Diverticular disease, the broad term for a condition in which pockets form in the large intestine, includes diverticulosis and diverticulitis. Diverticulosis refers to the presence of generally asymptomatic pockets, affecting half of those older than 60, the Cleveland Clinic states. Inflammation occurs in these pockets, which can lead to abdominal pain and infection, a condition called diverticulitis. Special dietary guidelines may follow the diagnosis of diverticular disease.
Misconception
Those with diverticular disease may have heard they should avoid nuts, seeds, popcorn or similar foods. Research does not support this, according to the National Digestive Diseases Information Clearinghouse. This recommendation results from suspicion that these difficult-to-digest food particles may get lodged in the diverticula, or pockets, and cause infection. The NDDIC also considers the small seeds in fruits and vegetables, such as tomatoes or raspberries, harmless and does not recommend the automatic elimination of any foods.
Fiber
FamilyDoctor.org reports that diverticular disease may stem from increased pressure in the bowel resulting from lack of fiber in the diet. According to the American Dietetic Association, the average American consumes 15 g of fiber per day, in contrast to the recommendation that women and men consume 25 g per day and 38 g per day, respectively. The NDDIC adds that a high-fiber diet may reduce symptoms and complications of diverticular disease. Increase consumption of whole grains, fruits, vegetables and legumes to build up dietary fiber--the nondigestible portion of plants. Drink plenty of fluids and increase fiber slowly to avoid gastrointestinal distress.
Varied Diet
Avoidance of large selections of food can lead to nutrient deficiencies, as can eating the same, well-tolerated foods every day. Eating a widely varied diet will help ensure the body gets all necessary nutrients. If many foods aggravate a case of diverticulosis, consult a registered dietitian, who can help you find ways to meet nutrient requirements through alternate sources, ensuring adequate nutrition.
Considerations
Some individuals with diverticular disease may find particular foods problematic. Identifying these foods will keep symptoms at bay. Keeping a daily food journal will help to recognize foods that cause distress. Recording both foods eaten and symptoms encountered to pinpoint patterns. Though unnecessary to automatically exclude foods, avoid foods established as bothersome.
Caution
Diverticular disease differs from person to person and can range from mild to very serious. Consult a doctor or dietitian directly involved in your care before making any dietary changes that contradict previous instruction.
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