In the United States alone, there are over 200,000 people per year who are hospitalized for diverticulitis. Approximately 10 percent of American adults over the age of forty develop this condition, which leads to the development of marble-sized bulges or pouches in the intestinal lining. These bulges, called diverticula, can become painful and inflamed, and, in severe cases, can lead to hospitalization or the need for diverticulitis surgery. (source)
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So, what are the causes of diverticulitis, and how can we treat this debilitating condition naturally?
Diverticulitis is an inflammatory bowel condition where the lining of the colon develops pouches, sacs or bulges.
They most often occur in the lower area of the colon called the sigmoid colon and can become painful and inflamed due to their structural weakness and affinity for harboring fecal matter and bacteria. (source)
When these pouches are under pressure, like when you’re constipated for example, or if you eat a food that irritates your gut, tiny tears and areas of inflammation can occur in the intestinal lining within the pouches.
It is these little tears and reactions to the food you shouldn’t eat that become infected and inflamed, therefore resulting in diverticulitis. (source)
Diverticulitis vs Diverticulosis
Believe it or not, the terms diverticulosis, diverticulitis, and diverticular disease are often used interchangeably.
However, the term diverticulosis only refers to the presence of pouches in the colon, while diverticulitis refers to the presence of inflammation and infection within the pouches.
Diverticular disease refers to the full onset of symptoms related to these conditions.
The emergence of diverticulitis seems to correlate with the introduction of processed foods within the American diet.
Diet and genetics, among other risk factors in your day-to-day life, play a huge role in whether or not you develop diverticulitis, especially as you get older.
In fact, it is believed that over half of Americans over the age of 60 (among these being predominantly women) have some degree of diverticulitis and/or diverticulosis.
The root cause of both conditions stem from the following:
Symptoms of diverticulosis include:
Symptoms of diverticulitis include:
The symptoms of diverticulitis flare-up usually include a number of the above, most often pain in the lower left abdominal region.
Although the majority of patients with diverticulitis do not exhibit any symptoms, 10-25% of those with the condition will develop symptoms ranging from recurrent short-lived pain to significant abdominal discomfort with fever and increased leukocytes (white blood cells) that requires hospitalization.
It is when the pouches along the colon become blocked with fecal matter, allowing bacteria to flourish, that this can result in infection and inflammation.
Symptoms of Severe Diverticulitis Include:
Other risk factors for developing diverticulitis include:
In rare cases, those with diverticulitis may develop more serious complications.
Complications of diverticulitis include:
Abscess – severe pain and tenderness in the lower abdomen due to an inflamed, infected, pus-filled lesion just outside of the colon that makes you feel ill. Symptoms may also include fever, nausea, and vomiting.
Fistula – an abnormal passage between two organs like the colon to the bladder, etc.
Intestinal obstruction – a complete blockage of fecal matter in the intestine
Perforation – small tears in the diverticula pouches lining the colon
Peritonitis – an infection that leaks through the tears within the diverticula and into the lining of the abdomen
These conditions stem from having acute diverticulitis which is why it is so important to get tested and begin treatment.
Whatever the case may be, whether it’s a mild episode of diverticulitis (even thinking it might just be a flare up of irritable bowel syndrome), it’s important to begin an all liquid diet (clear liquids) in order to stop a diverticulitis flare from getting worse.
If you feel like you have any of the above symptoms, it is a good idea to speak with your doctor so that they can perform a few tests to see if diverticulitis is the culprit.
Testing techniques include:
In mild cases, a flare is treated with antibiotics along with the recommendation to consume a liquid diet for a few days until symptoms improve.
In more severe cases, steroids, opioids, powerful antibiotics, and anti-inflammatories will be prescribed.
In VERY severe cases, surgery may be needed based on diagnosis and severity of symptoms.
With the abundance of low-cost processed foods in the Standard American Diet and the astoundingly low intake of healthy fibrous foods, it’s no surprise that the number of people who develop diverticulitis continues to rise.
Research suggests that eating a diet high in fresh fruits and vegetables has the most protective effect against diverticulitis, in fact, those who eat 30 grams of fiber or more per day have been shown to have a 42% less chance of developing diverticulitis than those on low-fiber diets.
Staying properly hydrated is also key in preventing constipation and bowel obstruction from inflammation in the bowels that refuses to go down, so make sure to drink enough water daily.
One way to drink plenty of fluids every day is to add fresh fruit or cucumber slices to your daily water for flavor.
1. Up your fiber intake to 20-30 grams per day
To treat and prevent diverticulosis and, in turn, diverticulitis, it is recommended to consume a high-fiber diet that focuses on fresh fruits and vegetables and whole grains – preferably grains like quinoa and well-cooked brown rice.
It’s also important to get both soluble and insoluble fiber into your diet.
Soluble fiber retains water and gels up during the digestive process which helps slow digestion and allows for the better absorption of nutrients from our food.
Foods high in soluble fiber include nuts, seeds (like flax and chia), beans, lentils, peas, and barley.
Insoluble fiber adds bulk to stools and helps food and waste move smoothly through the digestive tract.
Foods high in insoluble fiber include whole grains and vegetables.
Research shows that it is insoluble fiber that lowers the risk for diverticulitis, so make sure to eat an abundance of fresh fruits and vegetables daily.
2. Eat more probiotic-rich foods
Eating fermented foods like kefir, activated yogurt, sauerkraut, kimchi, miso, natto, and kombucha are also great ways to establish diverse intestinal flora naturally.
These good bacteria help negate food sensitivities and can even help prevent constipation, gas, and bloating, which is important for keeping the walls of the colon free of inflammation.
It is especially important to eat probiotic foods daily if you have needed antibiotics in the past for a flare. This will help rebuild your intestinal flora.
3. Avoid inflammatory foods and drink
Cutting processed low-fiber foods from your diet is key to keeping inflammation out of the body.
Other foods, like dairy products, gluten, and red meat are known to increase inflammation within the gut and should either be avoided or consumed infrequently in small quantities.
Other foods to avoid with diverticulitis include any food allergies or intolerances you have as this flares inflammation in the gut.
What about diverticulitis and alcohol?
I know it’s tempting to drink a beer on the weekends or have that glass of wine after work, but if you have diverticulitis, you would be better off avoiding it as much as possible as it’s highly inflammatory.
This includes soft drinks as well.
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The bottom line is, alcohol and soft drinks are huge contributing factors to a flare.
Sometimes, despite your best efforts, a flare-up can be triggered no matter what you do.
When a sudden flare-up happens, it’s crucial to get the inflammation and infection in the gut under control.
During this process, it’s a good idea to keep a food journal so that you can seamlessly treat any future flare ups and be prepared for them.
Stage One
As soon as you feel symptoms, you need to begin a liquid-only diet to help flush out the diverticula and reduce inflammation so that they can heal.
Drinking bone broths rich in natural gelatin is extremely healing for the gut lining, most especially if made at home.
You can make very simple yet tasty soups by simmering some fresh vegetables and a few chicken legs to create a wholesome broth filled with vital nutrients that are easy to digest.
Strain the broth and drink it three or more times daily for 2-3 days while symptoms dissipate.
You can learn how to make bone broth here.
Some people tolerate eggs well, so you may want to try making an egg drop soup or simply poach an egg in the broth to provide a little more substance, but don’t overdo it. Listen to your body.
Fresh ginger can also greatly help settle the gut and reduce inflammation in the bowels. To use it, either simmer it in homemade broth or make a strong tea. Drink three times daily.
Stage Two
Once symptoms have eased, you can begin to slowly incorporate easily digestible foods like steamed vegetables and pureed fruits.
It is super important to chew your food very well during this time to make digestion as easy as possible. Failing to do so may result in another flare during the healing process.
You can also consume fruit and or vegetable juices with some of the pulp.
Stage Three
Once you feel more like yourself, you can then incorporate fiber-rich foods like unrefined grains, whole fruits and vegetables, and even sprouted lentils.
If you experience any returning symptoms, fall back on the previous stage for a few more days.
Stage Four
This is the last stage where you can begin to eat more fibrous foods like sweet potatoes, potatoes, and other root vegetables. You can also begin to experiment with other grains and beans.
Continue to document the foods you eat, when you ate them, and you felt after.
Once you feel normal again without any symptoms, you can go ahead and slowly reincorporate regular foods back into your diet but pay close attention to how you’re feeling when you eat those foods.
To prevent diverticulitis symptoms altogether, it’s a good idea to add a few helpful supplements into your daily routine.
Supplements for diverticulitis include:
It never hurts to have some aspirin or ibuprofen around the house for discomfort.
Homeopathic remedies can be taken at a 30C potency to help alleviate symptoms of diverticulitis.
Take the remedy that fits your symptoms 4x daily for 2-3 days to see if there is any improvement. If there is an improvement, you can stop taking the homeopathic remedy unless symptoms return.
Arsenicum Album
Arsenicum Album is for burning pain in the abdomen that is relieved by heat. This may be accompanied by feelings of anxiety and restlessness.
Bryonia Alba
Bryonia Alba is for sharp pains in the left side of the abdomen that becomes worse with movement.
Belladonna
Belladonna is for abdominal throbbing or burning pain that is sudden accompanied by a fever. The pain is worse with movement.
Colocynthis
Colocynthis is for sharp, gassy, colicky pain in the abdomen that is relieved by pressure.
Ignatia Amara
Ignatia Amara is for spasms in the colon that occur after emotional stress.
Magnesia Phosphorica
Magnesia Phosphorica is for abdominal cramping that is relieved by heat but worse with pressure.
Nux Vomica
Nux Vomica is for cramping pain in the digestive tract accompanied by irritability and chill extremities.
Sulphur
Sulphur is for those who are awakened by diarrhea that is urgent.
Acupressure for Diverticulitis
Conception Vessel 6 (CV6) – alleviates gas and diarrhea
Large Intestine 11 (LI11) – Improves the strength of the colon
Spleen 16 (Sp16) – alleviates abdominal cramps
Stomach 36 (St36) – to aide the assimilation of nutrients
Essential oils for diverticulitis can be diluted in carrier oil and applied to the abdomen before or after meals or during a flare-up to help prevent or alleviate symptoms of gas, bloating, constipation, or cramping.
Try a dilution of 2 drops in 1tsp of carrier oil and apply it over the abdomen.
Why am I so tired with diverticulitis?
There are several reasons why you may feel tired with diverticulitis, these include:
How diverticulitis is diagnosed?
Diverticulitis is typically diagnosed through a combination of medical history, physical examination, and diagnostic tests.
Some of the methods used to diagnose diverticulitis include:
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Medical history – The healthcare provider will ask you about your symptoms, medical history, and family history. They may ask about your bowel movements, diet, and any medications you are taking.
Physical examination – The healthcare provider will perform a physical examination, including checking your abdomen for tenderness, bloating, or swelling.
Blood tests – Blood tests can help determine if there is an infection or inflammation present in your body. They may also be used to check your white blood cell count, which can indicate the severity of the infection.
Stool sample – A stool sample may be taken to check for the presence of bacteria or other signs of infection.
Imaging tests – Imaging tests can help to confirm a diagnosis of diverticulitis and identify any complications.
Imaging tests include:
CT scan – A CT scan is a type of X-ray that creates detailed images of the colon and surrounding tissues. It can show the presence of diverticula and any inflammation or abscesses.
Ultrasound – An ultrasound uses sound waves to create images of the colon and surrounding tissues. It can show the presence of diverticula and any complications such as abscesses or blockages.
MRI – An MRI uses a magnetic field and radio waves to create detailed images of the colon and surrounding tissues. It can show the presence of diverticula and any inflammation or abscesses.
Once a diagnosis of diverticulitis is confirmed, your doctor may recommend a course of antibiotics to treat the infection.
Dietary changes, such as increasing fiber intake, may be recommended to help prevent future episodes of diverticulitis.
In very severe cases, surgery may be necessary to remove the affected portion of the colon.
Diverticulitis what foods to avoid?
What does a diverticulitis attack feel like?
Diverticulitis is an inflammatory condition of the colon that occurs when small pouches in the lining of the colon become inflamed or infected.
The symptoms of a diverticulitis attack can vary in severity, but they typically include:
What triggers diverticulitis?
The exact cause of diverticulitis is not fully understood, however several factors are known to trigger an attack or contribute to the development of the condition.
Common triggers of diverticulitis include:
What is the leading symptom of diverticulosis?
The leading symptoms of diverticulitis include:
What is the best thing to do when you have diverticulitis?
If you are experiencing symptoms of diverticulitis, it is important to seek medical attention right away. However, if your symptoms are mild, you can look into natural alternatives for relief.
Here’s what you can do to manage your symptoms:
How long does a diverticulitis flare-up last?
The duration of a diverticulitis flare-up can vary from person to person and depends on the severity of the condition.
In general, mild diverticulitis flare-ups may last a few days to a week, while a more severe flare-up may last several weeks or longer.
The treatment plan for diverticulitis may also affect the duration of a flare-up. If diagnosed and treated promptly with antibiotics and rest, symptoms may improve within a few days to a week.
However, if left untreated or if complications develop, such as abscesses or perforations, hospitalization and possibly more intensive treatment may be required, which can prolong the duration of the flare-up.
It is important to note that even after symptoms improve, it is still important to follow a healthy diet and lifestyle to prevent future flare-ups.
Your doctor may recommend a high-fiber diet, regular exercise, and other lifestyle changes to help manage the condition and prevent recurrent flare-ups.
Does apple cider vinegar kills diverticulitis?
The acetic acid found in raw apple cider vinegar has been shown in studies to reduce inflammation anywhere from 30% up to 100% in the digestive tract.
How to make a diverticulitis apple cider vinegar drink:
Adding a tablespoon to 8 oz of water and drinking it 2-3 times daily is an effective way to boost digestion and stay hydrated which is important when dealing with a diverticulitis flare.
Raw apple cider vinegar may also help kill off the bacteria causing a flare. However, it is highly recommended to see a doctor if symptoms feel severe. Diverticulitis flares are serious and must be monitored.
Can diverticulitis cause a positive cologuard test?
Yes, it is possible for diverticulitis to cause a positive Cologuard test. Cologuard is a noninvasive colorectal cancer screening test that detects DNA mutations and blood in the stool. Diverticulitis, which is inflammation of the diverticula in the colon, can cause bleeding and changes in the stool that may result in a positive Cologuard test.
However, it is important to note that a positive Cologuard test does not necessarily mean that a person has colon cancer. There are many reasons why a Cologuard test may be positive, including non-cancerous conditions such as diverticulitis or hemorrhoids. If you have a positive Cologuard test, your healthcare provider may recommend additional testing, such as a colonoscopy, to further evaluate the results and determine the appropriate next steps for your care.
Can stress cause diverticulitis?
Stress alone does not directly cause diverticulitis, but it can contribute to the development or exacerbation of the condition in some people. Diverticulitis is primarily caused by the formation of small pouches or diverticula in the colon that become inflamed or infected. These pouches can develop due to various factors, including age, diet, genetics, and lifestyle habits.
However, stress can impact the digestive system in various ways, like increasing gut motility, altering gut bacteria, and affecting the immune system. These changes can potentially worsen symptoms of diverticulitis or trigger an inflammatory response in the colon.
Stress can also indirectly contribute to the development of diverticulitis by leading to poor lifestyle habits, such as a diet high in processed foods and low in fiber, lack of exercise, and poor sleep habits. These lifestyle factors can increase the risk of developing diverticulitis.
Can diverticulitis cause hip and leg pain?
It is possible for diverticulitis to cause hip and leg pain, but it is not a common symptom of the condition.
However, in some cases, the inflammation or infection associated with diverticulitis can spread to other parts of the body, leading to symptoms such as hip and leg pain. This can occur if the inflamed diverticula are located near the pelvis or if the infection spreads through the bloodstream.
Can diverticulitis cause cancer?
Diverticulitis itself does not cause cancer, but chronic inflammation and infection of the diverticula in the colon can increase the risk of developing colon cancer. Diverticulitis is an inflammation or infection of the diverticula, which are small pouches that can develop in the colon. These pouches can become inflamed or infected due to various factors, including age, diet, genetics, and lifestyle habits.
Chronic inflammation of the colon has been linked to an increased risk of developing colon cancer. The inflammation can damage the cells lining the colon and lead to the development of abnormal growths called polyps, which can eventually turn into cancer if not treated.
It is important to note that not all cases of diverticulitis increase the risk of colon cancer, and the risk varies depending on factors such as the severity and frequency of the inflammation and infection, as well as individual risk factors such as age, family history, and lifestyle habits.
Can alcohol cause diverticulitis?
While alcohol consumption alone is not a direct cause of diverticulitis, it can contribute to the development or exacerbation of the condition in some people.
Heavy alcohol consumption has been linked to a number of digestive problems, including inflammation of the colon and an increased risk of gastrointestinal infections, which can contribute to the development or worsening of diverticulitis.
Alcohol can also contribute to poor dietary habits, such as consuming a diet low in fiber and high in processed foods, which can increase the risk of developing diverticulitis.
Sources
Prescriptions for Natural Cures Third Edition – Balch, James F., Mark Stengler, and Robin Young Balch. Prescription for natural cures: a self-care guide for treating health problems with natural remedies including diet, nutrition, supplements and other holistic methods. John Wiley & Sons, Inc., 2011.Essential Oils Pocket Reference Fifth Edition
What have been your tried and true treatments for diverticulitis? Please share them in the comments below!
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This post was last modified on 05/11/2023 18:58
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