Diverticulitis Flare Ups

Overview

Diverticulitis is a condition where small sacs, called diverticula, become inflamed or infected in the digestive tract. A diverticulitis flare-up is a sudden episode of inflammation of the diverticula.

Flare-ups can be triggered by irritation to the colon. Triggers for some people include:

• Constipation: Constipation may lead to:
  • Increased pressure on the colon wall from gas, liquid, or waste
  • Blockage of the pockets or pouches in the colon wall with waste, leading to bacterial buildup and infection
• Medications that may irritate the digestive tract, such as non-steroidal anti-inflammatory drugs (NSAIDs) and steroids.
• Certain foods: Hard foods that can irritate the digestive tract, such as:
  • Nuts and seeds
  • Popcorn
  • Raw vegetables like broccoli and cauliflower
  • Beans

Symptoms of a flare-up or exacerbation of diverticulitis can include:

• Sharp, cramp-like pain in the lower abdomen, usually on the left side. This pain can persist for days
• Nausea and vomiting
• Chills and fever
• Constipation or diarrhea
• Bloating
• Tenderness over the affected area of the abdomen
• Bloody stools

To treat a flare-up of diverticulitis, it's important to seek medical help and follow your doctor's guidance. Treatment may include:

• A low-fiber or clear liquid diet to reduce symptoms and allow the colon to rest
• Antibiotics to treat any infection present
• Pain medication (acetaminophen) to manage discomfort
• Avoid NSAID medications or other medications that can irritate the digestive tract.

To reduce trigger exposure and help prevent future flare-ups of diverticulitis, you can take the following steps:

• Eat a high-fiber diet: This includes whole grains, fresh fruits and vegetables, legumes, nuts, and seeds. Limiting red meat, full-fat dairy, fried foods, and refined grains is also recommended.
• Stay well-hydrated: Drink at least eight glasses of fluids a day to prevent constipation and keep your digestive tract working properly.
• Exercise regularly: Being active promotes healthy bowel function.
• Maintain a moderate weight: This helps reduce pressure on the colon.
• Avoid smoking: Smoking can have harmful effects on your digestive system.
• Limit alcohol use: Drinking excessive alcohol may disrupt the balance of good bacteria in your colon.
• Consider using a stool softener: If you often strain during bowel movements, an over-the-counter stool softener may help reduce pressure on your colon.

It's important to contact your doctor or seek medical help if you experience a flare-up of diverticulitis. They can provide proper diagnosis and treatment based on your specific needs. It's always best to consult with a healthcare professional for personalized guidance.