet restrictions for diverticulosis, but it is still possible to achieve your weight loss goals.

Remove unhealthy foods from your diet

One of the first things to do is to remove unhealthy foods from your diet. This includes: fast food, fast food, sweets, carbonated drinks, alcohol, fatty and fried foods. Instead, try to eat fresh fruits and vegetables, full grains, protein, and low-calorie foods.

Increase your water intake

Drinking enough water is very important in intestinal diverticulosis. It helps maintain normal bowel movements, reduces constipation and promotes regular bowel movements. Try to drink at least 8 glasses of water a day.

Increase the amount of protein in your diet

Quality protein is a very important nutrient for weight loss in intestinal diverticulosis. Protein can help control appetite by increasing the feeling of satiety. Include protein in your diet: tuna, salmon, turkey, chicken, eggs, buckwheat and cottage cheese.

Completion

Losing weight with intestinal diverticulosis can be difficult, but with diet and a healthy lifestyle, it is possible to achieve goals. Remove unhealthy foods from your diet, increase your water and protein intake to reach your weight loss goals and improve bowel health.

Recommendations for people with intestinal diverticulosis when choosing cafes and restaurants

In case of intestinal diverticulosis, it is necessary to monitor the diet and quality of nutrition. Therefore, when choosing cafes and restaurants, you need to consider a number of factors:

• Choose an establishment with a varied menu , where there are dishes from various types of meat, fish, vegetables and fruits. So you can create your own balanced diet.
• Avoid fatty and spicy foods which can aggravate the disease. If you are not sure if a dish is suitable for your diet, it is best to check with the waiter.
• Choose cooked foods, such as fried or baked foods, to reduce the risk of bacteria or other pathogens.
• Avoid too large portions of as this can cause intestinal congestion and deterioration. If you can’t find the right serving size, ask your waiter for help.
• Do not forget about drinks , avoid alcohol, strong tea and coffee, it is better to drink still water or freshly squeezed juices.

Remember that proper nutrition is the key to successful treatment of intestinal diverticulosis. Follow your doctor’s recommendations and choose only foods that suit your diet.

Additional tips to reduce the risk of diverticula

Drink enough water. Drinking water regularly helps prevent constipation and other bowel problems that can lead to diverticula. The standard rule is to drink at least 8 glasses of water a day.

Increase your fiber intake. A diet rich in fiber helps maintain regular bowel movements and prevents constipation, which can lead to diverticula. Fruits, vegetables, legumes and whole grains are high in fiber.

Avoid stress. Stress can impair bowel function, which can lead to the formation of diverticula. Try using relaxation techniques like yoga or meditation to reduce stress in your life.

Avoid unnecessary antibiotics. Most diverticula are associated with aging and other factors, but it is possible that some may be caused by problems with the intestinal microflora. Avoid misuse of antibiotics and contact your doctor for advice before starting a course of treatment.

Reduce your intake of animal fats. Too much animal fat in your diet can be toxic to your intestines and cause diverticula. Try replacing animal fats with vegetable fats such as olive oil, flaxseed oil, or corn oil.

Q&A:

What is intestinal diverticulosis?

Intestinal diverticulosis is a disease in which protrusions appear in the walls of the large intestine and colon in the form of sacs – diverticula.

What is the recommended diet for intestinal diverticulosis?

For the treatment and prevention of diverticulosis, it is recommended to follow a diet that includes limiting the consumption of fatty meat, raw cabbage, turnips, hot peppers, canned food, alcohol, strong tea, coffee. It is recommended to consume more vegetables, fruits, cereals and foods high in plant fibers.

What foods are recommended for intestinal diverticulosis?

High fiber foods such as vegetables (green peas, eggplants, succulents, carrots), fruits (apples, pears, oranges, strawberries, raspberries), cereals (oatmeal, rice), broccoli and Brussels sprouts are recommended. cabbage, dairy products (kefir, yogurt). It is also useful to drink mineral water and green tea.

Is it possible to consume dairy products in case of intestinal diverticulosis?

Dairy products are best consumed in the form of fermented milk products (kefir, yogurt), as they promote the growth of beneficial microflora in the intestines.