Sometimes small saclike pockets protrude from the wall of the colon. This is called diverticulosis. The pockets (called diverticuli) can fill with intestinal waste. Increased pressure within the intestines seems to be responsible. This may be caused by many years of a diet low in fiber.
When the intestinal pouches become inflamed, the condition is called diverticulitis.
Many older persons have diverticulosis. The digestive system becomes sluggish as a
person ages. Things that increase the risk for diverticulosis include:
Not eating enough dietary fiber. (See Say Yes to Dietary Fiber under
"Nutrition - Eating for Life".) Diverticulosis is common in nations where fiber
intake is low.
Continual use of medicines that slow bowel
action. (Examples: painkillers and antidepressants)
Overuse of laxatives
Having family members who have
diverticulosis
Having gallbladder disease
Being obese
Signs and Symptoms
In most cases, diverticulosis causes no discomfort. When there are
symptoms, they are usually:
Tenderness, mild cramping, or a bloated
feeling usually on the lower left side of the abdomen
Sometimes constipation or diarrhea
Occasionally, bright red blood in the
stools
With diverticulitis, you can experience severe abdominal pain, nausea, and fever. The pain is made worse with a bowel movement. If these things occur, you should see your doctor.
Treatment and Care
Diverticulosis disease can't be cured, but you can reduce the discomfort
and prevent complications. Follow these tips:
Eat a diet high in fiber throughout life.
You can add more fiber to your diet with fresh fruits and vegetables and whole-grain
foods. Check with your doctor about adding wheat bran to your diet.
Avoid corn, nuts, seeds, and foods with
seeds, like figs. These seeds are easily trapped in the troublesome pouches.
Drink 1 1/2 to 2 quarts of water every day.
If you are not able to eat a high-fiber
diet, ask your doctor about taking bulk-producing laxatives like Metamucil. These are not
habit-forming.
Avoid the regular use of laxatives that
make your bowel muscles contract, such as Ex-Lax. You should consult your doctor before
taking any laxatives, though.
Try not to strain when you have bowel
movements.
Get regular exercise.
{Note: Diverticulitis needs medical treatment. This includes antibiotics, pain relievers, bed rest, and a stay in the hospital, if needed. Fluids and medicine may need to be given by vein.}
HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine.
Date updated 04/21/99