Diverticulitis or Diverticular Disease of the Colon

Millions of people are affected each year by diverticulitis, also called diverticular disease of the colon, or diverticulosis. Diverticulitis develops as a result of formation of very small sacs (diverticuli) in the walls of the intestinal tract (usually the large intestine).   This painful disease can be very disruptive to everyday life, as well as being potentially dangerous.

Factors which contribute to diverticular disease of the colon or diverticulitis include weakened areas in the intestinal wall. These weak spots often become infected and inflamed, leading to an acute attack.  Other contributing factors include increased pressure in the intestine – usually associated with constipation, and the process of eliminating small, hard stool. When fecal matter is not eliminated it produces inflammation of the diverticuli in the colon.  It is speculated that a low fiber diet may be a significant influencing factor in the development of the disease.

Different treatment options should be explored for individuals suffering from this disease. The first option that may be very effective is a change in diet. A diverticulitis diet includes plenty of fluids(especially water) and high fiber foods. Increasing fiber is essential.

The American Dietetic Association recommends 20 to 35 grams of fiber daily, which includes 6-8 grams of soluble fiber. The build-up of fiber in your diet should be gradual. A rapid increase of fiber intake may result in uncomfortable symptoms such as gas, bloating, and diarrhea. Recommended carbohydrates that are high in fiber include whole wheat breads, grains, whole wheat pastas and whole wheat cereals. Fruits are also a good source of fiber, and many physicians recommend increased fruit intake to combat diverticulitis symptoms.

Typically, the first treatment for patients that are experiencing an attack of diverticulitis is a change in diet. During an attack, diet is often restricted to fluids. As the patient recovers, more and more foods are gradually added to the diet. Fruits, vegetables, legumes, whole grains, fiber, wheat bran are essential components of the diet for individuals diagnosed with diverticular disease of the colon. These individuals should avoid baked goods made with refined flour, or which are low in fiber. Fats, and animal products should also be avoided.

http://www.webmd.com/digestive-disorders/tc/diverticulitis-topic-overview

If diverticulitis symptoms are severe enough, treatment with antibiotics or surgery is sometimes needed. However, a study examined the necessity of antibiotic treatment for patients with diverticulitis symptoms. A study published in the Scandinavian Journal of Gastroenterology reported on the results of researchers who audited the records of 311 patients who were admitted to the hospital for diverticulitis. They found that patients who were treated in the hospital suffered from more inflammation than those treated without antibiotics. The conclusion of this study was that mild diverticulitis does not automatically require treatment with antibiotics.

http://informahealthcare.com/doi/abs/10.1080/00365520600780650

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