Boling, who adds that during an attack you should stay away from any hard-to-digest foods and foods that pass through your GI system quickly such as raw veggies and roughage.
Again, this list is subjective and something here may be a trigger for you. But in general, these foods tend to be easy on the intestines of people with diverticulitis. Many people are able to eat these foods without issue. You may be able to eat these foods, eat them carefully or infrequently, or eat them in small amounts—or they may pose too much of a trigger for your colon.
The same goes for alcohol, though Dr. In other words, if you can see through it, you can eat or drink it, says Dr. Boling—and this type of short-term diet can be used to recover from an acute attack, to preempt an oncoming attack when you start to feel symptoms , and even alongside antibiotics, should your healthcare provider prescribe them.
Once the flare is under control, you can return to normal eating habits. These can be done in addition to modifying your diet for diverticulitis.
A study from the European Review for Medical and Pharmacological Sciences suggests that, when used with antibiotics, probiotics may help reduce the amount of abdominal pain during acute attacks. Another review of studies, published in in Therapeutic Advances in Gastroenterology , is less certain that probiotics can help.
An often-sourced study from , published in the American Journal of Gastroenterology , found that vigorous activity lowered the risk of diverticulitis and GI bleeding. However, that study did specify vigorous exercise, so walking may not be quite enough to reap the health benefits.
Fiber supplements are powerful for managing symptoms of diverticulitis, largely because it keeps stool moving through the colon.
The doctor will then look for any diverticula or signs of diverticulitis. You'll be given a laxative beforehand to clear out your bowels. You may be offered painkilling medicine and a sedative to make you feel more relaxed and reduce any discomfort. Sometimes you may need to have a CT scan. This might be done instead of a colonoscopy or in combination with one called a CT colonography or virtual colonoscopy.
For a CT colonoscopy, the scan is done after you've had the laxative. Eating a high-fibre diet may help ease the symptoms of diverticular disease and stop you developing diverticulitis. Good sources of fibre include fresh and dried fruits, vegetables, beans and pulses, nuts, cereals and starchy foods.
Fibre supplements, usually in the form of sachets of powder that you mix with water, are also available from pharmacists and health food shops. Find out how to get more fibre in your diet. Gradually increasing your fibre intake over a few weeks and drinking plenty of fluids can help prevent side effects associated with a high-fibre diet, such as bloating and farting. Paracetamol can be used to relieve pain. Some painkillers, including aspirin and ibuprofen , should not be taken regularly as they can cause stomach upsets.
Ask a pharmacist about this. You may be prescribed a bulk-forming laxative to help ease any constipation or diarrhoea. If you have diverticulitis, a GP may recommend that you stick to a fluid-only diet for a few days until your symptoms improve.
While you're recovering you should eat a very low-fibre diet to rest your digestive system. Once the symptoms have gone, you can return to a higher-fibre diet, aiming to eat about 30g of fibre a day. Diverticulitis can usually be treated at home with antibiotics prescribed by a GP. You can take paracetamol to help relieve any pain. Talk to a GP if paracetamol alone is not working. In hospital, you'll probably get injections of antibiotics, and be kept hydrated and nourished using a tube directly connected to your vein intravenous drip.
You may also be prescribed a stronger painkiller if paracetamol is not helping. In rare cases, surgery may be needed to treat serious complications of diverticulitis. Surgery usually involves removing the affected section of your large intestine. By themselves, these pouches are not dangerous, but when they become inflamed, infected, or ruptured — or any combination of the three — diverticulitis occurs.
Caught early and with mild symptoms, diverticulitis can be treated with antibiotics, a liquid diet, and an over-the-counter pain medicine like Tylenol acetaminophen. But if left unchecked, it can require surgery to remove infected portions of the colon. The most common symptom is also the easiest to recognize: acute pain in the abdomen.
The pain may be constant, lasting for days or until the condition can be treated. The abdominal pain described above may also be accompanied by some of these typical diverticulitis symptoms:. Tsynman says. The pain might also be accompanied by a tender feeling, which could indicate the presence of an abscess, or pocket of pus that can form in a ruptured diverticulum, says Johnny Altawil, MD , a gastroenterologist at Gastrointestinal Associates in Knoxville, Tennessee. Altawil adds that if the diverticulitis has progressed to the point that there are complications, the pain may also be accompanied by the feeling of a palpable mass in the abdomen.
If there is no improvement in the pain or other symptoms after three days, Altawil typically brings the patient in for additional assessment to check for potentially serious complications. By itself, rectal bleeding points away from diverticulitis.
Although on the rarer side, the following might also indicate the presence of diverticulitis, especially in the presence of abdominal pain and other common symptoms:. Altawil notes that the last three signs in particular might indicate the presence of complications, such as abscesses, fistulas, or peritonitis , in which a ruptured diverticulum can spill its contents into the abdominal cavity.
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