10% of people over age 40 and in 50% of people over age 60
In the U S , 10 to 25% of people who have diverticulosis get diverticulitis
People who eat low-fiber diets
Diets lacking in dietary fiber, which are common in industrialized countries, can cause constipation,
which may provoke unnatural contractions of the large intestine, which in turn leads to the formation
of diverticula This condition, called diverticulosis, can develop into diverticulitis when the
diverticula become inflamed or infected The specific cause remains unknown, but the disease mostly
affects people who are over age 60 and overweight It can be painful and may lead to complications
such as abscesses, intestinal obstruction, or perforation of the intestinal wall In addition to
abdominal cramps and pain, other symptoms include gas, fever, and rectal bleeding Constipation may
alternate with diarrhea
Old School
People with diverticulitis must avoid nuts and seeds
New Wisdom
There is no scientific evidence to support the association between nuts and seeds diverticulitis
The type of care you receive depends on the severity of your symptoms Talk to your doctor about
what to expect and treatment options, which range from home care and liquid diets to different types
of surgery
Nutrition Connection
These dietary guidelines can help prevent or delay diverticulosis and diverticulitis Try the
following:
Eat more fiber, rich fruits, vegetables and whole grains Diverticulitis is known to be less
common among vegetarians than those who include meat in their diet, as vegetarian diets are typically
higher in fiber-rich foods, such as berries, apples, pears, bananas, figs, bran, brown rice, barley,
lentils, black beans, split peas, and artichokes However, it is important to increase fiber intake
gradually If you have diverticular disease, do not start taking fiber supplements without first talking
with your doctor
QUICK TIP:
Go “exotic” once a month
Once a month, add a new type of grain to your diet This will help slowly introduce more fiber to
your diet, which helps diverticulitis Mix in some amaranth, bulgur, or wheatberries into steamed
carrots and broccoli, toss with olive oil and a bit of Parmesan or feta cheese, maybe throw in a
can of tuna or a couple of ounces of cut-up chicken, and you’ve got dinner
Drink fluids Along with a high-fiber diet, at least eight glasses of clear liquids like water, tea, or
broth every day produces bulky, soft stools that move easily through the intestinal tract Not enough
fluids can lead to constipation
Keep notes Make note of foods that cause inflammation or pain and avoid them
Beyond the Diet
Diverticulosis sufferers should keep track of their symptoms and follow these recommendations:
Go to the bathroom when you have to If you have diverticular disease, constipation can
increase your risk of a diverticulitis flare-up because it increases pressure within your colon
Exercise Exercise reduces pressure inside your colon and encourages normal bowel movements