Diet can affect the symptoms of diverticulitis. Some foods can help prevent symptoms, while others may make a flare-up worse.
According to an article in the journal
Doctors may recommend that people follow a clear liquid diet during an acute flare-up of diverticulitis. Some research suggests that dietary changes — such as eating more fiber and probiotics while avoiding certain carbohydrates and red meat — could help some people with diverticulitis symptoms.
This article discusses foods to eat, foods to avoid, and other factors to consider.
Diverticulitis is a condition where small pouches in the intestine called diverticula become inflamed or infected. Symptoms of diverticulitis can include abdominal pain, nausea and vomiting, fever, constipation, and diarrhea.
If a person has these pouches that are not inflamed or infected, they have diverticulosis and usually have no symptoms. According to current estimates, less than 5% of people with diverticulosis will develop diverticulitis.
The review concluded that there is not enough quality research to identify which diets are beneficial for an acute attack of diverticulitis. They did, however, suggest that following a high fiber diet after recovery from acute diverticulitis might reduce the risk of another episode.
Serious complications of diverticulitis might include:
- an abscess or perforation in the colon
- peritonitis, which is inflammation or infection in the abdominal lining
- a fistula, which is an uncharacteristic tunnel linking two organs or an organ and the outside of the body
- a blockage of the movement of food or stool through the intestines
Keep reading for more information about which foods to eat and avoid when a person has diverticulitis.
Traditionally, doctors have recommended that people who are experiencing a flare of acute diverticulitis should follow a clear liquid diet. They may then progress to a low fiber diet until their symptoms have improved. Once a person’s symptoms are better,
- high fiber ready-to-eat bran cereal
- beans and pulses, including navy beans, chickpeas, split peas, and lentils
- fruits, including pear, avocado, apple, and prunes
- vegetables, including green peas, potatoes, squash, and parsnips
- grains, including bulgur, quinoa, barley, and whole wheat
If any foods aggravate symptoms, then a person may wish to speak to their doctor. The University of California, San Francisco (UCSF) note that some doctors may suggest a person takes a fiber supplement, such as methylcellulose (Citrucel) or psyllium (Metamucil).
Probiotics are beneficial bacteria that help the gut stay healthy. A
People can take probiotics as a supplement, but they also occur naturally in some foods. These foods include natural yogurt and fermented foods, such as:
People who have been taking antibiotics might consider adding these foods to their diet to help repopulate the gut with good bacteria.
A typical Western diet is high in red meat and refined grains, and has a lower fiber content. A
However, each person is different, and some may find that particular foods worsen their symptoms. Anyone who notices that a certain food causes pain or a change in symptoms may wish to eliminate that food and talk to their doctor or healthcare provider.
High FODMAP foods
FODMAP is an abbreviation for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These are carbohydrate foods that research suggests can cause digestive symptoms, such as bloating, gas, and diarrhea.
In Dietary Patterns and Whole Plant Food in Aging and Disease, the author comments that low intake of FODMAP foods may help to lower the risk and alleviate symptoms of diverticular disease.
A 2016 hypothesis suggests that a high fiber diet, when combined with FODMAP foods, may cause excess gas, which could contribute to diverticulitis symptoms.
Some high FODMAP foods
- onions, mushrooms, cauliflower, and garlic
- apples, apricots, dried fruit, pears, peaches
- dairy foods, including milk, yogurts, and cheeses
- legumes and pulses
- bread and cereals
- sugars and sweeteners
As some of these foods also contain beneficial fiber, it is important to discuss food choices and elimination with a healthcare professional. Each person will have different dietary needs and sensitivities, so doctors recommend individualized professional guidance.
Research has linked higher intakes of red meat and processed meat to diverticulitis. One
Recommendations include consuming no more than 51 grams (g) of red meat per day, eating about 23 g of dietary fiber daily, doing at least 2 hours of vigorous exercise each week, maintaining a healthy weight, and never smoking.
Another study published in the journal
Diet and other lifestyle factors play an essential part in the development of diverticulitis. A
The review also links several medications with an increased risk of diverticulitis. Regularly using non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or opioid analgesics may increase a person’s risk.
Low levels of vitamin D, which people mainly obtain through exposure to sunshine, may be associated with diverticulitis.
The review reports that genes account for about 50% of a person’s susceptibility to the condition, though research is yet to identify genetic markers. There may be more risk if a person has a family history of diverticulitis.
Researchers need to conduct more studies to determine which foods are beneficial for people with diverticulitis.
Currently, researchers are looking at how beneficial gut bacteria can support general health, and this may show promising results for diverticulitis also. However, at the moment, there is not enough good quality evidence to make recommendations.
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. However, people experiencing a flare-up may be better off avoiding high fiber foods.
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.
Leading a healthy lifestyle and being active, eating a healthful diet, reducing alcohol intake, and stopping smoking can support overall health and minimize a person’s risk of obesity and disease.
A person with diverticulitis should always consult their healthcare provider or a registered dietitian nutritionist to discuss how best to manage their symptoms through diet and lifestyle changes.