Diverticulosis is a common condition, especially in older adults. While it often remains asymptomatic, it can progress to diverticulitis when the diverticula become inflamed or infected. This transition can cause severe abdominal pain, fever, and gastrointestinal distress.
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), up to 15% of people with diverticulosis will develop diverticulitis flare-ups. Managing your diet and lifestyle can help in preventing and controlling these flare-ups which will be discussed in this article.
What to Eat During a Diverticulitis Flare-Up
When experiencing a flare-up, a temporary shift to a low-fiber or liquid diet can help manage symptoms and allow the colon to heal.
Clear Liquid Diet for Diverticulitis
A clear liquid diet includes:
- Broths: Chicken, beef, or vegetable broth.
- Clear Juices: Apple juice or grape juice.
- Gelatin: Plain gelatin without added fruits or seeds.
- Tea: Herbal teas without caffeine.
- Water: Stay hydrated with plenty of water.
Low-Fiber Foods
Once symptoms improve, you can gradually transition to low-fiber foods such as:
- Refined Grains: White rice, pasta, and white bread.
- Cooked Vegetables: Without skins or seeds.
- Lean Proteins: Eggs, fish, and poultry.
- Dairy Products: Yogurt and milk (if tolerated).
Foods to Avoid with Diverticulitis
Certain foods can aggravate symptoms and should be avoided during a flare-up.
- High-Fiber Foods: Whole grains, raw fruits and vegetables, and legumes.
- Spicy Foods: Can irritate the digestive tract.
- Fatty Foods: Fried foods and high-fat dairy products.
- Nuts and Seeds: Including popcorn and products containing small seeds.
After recovering from a flare-up, gradually reintroduce fiber to your diet to prevent future issues. It’s important to increase fiber intake slowly and drink plenty of water to aid digestion.
Additional Tips for Managing Diverticulitis
High-Fiber Diet for Diverticulitis
One of the most effective ways to prevent flare-ups is to follow a high-fiber diet. Fiber adds bulk to stool, which helps it pass more easily through the colon, reducing pressure on the diverticula.
Examples of High Fiber Foods
- Fruits: Apples, pears, berries, and bananas.
- Vegetables: Broccoli, carrots, spinach, and bell peppers.
- Whole Grains: Brown rice, oatmeal, quinoa, and whole wheat bread.
- Legumes: Lentils, chickpeas, and black beans.
- Nuts and Seeds: Chia seeds, flaxseeds, and almonds (in moderation).
Regular Exercise
Physical activity helps maintain regular bowel movements and reduces pressure in the colon. Aim for at least 30 minutes of moderate exercise most days of the week.
Stay Hydrated
Drinking plenty of water is essential for fiber to work effectively in the digestive system. Aim for at least 8 glasses of water a day.
Avoid Straining
Straining during bowel movements can increase pressure in the colon and worsen symptoms. Use the bathroom as soon as you feel the urge to avoid constipation and straining.
Summary
Preventing a diverticulitis flare-up largely depends on maintaining a balanced diet rich in fiber, staying hydrated, and incorporating regular exercise into your routine. During a flare-up, a clear liquid or low-fiber diet can help manage symptoms. If you have diverticulitis or think you are experiencing a flare-up give us a call at 310-861-7493 to consult with one of our colorectal surgeons who are experienced in treating diverticulitis.
By following these dietary and lifestyle guidelines, you can effectively manage diverticulosis and reduce the risk of painful diverticulitis flare-ups, ensuring a healthier digestive system and improved quality of life.
