Managing your diet
with diverticular disease can be challenging and confusing. And given that 58%
of Americans over the age of 60 (and almost everyone over 80 years old) are
dealing with diverticulosis, this common condition deserves some attention.
Dietary management recommendations have drastically changed over the years but
old-school beliefs are still lurking around.
Diverticulosis is a condition where small pockets form in
the colon. Diet recommendations vary depending on if you have inflammation or infection
within these pockets or if you are having no symptoms at all. Most people are unaware they even have the
condition until the colon becomes inflamed or infected, a condition called
diverticulitis. The causes of diverticular disease aren’t clear; however, it is
likely related to a low-fiber diet. When too little fiber is consumed it can
cause the muscles in the intestines to work harder which adds pressure and can result
in the formation of diverticular pockets. Along with adequate fluid and regular
physical activity, a high fiber diet helps keep bowels regular which helps keep
the colon healthy.
High Fiber Diet
A diet high in fiber helps to
prevent constipation, can help decrease pressure in the colon, and help prevent
flare-ups of diverticulitis. Fiber is a part of food that passes through the
body undigested and helps to soften the stool and make it easier to pass. High-fiber
foods include fresh fruits and vegetables, whole grains, beans and legumes. The
American Dietetic Association recommends 25-35 grams of fiber per day. It is
recommended to increase fiber gradually to help avoid unpleasant side effects
such as gas and bloating. However, during flares of diverticulitis, it is
recommended to allow the digestive tract to rest with a low fiber diet. Once
transitioned back to normal diet many doctors recommend including foods with
fiber as soon as tolerated.
Up-to-Date Nutrition Recommendations
Historically, it was recommended to
avoid nuts, seeds, corn, and popcorn with diverticulosis. At the time it was
believed that these foods could lodge in the pockets and cause diverticulitis. Recent
literature has suggested that these recommendations are NOT necessary and that
these foods can be included as tolerated when the colon is not inflamed. Eat the
foods you enjoy without any unnecessary restrictions! If you’re trying to
prevent diverticulitis attacks, it is recommended to focus on eating an overall
healthy diet that is high in fiber. People with this condition can differ in
what and how much they can eat, it’s a good idea to decide what’s best by
keeping a food journal to identify any foods that may cause symptoms.
Some studies suggest that
probiotics may help with diverticulosis symptoms and may help prevent
diverticulitis. By choosing probiotic-containing yogurt or kefir, other
fermented foods containing probiotics, or a high quality probiotic supplement
you will get these gut-friendly bacteria which may help keep your digestive
tract healthy. See our blog article on
probiotics for more information on the benefits and how to shop for them.
It’s time to move out of the dark ages when planning meals
for diverticulosis and start including nutrient-packed berries, nuts, and
seeds! Focusing on high-fiber, plant-based meals make managing this condition
simple and delicious! Did
you know that Seattle Sutton’s meals provide about twice as much dietary fiber
as the typical American diet? Trying one of our convenient meal plans make
managing your diverticulosis a breeze!