Diverticulitis: What It Is and How to Avoid

Have you heard of diverticulitis? The disease develops on the inner wall of the intestines, and can cause a lot of discomfort. It is an inflammation and infection of the diverticula, which are like small blisters that appear in the large intestine throughout life.

The presence of these pouch-shaped protrusions in the gastrointestinal tract characterizes a condition known as diverticulosis, and is quite common: it affects about 60% of the 60-year-old population and increases progressively.

According to Dr. Sidney Klajner, gastroenterologist at Albert Einstein Hospital, the presence of diverticula is not necessarily a disease, but some people develop a complication that occurs when these cysts become infected, diverticulitis.


Diverticulosis can cause cramps, swelling and discomfort of the lower abdomen. In the case of the development of diverticulitis, inflammation may present even more severe symptoms, such as tenderness in the lower abdomen, gas, fever, nausea, vomiting and loss of appetite.

Causes of Diverticulitis

The problem has a higher incidence in the elderly, and is related to aging and loss of bowel elasticity. "Diverticula are usually for the gut as wrinkles are for the face: as you get older, they become more frequent," explains Dr. Sidney. However, the disease has appeared with increasing incidence in young people, and one of the causes is eating habits.

In addition to genetic predisposition, a low-fiber diet can cause these intestinal problems. This is because processed foods such as white rice, white bread, or excess salt and water crackers can cause constipation and very hard stools, which require too much bowel strain. The condition can lead to cyst formation and increase the chance of other intestinal tract problems.


Diagnosis

According to the expert, diverticulosis is often diagnosed in tests such as preventive colonoscopy, which should be done at 50 and examines the entire length of the colon. For diverticulitis, blood tests and, in some cases, computed tomography, ultrasound or radiographs of the abdomen are usually required.

Treatment

Treatment depends on the severity of each case, so it is always important to consult a doctor. According to Klajner, in most cases, the control is clinical and can be done through antibiotic diets. But in more severe situations when there is perforation, the problem may even require surgical intervention.

How to prevent and prevent diverticulitis

Luckily, the problems of diverticulosis and diverticulitis can often be prevented with some dietary changes. One of the main recommendations is to include in the diet foods high in fiber such as fruits, vegetables, cereals and grains. In addition, it is always advisable to exchange processed foods for wholegrain.


This is because the fibers increase fecal volume and prevent problems such as constipation. They also have other health benefits, increase satiety and have the ability to absorb sugars and even cholesterol.

To ensure intestinal health, check out some fiber-rich food options below and try to include them in your diet.

Fruits: Papaya, Pear, Plum, Orange, Peach, Raisin, Fig, Apricot;

Vegetables: Lettuce, kale, arugula, chard, watercress, celery, escarole, spinach, turnip;

Vegetables: Pumpkin, carrot and beet;

Cereals: Wheat germ, oats, granola;

Grains: Beans, chickpeas, lentils.

Also, it is important to always hydrate yourself, trying to consume at least 2l of water a day. Being hydrated is essential for fiber to do its duty in the gut, aiding digestion. Take care.

Diverticulitis-Mayo Clinic (May 2024)


  • Prevention and Treatment
  • 1,230