Materiały źródłowe

• #1 Diverticulitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

  Healthcare providers dont know enough about why diverticulitis happens or why it returns to know definitively how to prevent it. But they suspect that general bowel wellness can help. Eating more plants and fewer animal fats, drinking enough water and getting some regular exercise can help keep your bowel movements healthy. For some people, they might recommend fiber supplements or probiotics. […] In the past, people with diverticulosis were told to avoid seeds and nuts, in case one might get stuck in a diverticulum and cause diverticulitis. This risk is considered mostly a myth today. Seeds and nuts are great sources of fiber and plant-based protein, and they tend to appear in healthy meals. Its much better for your bowels to maintain a healthy diet overall than to worry about the rare chance of a seed going awry.

• #2 diverticulitis | Health Topics | NutritionFacts.org

  https://nutritionfacts.org/topics/diverticulitis/

  Diverticulosis, outpouchings of the colon, is a prevalent intestinal disease and may be caused by not eating enough fiber. […] A plant-based diet may help treat and prevent diverticulitis. Plant-based diets are often high in fiber, allowing for bigger, more easily passable bowel movements, which may lower the risk of diverticulosis among other intestinal disorders. […] Eating nuts may be beneficial in lowering inflammation. […] Larger bowel movements are associated with lower risk of appendicitis, colon cancer, constipation, and diverticulitis.

• #3 Decoding Diverticulosis, Diverticulitis and How to Manage it | Nuvance Health

  https://www.nuvancehealth.org/health-tips-and-news/decoding-diverticulosis-diverticulitis-and-how-to-manage-it

  Although it is not known whether diverticulosis can be prevented, individuals who are overweight are more likely to have diverticulosis. According to a study, waist circumference was positively associated with diverticulitis and diverticular bleeding. Smoking may also increase the chance of developing diverticulosis. Therefore, maintaining a healthy weight and not smoking may prevent diverticulosis. […] Eating a high-fiber diet, maintaining regular physical activity and staying hydrated can significantly lower the chances of developing diverticulosis. […] By adopting a high-fiber diet, maintaining regular physical activity and staying hydrated, you can significantly reduce the risk of diverticulitis flare ups or complications.

• #4 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  To help prevent diverticulitis: […] Exercise regularly. Regular, vigorous exercise decreases the risk of diverticulitis. […] Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon and decreases the risk of diverticulitis. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets. […] Maintain a healthy weight. Talk to your healthcare professional or a dietitian about goals for a healthy weight for you and strategies to reach your goals. […] Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation. […] Quit smoking and limit alcohol use. Smoking and heavy alcohol use are associated with an increased risk of diverticulitis. […] In the past, healthcare professionals recommended that people with diverticulitis avoid nuts, seeds and popcorn. Studies have shown that these foods do not increase the risk of diverticulitis. Seeds and some nuts are good sources of fiber.

• #5 Prevention and Conservative Therapy of Diverticular Disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4789966/

  Diverticular disease is a common problem. Prevention and treatment of complications depend on the stage of the disease. Lifestyle modifications are suitable preventive measures, aiming to reduce obesity and to balance the diet with a high amount of fiber and a low amount of meat. […] In stage 0 (asymptomatic diverticulosis), a high-fiber and vegetarian diet is recommended for the prevention of diverticulitis. Physical activity and normal body weight is regarded as beneficial. A fiber-rich diet also prevents cardiovascular disease, diabetes, and cancer and is therefore widely recommended. […] Numerous other studies, however, accounted for a significant effect of fibers to prevent diverticulosis. A study from Great Britain showed a reduced risk for vegetarians to be admitted to a hospital or to die related to diverticulitis. […] A prospective study from Sweden showed that obesity is associated with a higher risk of complicated diverticular disease. […] In another Swedish study 36,592 women were included. A questionnaire evaluated BMI, physical activity, smoking, and other lifestyle-associated risk factors.

• #6 Diverticulitis Diet: Foods To Avoid with Diverticulitis

  https://www.webmd.com/digestive-disorders/diverticulitis-diet

  Foods to Prevent Diverticulitis […] When your diverticulitis is under control and youre not having a flare-up, eating a well-balanced diet can help prevent future attacks. Your diet should include plenty of high-fiber foods, which studies show help prevent diverticulosis, the condition that can lead to diverticulitis. […] Some good high-fiber choices include: […] Whole grains, such as 100% whole wheat bread, quinoa, bran cereal, and popcorn […] Increasing your fiber intake can make you feel gassy and bloated, so start slowly and build your way up. Drinking plenty of water every day can help you make the transition to a high-fiber diet. Your goal for daily fiber intake depends on your sex and age: […] Women aged 50 or younger: 25 grams […] Once a diverticulitis attack is under control, eating high-fiber foods can help prevent future flare-ups.

• #7 Defend yourself from diverticulitis – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/defend-yourself-from-diverticulitis

  You can help prevent diverticulosis by drinking plenty of fluids and eating a high-fiber diet. Studies have suggested an association between low-fiber diets and diverticulosis, since the condition is less common in places like Asia and Africa, where people eat diets high in vegetable fiber compared with the typically low-fiber diets in America and Great Britain. […] Fiber helps to soften the stool so it can pass easily through the intestines. If the stool is too hard, constipation can occur. Straining to pass hard stool puts pressure on your colon, which may cause weak spots to bulge out. […] The Dietary Guidelines for Americans recommends at least 25-30 grams. The best sources of fiber include fresh fruits, vegetables, beans, nuts, corn, and foods containing wheat bran. […] If you have trouble getting enough fiber in your diet, a fiber supplement like Benefiber or Metamucil can help. „A tablespoon of any of these adds about 5 to 6 grams of fiber to your diet,” says Dr. Goldberg. Speak with your doctor before taking a fiber supplement, as adding too much to your diet at one time can cause gas and bloating.

• #8 Diverticular disease | Dietitians Australia

  https://dietitiansaustralia.org.au/health-advice/diverticular-disease

  A diet low in fibre increased the chance of developing diverticular disease. […] A diet high in fibre, being active and drinking plenty of water help reduce the problems from diverticular disease. […] A high-fibre diet helps to prevent constipation and the formation of diverticula. Regular exercise and drinking plenty of water also helps. […] A high-fibre diet is recommended for people with diverticular disease to reduce the chance of developing the acute condition of diverticulitis. […] A diet high in fibre helps reduce the problems from diverticular disease. Good sources of fibre include wholegrain breads, oats, fruits, vegetables and legumes. […] Aim for at least 30 minutes of physical activity each day – exercise can help reduce the risk of diverticulitis. […] Drink plenty of water throughout the day.

• #9 How To Prevent Diverticulitis & Flare Ups

  https://www.webmd.com/digestive-disorders/understanding-diverticulitis-prevention

  The best way to prevent diverticulitis is to modify your diet and lifestyle. […] Eat more fiber by adding whole-grain breads, oatmeal, bran cereals, fibrous fresh fruits, and vegetables to your diet. […] Drink plenty of fluids (at least eight 8-ounce glasses of water a day) if you increase your intake of fiber. […] Avoid refined foods, such as white flour, white rice, and other processed foods. […] Avoid red meat. There have been some studies that associate high red meat consumption with acute diverticulitis. […] Prevent constipation by trying over-the-counter stool softeners. […] Exercise regularly. Exercise can help the muscles in your intestine retain their tone, which encourages regular bowel movements.

• #10 Living with diverticulitis: Get the full scope of symptoms, treatment, and prevention | Digestive | UT Southwestern Medical Center

  https://utswmed.org/medblog/diverticulitis-symptoms-treatment/

  Eating a high-fiber diet, rich in foods such as bran, whole-wheat pasta, apples, pears, raspberries, beans, sweet potatoes, avocados, and vegetables, can help prevent regular flare-ups. […] To help prevent recurring flare-ups, which happen in one-third of patients with uncomplicated diverticulitis, we recommend: A high-fiber diet rich in foods such as bran, whole-wheat pasta, apples, pears, raspberries, beans, sweet potatoes, avocados, and vegetables, Regular cardiovascular activity, Weight loss, if appropriate. […] Increase your fiber intake slowly to reduce gas and bloating and be sure to drink plenty of water at least 64 ounces a day. Fiber without 64 ounces of water per day will constipate you.

• #11 Nutrition and healthy eating

  https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/diverticulitis-diet/art-20048499

  Over time, keep adding fiber to your diet by including high-fiber foods such as fruits, vegetables and whole grains. High-fiber foods may lower your chances of getting diverticulitis again. Drink lots of water to keep fiber moving through your digestive system. […] If you don’t get enough fiber from food, your healthcare professional may recommend a fiber supplement. […] Along with eating a balanced diet, aim to get regular physical activity. Moderate exercise such as water aerobics or brisk walking is linked with gut health. If you’re not active now, ask your healthcare professional to help you get started.

• #12 Defend yourself from diverticulitis – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/defend-yourself-from-diverticulitis

  You can help prevent diverticulosis by drinking plenty of fluids and eating a high-fiber diet. Studies have suggested an association between low-fiber diets and diverticulosis, since the condition is less common in places like Asia and Africa, where people eat diets high in vegetable fiber compared with the typically low-fiber diets in America and Great Britain. […] Fiber helps to soften the stool so it can pass easily through the intestines. If the stool is too hard, constipation can occur. Straining to pass hard stool puts pressure on your colon, which may cause weak spots to bulge out. […] The Dietary Guidelines for Americans recommends at least 25-30 grams. The best sources of fiber include fresh fruits, vegetables, beans, nuts, corn, and foods containing wheat bran. […] If you have trouble getting enough fiber in your diet, a fiber supplement like Benefiber or Metamucil can help. „A tablespoon of any of these adds about 5 to 6 grams of fiber to your diet,” says Dr. Goldberg. Speak with your doctor before taking a fiber supplement, as adding too much to your diet at one time can cause gas and bloating.

• #13 How to Prevent Diverticulitis Flare-ups | Colon and Rectal Surgeons & Proctologists in Merrifield and Fair Oaks, Fairfax, Alexandria, Gainesville and Lansdowne, VA | Fairfax Colon & Rectal Surgery, PC

  https://www.fairfaxcolorectal.com/post/how-to-prevent-diverticulitis-flare-ups

  To help you ward off diverticulitis, the skilled team of colorectal experts here at Fairfax Colon Rectal Surgery presents a few prevention tips in this months blog post. […] Because diverticulosis is the precursor to diverticulitis, were going to focus on doing what you can to prevent small pouches from forming in your colon. […] A high-fiber diet is one of the best ways to prevent diverticulitis because fiber accomplishes many roles in your lower gut, such as bulking your waste for easier passage and avoiding constipation. […] The benefits of a diet high in fiber are significant and include avoiding a potentially painful and problematic bout of diverticulitis.

• #14 Diverticular disease | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/

  Eating a high-fibre diet may help prevent diverticular disease, and should improve your symptoms. […] Your diet should be balanced and include at least 5 portions of fruit and vegetables a day, plus whole grains. […] Adults should aim to eat 18g (0.6oz) to 30g (1.05oz) of fibre a day, depending on their height and weight. […] Its recommended that you gradually increase your fibre intake over the course of a few weeks. […] If you have established diverticular disease, it may be suggested that you avoid eating nuts, corn and seeds due to the possibility that they could block the diverticular openings and cause diverticulitis. […] Probiotics have also been recommended, but evidence is lacking. […] Overall, there is a lack of good quality scientific evidence on how to prevent diverticular disease.

• #15 How To Prevent Diverticulitis & Flare Ups

  https://www.webmd.com/digestive-disorders/understanding-diverticulitis-prevention

  The best way to prevent diverticulitis is to modify your diet and lifestyle. […] Eat more fiber by adding whole-grain breads, oatmeal, bran cereals, fibrous fresh fruits, and vegetables to your diet. […] Drink plenty of fluids (at least eight 8-ounce glasses of water a day) if you increase your intake of fiber. […] Avoid refined foods, such as white flour, white rice, and other processed foods. […] Avoid red meat. There have been some studies that associate high red meat consumption with acute diverticulitis. […] Prevent constipation by trying over-the-counter stool softeners. […] Exercise regularly. Exercise can help the muscles in your intestine retain their tone, which encourages regular bowel movements.

• #16 The dos and don’ts of managing diverticular disease – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/the-dos-and-donts-of-managing-diverticular-disease

  Don’t forget a healthy diet. Typical Western diets that are both low in fiber and high in saturated fats, including red meat, are associated with an increased risk for diverticulitis. […] „We still think a high-fiber diet is important because it’s good for heart health; reducing chronic inflammation; and making the bowels move regularly, which helps to maintain gut health and reduce pressure against diverticula,” Dr. Friedman says. […] Drink lots of water and aim for 25 to 30 grams of dietary fiber every day from beans, whole grains, vegetables, fruits, nuts, and seeds. […] „Yes, nuts and seeds foods once thought to trigger diverticulitis are actually full of fiber and are tied to many aspects of good health,” Dr. Friedman says. „You can eat a handful of nuts and seeds every day and your gut will thank you for it.”

• #17 Diverticulitis Diet: Best and Worst Foods for Prevention and Treatment

  https://www.everydayhealth.com/diverticulitis/guide/diet/

  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. […] 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. […] High-fiber diets need water to function properly. If you dont drink enough water, you can put yourself at greater risk of constipation. […] 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.

• #18 Diverticular Disease: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/diverticular-disease.html

  Diverticulitis prevention measures include consuming a vegetarian diet or high-quality diet (high in fruits, vegetables, whole grains, and legumes), limiting red meat and sweets, achieving or maintaining a body mass index of 18 to 25 kg per m2, being physically active, and avoiding tobacco and long-term nonsteroidal anti-inflammatory drugs. […] Prophylactic partial colectomy should be considered in patients who had an abscess requiring drainage. […] Surgical referral for partial colectomy after the third reoccurrence appears to be most cost-effective. […] Abscess formation requiring drainage increases the risk of recurrence, and prophylactic partial colectomy should be considered. […] Mesalamine has not shown benefit in the prevention of inflammation or diverticulitis recurrence and should not be used prophylactically.

• #19 Diverticulitis: A Review of Diagnosis, Treatment, and Prevention | Consultant360

  https://www.consultant360.com/exclusive/consultant360/diverticulitis-review-diagnosis-treatment-and-prevention

  Diverticulitis is a frequently encountered burden on patients and society. The increasing rate of diverticulosis correlates with an increase in the rate of diverticulitis. Healthy lifestyles and pursuing a diet high in fiber and low in red meat has shown to decrease the incidence of diverticulitis. […] A high-fiber diet has long been associated with the prevention of complications of diverticulitis. Red meat has been noted to be associated with an increased risk of diverticulitis. Higher levels of C-reactive protein and ferritin have been associated with consumption of red meat, which might indicate a pathomechanism of diverticulitis predisposition. […] Current guidelines recommend a high-fiber diet, but no other dietary limitations have been recommended. […] In addition to dietary modifications, preventive measures were explored. Mesalamine has shown promise as a preventive measure, given that the inflammation seen in diverticulitis is similar to that of inflammatory bowel disease. Mesalamine reduced the symptoms of diverticulitis in one study, but on the other hand, recent meta-analyses have not found mesalamine to be beneficial in preventing diverticulitis.

• #20 Defend yourself from diverticulitis – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/defend-yourself-from-diverticulitis

  You can help prevent diverticulosis by drinking plenty of fluids and eating a high-fiber diet. Studies have suggested an association between low-fiber diets and diverticulosis, since the condition is less common in places like Asia and Africa, where people eat diets high in vegetable fiber compared with the typically low-fiber diets in America and Great Britain. […] Fiber helps to soften the stool so it can pass easily through the intestines. If the stool is too hard, constipation can occur. Straining to pass hard stool puts pressure on your colon, which may cause weak spots to bulge out. […] The Dietary Guidelines for Americans recommends at least 25-30 grams. The best sources of fiber include fresh fruits, vegetables, beans, nuts, corn, and foods containing wheat bran. […] If you have trouble getting enough fiber in your diet, a fiber supplement like Benefiber or Metamucil can help. „A tablespoon of any of these adds about 5 to 6 grams of fiber to your diet,” says Dr. Goldberg. Speak with your doctor before taking a fiber supplement, as adding too much to your diet at one time can cause gas and bloating.

• #21 Preventing Recurrent Diverticulitis – Whole Health Library

  https://www.va.gov/WHOLEHEALTHLIBRARY/tools/preventing-recurrent-diverticulitis.asp

  If a patient has diverticulitis and high blood pressure, consider a calcium channel blocker to reduce intraluminal pressure (and lower blood pressure as well). […] Although fiber has not been found to reduce the recurrence of diverticulitis, it does help reduce constipation, which can aggravate this condition. Encourage 7-9 servings of vegetables and fruit daily and, if this is not possible, consider supplementing with a soluble fiber such as psyllium, 1 tbsp in 12 oz of water twice daily.

• #22 Diverticulitis: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/diverticulitis-nursing-diagnosis-care-plan/

  Overweight and obese patients are at higher risk of recurrent and complicated diverticulitis. Help the patient plan an exercise regimen to reduce their body mass index. […] Smoking is associated with higher rates of complicated diverticulitis with worse outcomes. […] Recent research shows that avoiding nuts, seeds, or popcorn is not useful as previously thought to reduce the risk of recurrent diverticulitis. […] Fiber supplements like psyllium or Metamucil can aid patients who struggle with getting enough fiber from their diet. Probiotic supplements may also prove beneficial in preventing recurrences.

• #23 Nutrition and healthy eating

  https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/diverticulitis-diet/art-20048499

  Over time, keep adding fiber to your diet by including high-fiber foods such as fruits, vegetables and whole grains. High-fiber foods may lower your chances of getting diverticulitis again. Drink lots of water to keep fiber moving through your digestive system. […] If you don’t get enough fiber from food, your healthcare professional may recommend a fiber supplement. […] Along with eating a balanced diet, aim to get regular physical activity. Moderate exercise such as water aerobics or brisk walking is linked with gut health. If you’re not active now, ask your healthcare professional to help you get started.

• #24 Defend yourself from diverticulitis – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/defend-yourself-from-diverticulitis

  You can help prevent diverticulosis by drinking plenty of fluids and eating a high-fiber diet. Studies have suggested an association between low-fiber diets and diverticulosis, since the condition is less common in places like Asia and Africa, where people eat diets high in vegetable fiber compared with the typically low-fiber diets in America and Great Britain. […] Fiber helps to soften the stool so it can pass easily through the intestines. If the stool is too hard, constipation can occur. Straining to pass hard stool puts pressure on your colon, which may cause weak spots to bulge out. […] The Dietary Guidelines for Americans recommends at least 25-30 grams. The best sources of fiber include fresh fruits, vegetables, beans, nuts, corn, and foods containing wheat bran. […] If you have trouble getting enough fiber in your diet, a fiber supplement like Benefiber or Metamucil can help. „A tablespoon of any of these adds about 5 to 6 grams of fiber to your diet,” says Dr. Goldberg. Speak with your doctor before taking a fiber supplement, as adding too much to your diet at one time can cause gas and bloating.

• #25 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  To help prevent diverticulitis: […] Exercise regularly. Regular, vigorous exercise decreases the risk of diverticulitis. […] Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon and decreases the risk of diverticulitis. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets. […] Maintain a healthy weight. Talk to your healthcare professional or a dietitian about goals for a healthy weight for you and strategies to reach your goals. […] Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation. […] Quit smoking and limit alcohol use. Smoking and heavy alcohol use are associated with an increased risk of diverticulitis. […] In the past, healthcare professionals recommended that people with diverticulitis avoid nuts, seeds and popcorn. Studies have shown that these foods do not increase the risk of diverticulitis. Seeds and some nuts are good sources of fiber.

• #26 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  A diet high in intake of fiber, particularly cellulose, is protective against development of diverticular disease as early studies have postulated. […] Obesity has also been implicated in the development of diverticular disease, with relative risk of developing diverticulitis of 1.52, depending on whether BMI, waist-to-hip ratio, or waist circumference are considered. […] Conversely, physical activity, particularly if vigorous, has been suggested to be protective against developing symptomatic diverticular disease in men and may also protect against bleeding diverticulosis. […] Some drugs have been suggested as increasing the risk of diverticular disease and its complications; to date only the use of nonsteroidal anti-inflammatory drugs and acetaminophen have been associated with symptoms of severe diverticular disease and its complication of bleeding.

• #27 The dos and don’ts of managing diverticular disease – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/the-dos-and-donts-of-managing-diverticular-disease

  Stay away from nuts and seeds, and don’t eat popcorn that’s what doctors said years ago if you had diverticulosis, a condition marked by tiny pouches (diverticula) that develop in the lining of the colon. […] „You don’t have to worry about eating nuts, seeds, or popcorn. The evidence does not show a higher risk of diverticulitis in people who eat a lot of those foods, compared with people who don’t,” says gastroenterologist Dr. Lawrence S. Friedman, a Harvard Medical School professor and the Anton R. Fried, M.D., Chair of the Department of Medicine at Newton-Wellesley Hospital. […] Living a healthy lifestyle is good for your gut. If you smoke, try to quit, and maintain a healthy weight. Smoking and obesity are associated with diverticular complications. […] Vigorous physical activity (like jogging, swimming laps, or playing tennis or basketball) is associated with a reduced risk of diverticulitis and diverticular bleeding.

• #28 How To Prevent Diverticulitis & Flare Ups

  https://www.webmd.com/digestive-disorders/understanding-diverticulitis-prevention

  The best way to prevent diverticulitis is to modify your diet and lifestyle. […] Eat more fiber by adding whole-grain breads, oatmeal, bran cereals, fibrous fresh fruits, and vegetables to your diet. […] Drink plenty of fluids (at least eight 8-ounce glasses of water a day) if you increase your intake of fiber. […] Avoid refined foods, such as white flour, white rice, and other processed foods. […] Avoid red meat. There have been some studies that associate high red meat consumption with acute diverticulitis. […] Prevent constipation by trying over-the-counter stool softeners. […] Exercise regularly. Exercise can help the muscles in your intestine retain their tone, which encourages regular bowel movements.

• #29 Diverticulitis diet: Foods to eat and avoid

  https://www.medicalnewstoday.com/articles/327259

  Certain foods can help during and after a diverticulitis flare-up. These include high fiber foods and probiotics. Foods to consider avoiding include red meat and high-FODMAP foods. […] The review concluded that there is not enough quality research to identify which diets are beneficial for an acute attack of diverticulitis. But they did suggest that following a high fiber diet after recovery from acute diverticulitis might reduce the risk of another episode. […] A 2017 study associated this type of diet with an increased risk of diverticulitis. […] One 2017 study found that if people stick to certain lifestyle recommendations, it might be possible to prevent 50% of diverticulitis cases. […] Recommendations from the study included consuming no more than 51 grams (g) of red meat a day, eating about 23 g of dietary fiber daily, doing at least 2 hours of vigorous exercise each week, maintaining a moderate weight, and never smoking.

• #30

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk6783

  You may be able to lower your chance of getting diverticulitis. You can do this by taking steps to prevent constipation. […] Eat fruits, vegetables, beans, and whole grains every day. These foods are high in fibre. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Get at least 2 hours of moderate to vigorous exercise a week. Walking is a good choice. […] Take a fibre supplement (such as Benefibre or Metamucil) every day if needed. Read and follow all instructions on the label. […] Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and do not strain when having a bowel movement.

• #31 Diverticulitis Diet: Best and Worst Foods for Prevention and Treatment

  https://www.everydayhealth.com/diverticulitis/guide/diet/

  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. […] 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. […] High-fiber diets need water to function properly. If you dont drink enough water, you can put yourself at greater risk of constipation. […] 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.

• #32 The dos and don’ts of managing diverticular disease – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/the-dos-and-donts-of-managing-diverticular-disease

  Stay away from nuts and seeds, and don’t eat popcorn that’s what doctors said years ago if you had diverticulosis, a condition marked by tiny pouches (diverticula) that develop in the lining of the colon. […] „You don’t have to worry about eating nuts, seeds, or popcorn. The evidence does not show a higher risk of diverticulitis in people who eat a lot of those foods, compared with people who don’t,” says gastroenterologist Dr. Lawrence S. Friedman, a Harvard Medical School professor and the Anton R. Fried, M.D., Chair of the Department of Medicine at Newton-Wellesley Hospital. […] Living a healthy lifestyle is good for your gut. If you smoke, try to quit, and maintain a healthy weight. Smoking and obesity are associated with diverticular complications. […] Vigorous physical activity (like jogging, swimming laps, or playing tennis or basketball) is associated with a reduced risk of diverticulitis and diverticular bleeding.

• #33 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  A diet high in intake of fiber, particularly cellulose, is protective against development of diverticular disease as early studies have postulated. […] Obesity has also been implicated in the development of diverticular disease, with relative risk of developing diverticulitis of 1.52, depending on whether BMI, waist-to-hip ratio, or waist circumference are considered. […] Conversely, physical activity, particularly if vigorous, has been suggested to be protective against developing symptomatic diverticular disease in men and may also protect against bleeding diverticulosis. […] Some drugs have been suggested as increasing the risk of diverticular disease and its complications; to date only the use of nonsteroidal anti-inflammatory drugs and acetaminophen have been associated with symptoms of severe diverticular disease and its complication of bleeding.

• #34 Diverticular Disease: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/diverticular-disease.html

  Diverticulitis prevention measures include consuming a vegetarian diet or high-quality diet (high in fruits, vegetables, whole grains, and legumes), limiting red meat and sweets, achieving or maintaining a body mass index of 18 to 25 kg per m2, being physically active, and avoiding tobacco and long-term nonsteroidal anti-inflammatory drugs. […] Prophylactic partial colectomy should be considered in patients who had an abscess requiring drainage. […] Surgical referral for partial colectomy after the third reoccurrence appears to be most cost-effective. […] Abscess formation requiring drainage increases the risk of recurrence, and prophylactic partial colectomy should be considered. […] Mesalamine has not shown benefit in the prevention of inflammation or diverticulitis recurrence and should not be used prophylactically.

• #35 Diverticulitis

  https://mobile.fpnotebook.com/GI/Bowel/Dvrtclts.htm

  Dietary changes […] High fiber diet (except in acute phase – see above) […] Vegetarian Diet […] High quality diet with reduced meat intake (e.g. Mediterranean Diet) […] Maintain adequate hydration […] Exercise or Physical Activity […] Avoid NSAIDs […] Weight loss (if BMI 30 kg/m2) […] Ideal Body Mass Index target 18 to 25 kg/m2 […] Tobacco Cessation […] Tobacco use is associated with complicated Diverticulitis and worse outcomes […] No evidence that avoiding nuts, corn or popcorn decreases Diverticulitis risk […] Avoid Mesalamine in the prevention of Diverticulitis recurrence (not effective) […] […] […] Surgical indications for prevention of recurrent Diverticulitis […] Recurrent uncomplicated Diverticulitis requiring hospitalization following third episode […] Abscess formation requiring drainage […] Other contributing risk factors for recurrence […] Age over 50 years […] Tobacco Abuse […] Obstruction […] Peritonitis […] Fistula

• #36 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  A diet high in intake of fiber, particularly cellulose, is protective against development of diverticular disease as early studies have postulated. […] Obesity has also been implicated in the development of diverticular disease, with relative risk of developing diverticulitis of 1.52, depending on whether BMI, waist-to-hip ratio, or waist circumference are considered. […] Conversely, physical activity, particularly if vigorous, has been suggested to be protective against developing symptomatic diverticular disease in men and may also protect against bleeding diverticulosis. […] Some drugs have been suggested as increasing the risk of diverticular disease and its complications; to date only the use of nonsteroidal anti-inflammatory drugs and acetaminophen have been associated with symptoms of severe diverticular disease and its complication of bleeding.

• #37 Prevention and Conservative Therapy of Diverticular Disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4789966/

  Diverticular disease is a common problem. Prevention and treatment of complications depend on the stage of the disease. Lifestyle modifications are suitable preventive measures, aiming to reduce obesity and to balance the diet with a high amount of fiber and a low amount of meat. […] In stage 0 (asymptomatic diverticulosis), a high-fiber and vegetarian diet is recommended for the prevention of diverticulitis. Physical activity and normal body weight is regarded as beneficial. A fiber-rich diet also prevents cardiovascular disease, diabetes, and cancer and is therefore widely recommended. […] Numerous other studies, however, accounted for a significant effect of fibers to prevent diverticulosis. A study from Great Britain showed a reduced risk for vegetarians to be admitted to a hospital or to die related to diverticulitis. […] A prospective study from Sweden showed that obesity is associated with a higher risk of complicated diverticular disease. […] In another Swedish study 36,592 women were included. A questionnaire evaluated BMI, physical activity, smoking, and other lifestyle-associated risk factors.

• #38 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  To help prevent diverticulitis: […] Exercise regularly. Regular, vigorous exercise decreases the risk of diverticulitis. […] Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon and decreases the risk of diverticulitis. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets. […] Maintain a healthy weight. Talk to your healthcare professional or a dietitian about goals for a healthy weight for you and strategies to reach your goals. […] Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation. […] Quit smoking and limit alcohol use. Smoking and heavy alcohol use are associated with an increased risk of diverticulitis. […] In the past, healthcare professionals recommended that people with diverticulitis avoid nuts, seeds and popcorn. Studies have shown that these foods do not increase the risk of diverticulitis. Seeds and some nuts are good sources of fiber.

• #39 How To Prevent Diverticulitis & Flare Ups

  https://www.webmd.com/digestive-disorders/understanding-diverticulitis-prevention

  The best way to prevent diverticulitis is to modify your diet and lifestyle. […] Eat more fiber by adding whole-grain breads, oatmeal, bran cereals, fibrous fresh fruits, and vegetables to your diet. […] Drink plenty of fluids (at least eight 8-ounce glasses of water a day) if you increase your intake of fiber. […] Avoid refined foods, such as white flour, white rice, and other processed foods. […] Avoid red meat. There have been some studies that associate high red meat consumption with acute diverticulitis. […] Prevent constipation by trying over-the-counter stool softeners. […] Exercise regularly. Exercise can help the muscles in your intestine retain their tone, which encourages regular bowel movements.

• #40

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk6783

  You may be able to lower your chance of getting diverticulitis. You can do this by taking steps to prevent constipation. […] Eat fruits, vegetables, beans, and whole grains every day. These foods are high in fibre. […] Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. […] Get at least 2 hours of moderate to vigorous exercise a week. Walking is a good choice. […] Take a fibre supplement (such as Benefibre or Metamucil) every day if needed. Read and follow all instructions on the label. […] Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and do not strain when having a bowel movement.

• #41 The dos and don’ts of managing diverticular disease – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/the-dos-and-donts-of-managing-diverticular-disease

  Don’t forget a healthy diet. Typical Western diets that are both low in fiber and high in saturated fats, including red meat, are associated with an increased risk for diverticulitis. […] „We still think a high-fiber diet is important because it’s good for heart health; reducing chronic inflammation; and making the bowels move regularly, which helps to maintain gut health and reduce pressure against diverticula,” Dr. Friedman says. […] Drink lots of water and aim for 25 to 30 grams of dietary fiber every day from beans, whole grains, vegetables, fruits, nuts, and seeds. […] „Yes, nuts and seeds foods once thought to trigger diverticulitis are actually full of fiber and are tied to many aspects of good health,” Dr. Friedman says. „You can eat a handful of nuts and seeds every day and your gut will thank you for it.”

• #42 Living with diverticulitis: Get the full scope of symptoms, treatment, and prevention | Digestive | UT Southwestern Medical Center

  https://utswmed.org/medblog/diverticulitis-symptoms-treatment/

  Eating a high-fiber diet, rich in foods such as bran, whole-wheat pasta, apples, pears, raspberries, beans, sweet potatoes, avocados, and vegetables, can help prevent regular flare-ups. […] To help prevent recurring flare-ups, which happen in one-third of patients with uncomplicated diverticulitis, we recommend: A high-fiber diet rich in foods such as bran, whole-wheat pasta, apples, pears, raspberries, beans, sweet potatoes, avocados, and vegetables, Regular cardiovascular activity, Weight loss, if appropriate. […] Increase your fiber intake slowly to reduce gas and bloating and be sure to drink plenty of water at least 64 ounces a day. Fiber without 64 ounces of water per day will constipate you.

• #43 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  To help prevent diverticulitis: […] Exercise regularly. Regular, vigorous exercise decreases the risk of diverticulitis. […] Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon and decreases the risk of diverticulitis. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets. […] Maintain a healthy weight. Talk to your healthcare professional or a dietitian about goals for a healthy weight for you and strategies to reach your goals. […] Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation. […] Quit smoking and limit alcohol use. Smoking and heavy alcohol use are associated with an increased risk of diverticulitis. […] In the past, healthcare professionals recommended that people with diverticulitis avoid nuts, seeds and popcorn. Studies have shown that these foods do not increase the risk of diverticulitis. Seeds and some nuts are good sources of fiber.

• #44 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  To help prevent diverticulitis: […] Exercise regularly. Regular, vigorous exercise decreases the risk of diverticulitis. […] Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon and decreases the risk of diverticulitis. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets. […] Maintain a healthy weight. Talk to your healthcare professional or a dietitian about goals for a healthy weight for you and strategies to reach your goals. […] Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation. […] Quit smoking and limit alcohol use. Smoking and heavy alcohol use are associated with an increased risk of diverticulitis. […] In the past, healthcare professionals recommended that people with diverticulitis avoid nuts, seeds and popcorn. Studies have shown that these foods do not increase the risk of diverticulitis. Seeds and some nuts are good sources of fiber.

• #45 Diverticular disease and diverticulitis

  https://www.nhs.uk/conditions/diverticular-disease-and-diverticulitis/

  If you have diverticular disease or diverticulitis there are things you can do to reduce the risk of your symptoms getting worse in the future. […] eat a healthy, balanced diet including whole grains, fruits and vegetables there are no specific foods you need to avoid […] slowly increase how much fibre you eat if you do not eat much fibre and make sure to also drink plenty of water […] stop smoking if you smoke […] maintain a healthy weight […] do not take NSAIDs (such as ibuprofen) or opioid painkillers (such as codeine) they can cause stomach problems or constipation, and increase the risk of getting a hole (perforation) in your bowel.

• #46 Discharge Instructions for Diverticulitis | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/discharge-instructions-diverticulitis

  Eating a high-fiber diet. Fiber adds bulk to the stool so that it passes through the large intestine more easily. […] Continuing to drink 6 to 8 glasses of water every day, unless told otherwise. […] Starting an exercise program. Ask your health care provider how to get started. You can benefit from simple activities, such as walking or gardening. […] Preventing constipation with fiber and adding a stool softener if needed. […] Avoiding nonsteroidal anti-inflammatory drugs, such as ibuprofen, if possible. They increase the risk of diverticulitis. […] Not smoking.

• #47 Diagnosis and Management of Acute Diverticulitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2013/0501/p612.html

  Interventions to prevent recurrences of diverticulitis include increased intake of dietary fiber, exercise, and, in persons with a body mass index of 30 kg per m2 or higher, weight loss. […] Counseling for smoking cessation is recommended because smoking is associated with an increased incidence of complicated diverticulitis and less favorable outcomes (e.g., surgery at a younger age, higher risk of recurrence). […] Evidence from a prospective cohort study of 47,228 men in the United States found no evidence that avoiding nuts, corn, or popcorn decreases the risk of diverticulosis or diverticular complications, such as diverticulitis. […] A small prospective study found that mesalamine and Lactobacillus casei are effective in preventing recurrence. […] A meta-analysis of four randomized controlled trials with 1,660 patients who had experienced at least one episode of diverticulitis found that rifaximin (Xifaxan) plus fiber provided one year of complete symptom relief (number needed to treat = 3) and fewer complications (number needed to treat = 59) compared with fiber alone.

• #48 Diverticulosis & Diverticulitis | ACG

  https://gi.org/topics/diverticulosis-and-diverticulitis/

  People who eat a diet high in fiber are less likely to develop diverticulitis than those who eat little fiber. Reducing the amount of red meat in the diet may also decrease the possibility of diverticulitis. Studies show that people who maintain a healthy weight and exercise regularly are less likely to develop diverticulitis and diverticular bleeding than those who are overweight or who do not exercise. Not smoking is also likely to help prevent diverticulitis. […] Decreasing the use of non-steroidal anti-inflammatory drugs, such as ibuprofen and aspirin, may decrease the chances of developing diverticulitis. However, if you take aspirin for your heart or blood vessels, you should not stop aspirin without talking to your doctor. Narcotic pain medicine and a type of steroid also appear to predispose to diverticulitis.

• #49 Diverticulosis & Diverticulitis | ACG

  https://gi.org/topics/diverticulosis-and-diverticulitis/

  People who eat a diet high in fiber are less likely to develop diverticulitis than those who eat little fiber. Reducing the amount of red meat in the diet may also decrease the possibility of diverticulitis. Studies show that people who maintain a healthy weight and exercise regularly are less likely to develop diverticulitis and diverticular bleeding than those who are overweight or who do not exercise. Not smoking is also likely to help prevent diverticulitis. […] Decreasing the use of non-steroidal anti-inflammatory drugs, such as ibuprofen and aspirin, may decrease the chances of developing diverticulitis. However, if you take aspirin for your heart or blood vessels, you should not stop aspirin without talking to your doctor. Narcotic pain medicine and a type of steroid also appear to predispose to diverticulitis.

• #50 Diverticulitis: Symptoms, Treatment and Prevention

  https://www.aarp.org/health/conditions-treatments/info-2022/diverticulitis-symptoms-treatment.html

  No medication or supplement has been shown to prevent recurrences of diverticulitis. […] Instead, doctors recommend that people at risk for diverticulitis: Eat a diet with plenty of fiber (fruits, vegetables, grains and legumes) and with not too much red meat. […] Get plenty of exercise. Vigorous exercise may be especially helpful. […] Maintain a healthy weight. […] Refrain from smoking. […] Avoid non-steroidal anti-inflammatory drugs. An exception: aspirin for heart attack and stroke prevention, if recommended by your doctor.

• #51 New Guidelines Inform Diverticulitis Treatment | University Hospitals

  https://www.uhhospitals.org/for-clinicians/articles-and-news/articles/2021/01/new-guidelines-inform-diverticulitis-treatment

  While a nutritious diet is a cornerstone of good health for everyone, patients with a history of diverticulitis should be especially mindful of their eating habits. […] When returning to solid foods, a vegetarian diet and a simple, high-fiber diet rich in fruits, vegetables, legumes and whole grains are associated with decreased diverticulitis risk. […] To further reduce risk, physicians should encourage patients to participate in vigorous exercise, stop smoking, maintain a healthy weight (obesity increases risk) and watch alcohol consumption. […] Currently there is no medication available to prevent recurrence of diverticulitis. Although multiple studies have examined rifaximin, probiotics, and 5-aminosalicylic acid (mesalamine) on diverticulitis recurrences, both AGA and ASCRS found insufficient evidence to support their use.

• #52

  https://journals.lww.com/ajg/fulltext/2015/10001/can_the_use_of_mesalamine_prevent_recurrent.1282.aspx

  To date, no therapy has been shown to prevent the recurrence of acute uncomplicated diverticulitis (AUD). […] Several early studies have suggested mesalamine may prevent recurrent AUD given its ability to reduce inflammation in colonic diverticular disease. However, in this meta-analysis, we have shown mesalamine does not appear to be superior to placebo in preventing an AUD or SUDD recurrence. Given a trend towards higher side effects rate in the mesalamine group, mesalamine should not be routinely recommended for the purpose of prevention of diverticulitis.

• #53 Recommendations | Diverticular disease: diagnosis and management | Guidance | NICE

  https://www.nice.org.uk/guidance/ng147/chapter/recommendations

  Tell people about the benefits of exercise, and weight loss if they are overweight or obese, and stopping smoking, in reducing the risk of developing acute diverticulitis and symptomatic disease. […] Advise people to avoid non-steroidal anti-inflammatory drugs and opioid analgesia if possible, because they may increase the risk of diverticular perforation. […] Advise people that the benefits of increasing dietary fibre may take several weeks to achieve. […] Do not offer an aminosalicylate or antibiotics to prevent recurrent acute diverticulitis.

• #54 Diverticular Disease and Rifaximin: An Evidence-Based Review

  https://www.mdpi.com/2079-6382/12/3/443

  There have been considerable advances in the treatment of diverticular disease in recent years. […] Current evidence shows that cyclical rifaximin usage in conjunction with a high-fiber diet is safe and effective for treating symptomatic uncomplicated diverticular disease, while the cost-effectiveness of long-term treatment is unknown. […] The use of rifaximin to prevent recurrent diverticulitis is promising, but further studies are needed to confirm its therapeutic benefit. […] The importance of diet in the development of diverticulitis has been shown. Studies showed that consuming high-fiber foods, eating nuts (>2 times per week) and popcorn (<2 times per week), and a vegetarian diet reduced the risk of diverticulitis, whereas consumption of red meat increased the risk of diverticulitis.

• #55 The influence of rifaximin on diverticulitis rate and …

  https://ppch.pl/seo/article/01.3001.0009.6012/en

  Diverticulitis rate was comparable in both groups over a period of 6 months before study (p = 0.1306) and 6 months of treatment (p=0.3044). […] Between the 6th and 12th month of treatment, a significantly lower rate of diverticulitis was noted in the group receiving rifaximin compared to control group (p<0.0001). [...] The results confirmed the efficacy of riaximin in prevention of diverticulitis, even in the scheme of repeated courses every 3 months. [...] According to current recommendations published in Colorectal Disease in 2014, as well as recommendations by the Polish Society of Surgeons and Polish Society of Gastroenterology from 2015 regarding diagnosis and treatment of diverticulosis, prevention of recurrence should be introduced in all patients after an episode of acute diverticulitis. The only medication with efficacy confirmed by prospective studies with randomization in preventing recurrent diverticulitis and complications is rifaximin used repeatedly every month.

• #56 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  The goal of surgery is to remove the diseased sigmoid colon in its entirety, fashioning an anastomosis between the soft, proximal remnant left colon and the upper rectum recognized by the confluence of the teniae. […] Failure to resect the entire sigmoid colon is associated with a four-fold increased likelihood of developing recurrent diverticulitis. […] In those patients considered poor surgical candidates, at high mortality risk, some authors would advocate use of endoscopically placed metallic stents to relieve symptoms. […] Several authors have suggested that sigmoid diverticulitis is a form of inflammatory bowel disease which could benefit from treatment with anti-inflammatory agents. […] Probiotics combined with mesalazine have also emerged as an alternative potential therapeutic strategy in preventing recurrent attacks of diverticulitis.

• #57 Diverticulosis & Diverticulitis | ACG

  https://gi.org/topics/diverticulosis-and-diverticulitis/

  Several different medications have been studied in hopes of preventing recurrent diverticulitis in patients who have had one or more attacks. Unfortunately, the best studied drug, mesalamine, has not reduced the likelihood of recurrent diverticulitis. There are only a few small studies on the use of probiotics (healthy bacteria) or rifaximin (a kind of antibiotic), so it isn’t clear if these medications might help reduce recurrent diverticulitis.

• #58 Diagnosis and Management of Acute Diverticulitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2013/0501/p612.html

  Interventions to prevent recurrences of diverticulitis include increased intake of dietary fiber, exercise, and, in persons with a body mass index of 30 kg per m2 or higher, weight loss. […] Counseling for smoking cessation is recommended because smoking is associated with an increased incidence of complicated diverticulitis and less favorable outcomes (e.g., surgery at a younger age, higher risk of recurrence). […] Evidence from a prospective cohort study of 47,228 men in the United States found no evidence that avoiding nuts, corn, or popcorn decreases the risk of diverticulosis or diverticular complications, such as diverticulitis. […] A small prospective study found that mesalamine and Lactobacillus casei are effective in preventing recurrence. […] A meta-analysis of four randomized controlled trials with 1,660 patients who had experienced at least one episode of diverticulitis found that rifaximin (Xifaxan) plus fiber provided one year of complete symptom relief (number needed to treat = 3) and fewer complications (number needed to treat = 59) compared with fiber alone.

• #59 Preventing Recurrent Diverticulitis – Whole Health Library

  https://www.va.gov/WHOLEHEALTHLIBRARY/tools/preventing-recurrent-diverticulitis.asp

  Preventing Recurrent Diverticulitis was written by David Rakel, MD and updated by David Lessens, MD, MPH (2014, updated 2020). […] Don’t give long-term antibiotics prophylactically for diverticulitis. They generally have not been found beneficial except in possibly relieving pain and bloating during exacerbations. […] Hold off on jumping right to surgery for diverticular disease. Many people will not have a recurrence. In one study of 3,165 patients hospitalized for diverticulitis, only 13.3% had a recurrence after 9 years. […] Consider mesalazine in those who have had a recurrence of diverticulitis. Reducing inflammation with this drug (but not NSAIDS, which can worsen risk) has been found beneficial when used cyclically for 10 days per month over 12 months. The dose is 400-800 mg twice daily, with the higher dose (800 mg twice daily) being more effective in one study.

• #60 Diverticular Disease: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/diverticular-disease.html

  Diverticulitis prevention measures include consuming a vegetarian diet or high-quality diet (high in fruits, vegetables, whole grains, and legumes), limiting red meat and sweets, achieving or maintaining a body mass index of 18 to 25 kg per m2, being physically active, and avoiding tobacco and long-term nonsteroidal anti-inflammatory drugs. […] Prophylactic partial colectomy should be considered in patients who had an abscess requiring drainage. […] Surgical referral for partial colectomy after the third reoccurrence appears to be most cost-effective. […] Abscess formation requiring drainage increases the risk of recurrence, and prophylactic partial colectomy should be considered. […] Mesalamine has not shown benefit in the prevention of inflammation or diverticulitis recurrence and should not be used prophylactically.

• #61 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  Current studies are focusing on the identification of possible predictors of patients who are at higher risk of recurrence. […] The indication for colectomy should therefore not be made based on the potential risk of free perforation. […] The decision to operate on uncomplicated disease should be individualized taking into account patient age, medical comorbidity, frequency and severity of attack(s), and persistence of symptoms after resolution of the acute infection. […] Data from the National Inpatient Sample evaluating 685,390 hospital discharges with a diagnosis of acute diverticulitis over a 15-year time period ending in 2005 indicates that the number of patients with diverticulitis per 1000 hospital discharges increased but the proportion of patients undergoing colectomy for uncomplicated diverticulitis significantly decreased from 17.9% in 1991 to 13.7% in 2005.

• #62 Diverticulitis Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/173388-treatment

  A lifelong high-fiber diet for those with asymptomatic diverticular disease may reduce the incidence of diverticulitis and its complications. The 2015 American Gastroenterological Association (AGA) guidelines suggest a fiber-rich diet or fiber supplementation in individuals with a history of acute diverticulitis. […] However, the guidelines are against routinely advising these patients to avoid the consumption of popcorn and nuts. According to a large study in the United Kingdom, a high-fiber diet and a vegetarian diet were each significantly associated with a lower risk of diverticular disease-related hospital admission or death.

• #63 Diverticulitis

  https://mobile.fpnotebook.com/GI/Bowel/Dvrtclts.htm

  Dietary changes […] High fiber diet (except in acute phase – see above) […] Vegetarian Diet […] High quality diet with reduced meat intake (e.g. Mediterranean Diet) […] Maintain adequate hydration […] Exercise or Physical Activity […] Avoid NSAIDs […] Weight loss (if BMI 30 kg/m2) […] Ideal Body Mass Index target 18 to 25 kg/m2 […] Tobacco Cessation […] Tobacco use is associated with complicated Diverticulitis and worse outcomes […] No evidence that avoiding nuts, corn or popcorn decreases Diverticulitis risk […] Avoid Mesalamine in the prevention of Diverticulitis recurrence (not effective) […] […] […] Surgical indications for prevention of recurrent Diverticulitis […] Recurrent uncomplicated Diverticulitis requiring hospitalization following third episode […] Abscess formation requiring drainage […] Other contributing risk factors for recurrence […] Age over 50 years […] Tobacco Abuse […] Obstruction […] Peritonitis […] Fistula

• #64

  https://link.springer.com/article/10.1023/A:1019624101225

  Although surgery is recommended after two or more attacks of uncomplicated diverticulitis, the optimal timing for surgery in terms of cost-effectiveness is unknown. […] In conclusion, performing prophylactic resection after the third attack of diverticulitis is cost saving in comparison to resection performed after the first or second attacks and remains cost-effective during sensitivity analysis.

• #65 Diverticular Disease: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/diverticular-disease.html

  Diverticulitis prevention measures include consuming a vegetarian diet or high-quality diet (high in fruits, vegetables, whole grains, and legumes), limiting red meat and sweets, achieving or maintaining a body mass index of 18 to 25 kg per m2, being physically active, and avoiding tobacco and long-term nonsteroidal anti-inflammatory drugs. […] Prophylactic partial colectomy should be considered in patients who had an abscess requiring drainage. […] Surgical referral for partial colectomy after the third reoccurrence appears to be most cost-effective. […] Abscess formation requiring drainage increases the risk of recurrence, and prophylactic partial colectomy should be considered. […] Mesalamine has not shown benefit in the prevention of inflammation or diverticulitis recurrence and should not be used prophylactically.

• #66 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  Current studies are focusing on the identification of possible predictors of patients who are at higher risk of recurrence. […] The indication for colectomy should therefore not be made based on the potential risk of free perforation. […] The decision to operate on uncomplicated disease should be individualized taking into account patient age, medical comorbidity, frequency and severity of attack(s), and persistence of symptoms after resolution of the acute infection. […] Data from the National Inpatient Sample evaluating 685,390 hospital discharges with a diagnosis of acute diverticulitis over a 15-year time period ending in 2005 indicates that the number of patients with diverticulitis per 1000 hospital discharges increased but the proportion of patients undergoing colectomy for uncomplicated diverticulitis significantly decreased from 17.9% in 1991 to 13.7% in 2005.

• #67 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  To help prevent diverticulitis: […] Exercise regularly. Regular, vigorous exercise decreases the risk of diverticulitis. […] Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon and decreases the risk of diverticulitis. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets. […] Maintain a healthy weight. Talk to your healthcare professional or a dietitian about goals for a healthy weight for you and strategies to reach your goals. […] Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation. […] Quit smoking and limit alcohol use. Smoking and heavy alcohol use are associated with an increased risk of diverticulitis. […] In the past, healthcare professionals recommended that people with diverticulitis avoid nuts, seeds and popcorn. Studies have shown that these foods do not increase the risk of diverticulitis. Seeds and some nuts are good sources of fiber.

• #68 Diverticulitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

  Healthcare providers dont know enough about why diverticulitis happens or why it returns to know definitively how to prevent it. But they suspect that general bowel wellness can help. Eating more plants and fewer animal fats, drinking enough water and getting some regular exercise can help keep your bowel movements healthy. For some people, they might recommend fiber supplements or probiotics. […] In the past, people with diverticulosis were told to avoid seeds and nuts, in case one might get stuck in a diverticulum and cause diverticulitis. This risk is considered mostly a myth today. Seeds and nuts are great sources of fiber and plant-based protein, and they tend to appear in healthy meals. Its much better for your bowels to maintain a healthy diet overall than to worry about the rare chance of a seed going awry.

• #69 Diverticulitis – Wikipedia

  https://en.wikipedia.org/wiki/Diverticulitis

  Preventive measures include altering risk factors such as obesity, inactivity, and smoking. […] Mesalazine and rifaximin appear useful for preventing attacks in those with diverticulosis. […] Avoiding nuts and seeds as a preventive measure is no longer recommended since there is no evidence these play a role in initiating inflammation in the diverticula. […] There is no evidence to suggest that the avoidance of nuts and seeds prevents the progression of diverticulosis to an acute case of diverticulitis. […] In fact, it appears that a higher intake of nuts and corn could help to avoid diverticulitis in adult males. […] A 2017 analysis found a dietary pattern high in red meat, refined grains, and high-fat dairy was associated with an increased risk of incident diverticulitis whereas a dietary pattern high in fruits, vegetables, and whole grains was associated with decreased risk.

• #70 Diagnosis and Management of Acute Diverticulitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2013/0501/p612.html

  Interventions to prevent recurrences of diverticulitis include increased intake of dietary fiber, exercise, and, in persons with a body mass index of 30 kg per m2 or higher, weight loss. […] Counseling for smoking cessation is recommended because smoking is associated with an increased incidence of complicated diverticulitis and less favorable outcomes (e.g., surgery at a younger age, higher risk of recurrence). […] Evidence from a prospective cohort study of 47,228 men in the United States found no evidence that avoiding nuts, corn, or popcorn decreases the risk of diverticulosis or diverticular complications, such as diverticulitis. […] A small prospective study found that mesalamine and Lactobacillus casei are effective in preventing recurrence. […] A meta-analysis of four randomized controlled trials with 1,660 patients who had experienced at least one episode of diverticulitis found that rifaximin (Xifaxan) plus fiber provided one year of complete symptom relief (number needed to treat = 3) and fewer complications (number needed to treat = 59) compared with fiber alone.

• #71 How to Prevent Diverticulitis Flare-ups | Colon and Rectal Surgeons & Proctologists in Merrifield and Fair Oaks, Fairfax, Alexandria, Gainesville and Lansdowne, VA | Fairfax Colon & Rectal Surgery, PC

  https://www.fairfaxcolorectal.com/post/how-to-prevent-diverticulitis-flare-ups

  To help you ward off diverticulitis, the skilled team of colorectal experts here at Fairfax Colon Rectal Surgery presents a few prevention tips in this months blog post. […] Because diverticulosis is the precursor to diverticulitis, were going to focus on doing what you can to prevent small pouches from forming in your colon. […] A high-fiber diet is one of the best ways to prevent diverticulitis because fiber accomplishes many roles in your lower gut, such as bulking your waste for easier passage and avoiding constipation. […] The benefits of a diet high in fiber are significant and include avoiding a potentially painful and problematic bout of diverticulitis.

• #72 Diverticulitis diet: Foods to eat and avoid

  https://www.medicalnewstoday.com/articles/327259

  Research has linked higher intakes of red meat and processed meat with diverticulitis. […] A 2016 hypothesis suggested that a high fiber diet, when combined with FODMAP foods, may cause excess gas that could contribute to diverticulitis symptoms. […] Each person will have different dietary needs and sensitivities, so doctors recommend individualized professional guidance. […] Fiber intake seems to be a vital component. Consuming a high fiber diet may reduce the risk of diverticulitis and improve digestive health in general. […] Limiting red and processed meat may also reduce risk and symptoms. Replacing them with poultry, fish, and plenty of fruits, vegetables, whole grains, and legumes may be a sensible approach. […] A person living with diverticulitis should always consult their healthcare professional or a registered dietitian to discuss how best to manage their symptoms through diet and lifestyle changes.

• #73 Diverticulitis diet: Foods to eat and avoid

  https://www.medicalnewstoday.com/articles/327259

  Research has linked higher intakes of red meat and processed meat with diverticulitis. […] A 2016 hypothesis suggested that a high fiber diet, when combined with FODMAP foods, may cause excess gas that could contribute to diverticulitis symptoms. […] Each person will have different dietary needs and sensitivities, so doctors recommend individualized professional guidance. […] Fiber intake seems to be a vital component. Consuming a high fiber diet may reduce the risk of diverticulitis and improve digestive health in general. […] Limiting red and processed meat may also reduce risk and symptoms. Replacing them with poultry, fish, and plenty of fruits, vegetables, whole grains, and legumes may be a sensible approach. […] A person living with diverticulitis should always consult their healthcare professional or a registered dietitian to discuss how best to manage their symptoms through diet and lifestyle changes.

• #74

  https://www.prevention.com/health/a41322551/diverticulitis-diet/

  If you have diverticulitis, its a good idea to talk to your healthcare provider about your diet and when you can expect to change it, Dr. Hahn says. And, if youre having trouble figuring out what to do when, Doerfler recommends working with a registered dietitian to learn how to slowly add fiber back into your diet after a flare.

• #75 Diverticular Disease and Diet | Patient Education | UCSF Health

  https://www.ucsfhealth.org/education/diverticular-disease-and-diet

  Diverticulitis occurs when the pouches in the colon become infected or inflamed. […] A diet rich in fiber can help keep stools soft and prevent inflammation. […] Eat a high-fiber diet when you have diverticulosis. Fiber softens the stool and helps prevent constipation. It also can help decrease pressure in the colon and help prevent flare-ups of diverticulitis. […] After symptoms improve, usually within two to four days, you may add 5 to 15 grams of fiber a day back into your diet. Resume your high fiber diet when you no longer have symptoms.

• #76 Nutrition and healthy eating

  https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/diverticulitis-diet/art-20048499

  Over time, keep adding fiber to your diet by including high-fiber foods such as fruits, vegetables and whole grains. High-fiber foods may lower your chances of getting diverticulitis again. Drink lots of water to keep fiber moving through your digestive system. […] If you don’t get enough fiber from food, your healthcare professional may recommend a fiber supplement. […] Along with eating a balanced diet, aim to get regular physical activity. Moderate exercise such as water aerobics or brisk walking is linked with gut health. If you’re not active now, ask your healthcare professional to help you get started.

• #77 Diverticulitis Diet: Best and Worst Foods for Prevention and Treatment

  https://www.everydayhealth.com/diverticulitis/guide/diet/

  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. […] 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. […] High-fiber diets need water to function properly. If you dont drink enough water, you can put yourself at greater risk of constipation. […] 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.

• #78 Evaluation, Management, and Prevention of Diverticular Disease – Practical Gastro

  https://practicalgastro.com/2022/05/17/evaluation-management-and-prevention-of-diverticular-disease/

  Diverticular disorders are frequently encountered in the primary care setting. […] To avoid these complications, patients should be encouraged to lead an active lifestyle, consume a healthy diet, and avoid tobacco, alcohol, and certain medications. […] There are numerous lifestyle interventions patients can follow to decrease risk of diverticulitis and other diverticular disorders. […] Rather, studies have associated diets that are low in fiber and high in red meat and refined sugars as leading to increased risk for the development of diverticular disease. […] Therefore, patients with diverticulosis should be encouraged to follow a high fiber diet which is low in red meat and refined sugars, and counseled to maintain an active lifestyle with the goal of achieving a normal body mass index.

• #79 Diverticulosis and Diverticulitis – IFFGD

  https://iffgd.org/gi-disorders/other-disorders/diverticulosis-and-diverticulitis/

  The best way to help prevent diverticulitis is to keep diverticulosis under control. That means eating a high fiber diet which requires 20 to 35 grams of fiber each day. Fiber is found in grains, vegetables, and fruits. Also, it is important to drink enough fluids at least eight glasses throughout the day to help keep stool soft.

• #80 Diverticular disease and diverticulitis

  https://www.nhs.uk/conditions/diverticular-disease-and-diverticulitis/

  If you have diverticular disease or diverticulitis there are things you can do to reduce the risk of your symptoms getting worse in the future. […] eat a healthy, balanced diet including whole grains, fruits and vegetables there are no specific foods you need to avoid […] slowly increase how much fibre you eat if you do not eat much fibre and make sure to also drink plenty of water […] stop smoking if you smoke […] maintain a healthy weight […] do not take NSAIDs (such as ibuprofen) or opioid painkillers (such as codeine) they can cause stomach problems or constipation, and increase the risk of getting a hole (perforation) in your bowel.

• #81 Diverticulitis diet: Foods to eat and avoid

  https://www.medicalnewstoday.com/articles/327259

  Certain foods can help during and after a diverticulitis flare-up. These include high fiber foods and probiotics. Foods to consider avoiding include red meat and high-FODMAP foods. […] The review concluded that there is not enough quality research to identify which diets are beneficial for an acute attack of diverticulitis. But they did suggest that following a high fiber diet after recovery from acute diverticulitis might reduce the risk of another episode. […] A 2017 study associated this type of diet with an increased risk of diverticulitis. […] One 2017 study found that if people stick to certain lifestyle recommendations, it might be possible to prevent 50% of diverticulitis cases. […] Recommendations from the study included consuming no more than 51 grams (g) of red meat a day, eating about 23 g of dietary fiber daily, doing at least 2 hours of vigorous exercise each week, maintaining a moderate weight, and never smoking.

• #82 Prevention and Conservative Therapy of Diverticular Disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4789966/

  Diverticular disease is a common problem. Prevention and treatment of complications depend on the stage of the disease. Lifestyle modifications are suitable preventive measures, aiming to reduce obesity and to balance the diet with a high amount of fiber and a low amount of meat. […] In stage 0 (asymptomatic diverticulosis), a high-fiber and vegetarian diet is recommended for the prevention of diverticulitis. Physical activity and normal body weight is regarded as beneficial. A fiber-rich diet also prevents cardiovascular disease, diabetes, and cancer and is therefore widely recommended. […] Numerous other studies, however, accounted for a significant effect of fibers to prevent diverticulosis. A study from Great Britain showed a reduced risk for vegetarians to be admitted to a hospital or to die related to diverticulitis. […] A prospective study from Sweden showed that obesity is associated with a higher risk of complicated diverticular disease. […] In another Swedish study 36,592 women were included. A questionnaire evaluated BMI, physical activity, smoking, and other lifestyle-associated risk factors.

• #83 New and emerging treatments for the prevention of recurrent diverticulitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3190288/

  Current studies are focusing on the identification of possible predictors of patients who are at higher risk of recurrence. […] The indication for colectomy should therefore not be made based on the potential risk of free perforation. […] The decision to operate on uncomplicated disease should be individualized taking into account patient age, medical comorbidity, frequency and severity of attack(s), and persistence of symptoms after resolution of the acute infection. […] Data from the National Inpatient Sample evaluating 685,390 hospital discharges with a diagnosis of acute diverticulitis over a 15-year time period ending in 2005 indicates that the number of patients with diverticulitis per 1000 hospital discharges increased but the proportion of patients undergoing colectomy for uncomplicated diverticulitis significantly decreased from 17.9% in 1991 to 13.7% in 2005.

• #84 Diverticulitis Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/173388-treatment

  A lifelong high-fiber diet for those with asymptomatic diverticular disease may reduce the incidence of diverticulitis and its complications. The 2015 American Gastroenterological Association (AGA) guidelines suggest a fiber-rich diet or fiber supplementation in individuals with a history of acute diverticulitis. […] However, the guidelines are against routinely advising these patients to avoid the consumption of popcorn and nuts. According to a large study in the United Kingdom, a high-fiber diet and a vegetarian diet were each significantly associated with a lower risk of diverticular disease-related hospital admission or death.

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