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Diverticulitis is an extremely unpleasant digestive disease.

Those diagnosed know it’s worth taking measures to avoid future episodes. Unfortunately, 1 in 5 will have another flare up within five years. In this video I'm looking at what diet changes may help treatment, as well as some common myths about foods to avoid.

Diet for Diverticulitis: Recommendations and Myths

Just to clarify, Diverticulosis refers to having diverticula (the small pockets that form in your large intestine) that have not yet become infected and painful.
Diverticulitis occurs when the diverticula become inflamed or infected.
So diverticulosis always occurs before diverticulitis. And together these two conditions are known as diverticular disease.

STUDY: http://www.ncbi.nlm.nih.gov/pubmed/23...
Unfortunately the risk of diverticulosis increases as we grow older, to about 70% of people aged 80 and above. Fortunately, it only progresses to diverticulitis about 4% of the time.

The first thing I want to look at is probiotics, which are bacteria we eat for health benefits.

Studies show a variety of different probiotic strains are effective in reducing symptoms of diverticulitis. Particularly those of Lactobacillus casei and Lactobacillus paracasei.[ and this was seen in tandem with a high fiber diet]

They've also been successfully combined with the antiinflammatory drug Mesalamine to help reduce acute symptoms. However, it’s uncertain if they reduce the risk of recurrence.

The best food sources of probiotics are fermented foods, such as yogurt, quark, Yakult, sauerkraut, kefir, tempeh, and miso.
Probiotic supplements are also a great option, but recommended dosage has yet to be determined.

Now I mentioned just before that probiotics benefits were seen with a high fiber diet, and it seems the more fiber, the better.

One observational study found those who ate 25 grams or more of fiber per day had a 41% lower risk of being hospitalized for diverticulitis compared to those who ate less than 14 grams per day.

Another study that followed more than 690,000 women without diverticular disease found that each additional 5 grams of fiber per day was associated with a 15% reduction in risk of diverticulitis.

Considering that fiber has numerous other known benefits for the health, particularly in maintaining a healthy gut bacteria, it makes sense to recommend a high fiber diet.

Unfortunately today most people only consume half of the recommended amount. Women should aim to get at least 25 grams per day, while the average man should have at least 38 grams per day. Which basically means eat more vegetables and legumes.

Okay so let's move onto some common rumours surrounding diverticulitis and diet, the first is that you should avoid nuts and seeds, corn and popcorn.

STUDY: http://www.ncbi.nlm.nih.gov/pubmed/18...


Dietitian: Joe Leech (MSc Nutrition)