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About Diverticular Disease :
It's common for people older than age 60 to have small, bulging pouches (diverticula)
in their digestive tracts - a condition known as diverticulosis. Although
diverticula can form anywhere, including in your esophagus, stomach and small
intestine, most occur in your large intestine. Because these pouches seldom
cause any problems, you may never know you have them.
Sometimes, however, one or more pouches becomes inflamed or infected, causing
severe abdominal pain, fever, nausea and a marked change in your bowel habits.
When diverticula become infected, the condition is called diverticulitis. Mild
cases of diverticulitis can be treated with rest, changes in your diet and
antibiotics. But serious cases may require surgery to remove the diseased
portion of your colon.
Fortunately, most people with diverticulosis never develop diverticulitis. Best
of all, you can help prevent both types of diverticular disease by including
more high-fiber foods in your diet.
What Causes Diverticular Disease?
Doctors believe a low-fiber diet is the main cause of diverticular disease. The
disease was first noticed in the United States in the early 1900's. At about the
same time, processed foods were introduced to the American diet. Many processed
foods contain refined, low-fiber flour. Unlike whole-wheat flour, refined flour
has no wheat bran.
Diverticular disease is common in developed or industrialized
countries--particularly the United States, England, and Australia--where
low-fiber diets are common. The disease is rare in countries of Asia and Africa,
where people eat high-fiber vegetable diets.
Fiber is the part of fruits, vegetables, and grains that the body cannot digest.
Some fiber dissolves easily in water (soluble fiber). It takes on a soft,
jelly-like texture in the intestines. Some fiber passes almost unchanged through
the intestines (insoluble fiber). Both kinds of fiber help make stools soft and
easy to pass. Fiber also prevents constipation.
Constipation makes the muscles strain to move stool that is too hard. It is the
main cause of increased pressure in the colon. The excess pressure causes the
weak spots in the colon to bulge out and become diverticula.
Diverticulitis occurs when diverticula become infected or inflamed. Doctors are
not certain what causes the infection. It may begin when stool or bacteria are
caught in the diverticula. An attack of diverticulitis can develop suddenly and
without warning.
What are the Symptoms of Diverticular Disease?
The most common symptom of diverticulitis is abdominal pain. The most common
sign is tenderness around the left side of the lower abdomen. If infection is
the cause, fever, nausea, vomiting, chills, cramping, and constipation may occur
as well. The severity of symptoms depends on the extent of the infection and
complications.
This is the recommended diet :
" enriched refined white bread, buns, bagels, english muffins
" plain cereals e.g. Cheerios, Cornflakes, Cream of Wheat, Rice Krispies,
Special K
" arrowroot cookies, tea biscuits, soda crackers, plain melba toast
" white rice, refined pasta and noodles
" avoid whole grains
" fruit juices except prune juice
" applesauce, apricots, banana (1/2), cantaloupe, canned fruit cocktail, grapes,
honeydew melon, peaches, watermelon
" avoid raw and dried fruits, raisins and berries.
" vegetable juices
" potatoes (no skin)
" alfalfa sprouts, beets, green/yellow beans, carrots, celery, cucumber,
eggplant, lettuce, mushrooms, green/red peppers, potatoes (peeled), squash,
zucchini
" avoid vegetables from the cruciferous family such as broccoli, cauliflower,
brussels sprouts, cabbage, kale, Swiss chard etc
" well-cooked, tender meat, fish and eggs
" avoid beans and lentils
" Avoid all nuts and seeds, as well as foods that may contain seeds (such as
yogurt)
" as directed by your healthcare providers
Most people with diverticulosis do not have any discomfort or symptoms. However,
symptoms may include mild cramps, bloating, and constipation. Other diseases
such as irritable bowel syndrome (IBS) and stomach ulcers cause similar
problems, so these symptoms do not always mean a person has diverticulosis. You
should visit your doctor if you have these troubling symptoms.
Diverticuli are tiny "pockets" of weakness in the wall of the large intestine.
This condition is called diverticulosis, and a third of the people over age 50
in the United States have it. Some have just a few diverticuli, while others may
have 20 or more. Most people have no symptoms and only find out that they have
diverticulosis when they have a colonoscopy.
Diverticulitis is infection/inflammation of the diverticuli. In other words, a
person with diverticulosis may get diverticulitis when stool gets caught in one
or more of these "pockets," and they become inflamed or infected. This typically
causes fever, pain and tenderness in the abdomen. The two major signs of
diverticular disease are bleeding and infection.
Diverticulitis usually clears up within a week with antibiotics and a liquid or
soft diet. (A soft diet includes anything that does not require a lot of
chewing: soup, mashed potatoes, cooked or pureed vegetables, bananas, Jell-O and
pudding fit this category.) After the acute infection clears up, patients should
eat a high-fiber diet including nuts, seeds, whole grains, fruits and
vegetables. They should drink plenty of fluids and avoid constipation at all
costs, even if that requires taking Metamucil (psyllium seed) or other fiber
products daily. Hard stools or straining will cause more diverticuli to appear
or the existing ones to enlarge.
What Causes Diverticulosis
A low-fiber diet is considered to be the main cause of diverticular problems.
First diagnosed in the United States in the early 1900s, and now common
throughout developed countries, the emergence of diverticular disease coincided
with the introduction of low-fiber processed foods (eg. branless refined flour).
Even now, the disease is rare in Asia and Africa, where people eat high-fiber
vegetable diets.
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