Diverticulitis – What can I eat?

This article is for people suffering with an episode of Diverticulitis rather than just having Diverticular disease/Diverticulosis.

Not sure what the difference is? Then check out my post about Diverticular Disease/Diverticulosis Vs Diverticulitis.

Diverticulitis is an inflammation or infection of one or more diverticula (pouches) in the bowel. It can cause diarrhoea, constipation, nausea, loss of appetite, abdominal pain or discomfort, blood in the stools, a fever and various other symptoms. If you have been diagnosed with diverticulitis, chances are that you’ll be taking antibiotics to help clear the infection. You may also be advised in some cases to undertake a clear liquid diet. For a detailed explanation of what this entails, click here.

You may also be told you are allowed a soft foods/low residue/low fibre diet. This means plain/bland and easily digestible foods that do not contain much fibre. This allows the bowel to rest.

Include:

  • white bread
  • white pasta
  • white rice
  • white crackers (e.g. Saltines)
  • chicken/turkey breast (no skin and cooked without adding fat)
  • white fish (no skin and cooked without adding fat)
  • boiled/mashed potatoes (no skin)
  • clear Jelly/Jello
  • limited low fat dairy (a small portion of low/no fat yoghurt)
  • limited eggs (preferably cooked without the addition of fats)
  • decaffeinated tea/coffee and carbonated drinks
  • applesauce, stewed fruits without seeds of skins
  • well boiled carrot and courgette with no skin
  • strained fruit juices without pulp
Even crackers can taste yummy after a clear liquid diet

Please avoid:

  • fried foods (including fried eggs, potatoes, etc)
  • rare or medium cooked meat
  • fatty meats such as duck, lamb and pork
  • bacon and sausages
  • high fat dairy products such as cream and butter
  • brown, high-fibre bread, pasta, rice, quinoa, etc.
  • fruit juices with pulp
  • raw fruit and vegetables with seeds and skin
  • alcoholic beverages
  • caffeinated beverages such as tea, coffee, cola, energy drinks
  • very high sugar sweets
  • chocolate
  • unhealthy fatty and salty snacks such as crisps, biscuits, cakes, etc.
Save the cake for when you’re feeling better…

Remember that everyone is different and sometimes even these foods may cause discomfort. Because of this, I recommend tracking your food and water intake alongside your symptoms to have a clear picture of what is going on. You can do this by using my Diverticular Disease Tracker which is available to download for free and print out immediately.

In addition, I’d recommend eating slowly, and having small portions regularly so that your digestive system isn’t overwhelmed by large meals. You can pick up more tips for good digestion by reading this post.

What do you eat when you have diverticulitis? Are you able to tolerate all of the foods on this suggested list? If not, which are unsuitable foods for you?

Diverticular Disease/Diverticulosis – What can I eat?

This article is for people wanting to know about foods to eat if they have diverticular disease/diverticulosis NOT diverticulitis. If you aren’t sure what the difference is or what you have, click here to find out.

One of the most common questions people have when they are diagnosed with Diverticular disease (DD) /Diverticulosis is ‘What can I eat?’. Unfortunately, there is no clear answer to this question. As an active member of various Facebook support groups, I see people all the time asking can I eat this or that. And the answer to the question is as follows.

There is no answer. Based on the latest medical research, there are no disallowed foods for diverticular disease/diverticulosis. This means, anything you ate before diagnosis, should be safe afterwards. Since you ate them just fine before you discovered the diverticula/pouches in the bowel. However, it is largely believed that eating a diet high in fibre is beneficial for those who have diverticular disease since it keeps the bowels moving and prevents stool causing the diverticula to become inflamed or infected. So perhaps upon discovering you have diverticular disease, you may choose to adopt a higher-fibre diet or a healthier one. This could include swapping white bread, rice and pasta for their healthier brown alternatives, eating more fresh fruit and veg or perhaps eating a high-fibre cereal for breakfast. However, there are cases where a high-fibre diet doesnt work out for various reasons and so, you may be advised to adopt a low-fibre diet instead.

Some doctors will advise their patients that they shouldn’t eat seeds, nuts, popcorn, sweetcorn, etc due to the chance of them being lodged in the diverticula/pouches. Although, current research shows this not to be the case. However, some people do have problems with these foods and if it makes you feel better to avoid them, then that’s fine, too.

A lot of discovering what you can eat, is about trial and error. Everyone is different. Many people with diverticular disease/diverticulosis also suffer with other digestive problems such as IBS that can cause symptoms in response to particular foods. So my advice is that if you are feeling unwell, you can try an elimination diet, or you can simply go day by day and keep track of your food intake by keeping a food diary. I’d recommend for those newly diagnosed especially, keeping track of your food and water intake, your symptoms and your bowel movements. You can do this easily using the Diverticular Disease/Diverticulosis Tracker which you can find here and download for free. It includes instructions for how to fill it out. You can even take your completed tracker pages to the doctor or nutritionist so that they can help you look at what foods may or may not work well with you and your needs.

Some advice I can give to ALL sufferers of Diverticular Disease/Divertiulosis is to drink LOTS of water. Two to three litres (4 – 6 pints/70-100 fl. oz) per day. This will help keep you hydrated, healthy and prevent constipation. Also chew your food well and avoid large portions. In fact, simply following my Tips for Good Digestion may help you avoid digestive discomfort.

Dealing with Diarrhoea

We all get diarrhoea (US: Diarrhea) from time to time. Diarrhoea can be for a variety of reasons; an upset stomach, a stomach bug, food poisoning, IBS, diverticulitis and other bowel diseases or even nerves and stress. Diarrhoea is also quite common in those who have had their gallbladder removed.

Diarrhoea happens because not enough water is absorbed in the bowel leaving your faeces too watery. In the case of an upset stomach, stomach bug or food poisoning, having diarrhoea is beneficial since it helps our body to get rid of the bacteria causing the problem.
I personally only try to stop diarrhoea in situations where I don’t have free or easy access to a bathroom, such as, at work, while travelling, out shopping, etc.

If you do have diarrhoea, here are some handy tips to help you deal with it effectively.

Stay hydrated

Drink lots of water. Staying hydrated is very important because our body needs water to work. If we become dehydrated, we are likely to feel even worse. For example, dehydration can cause dizziness, headaches, confusion and nausea. Drinking lots of water will replace that being lost when we have diarrhea and help our body to work efficiently.

Rehydration sachets

If you have bad diarrhoea, re-hydrating with water may not be enough since you also loose salts and electrolytes. For these occasions, you can use rehydration sachets, one well known brand is Dioralyte. This is mixed with water and available in different fruit flavours such as blackcurrant, strawberry and orange.

BRAT diet

Now, if you have diarrhoea due to a stomach bug or food poisoning, I wouldn’t recommend eating at all until the diarrhea has stopped. However, if you have diarrhoea because of IBS or gallbladder, you could try the BRAT diet. This is eating small portions of B – bananas, R – rice, A – applesauce and T – toast. The bananas are especially useful since they can replenish any potassium that the body has lost.

Anti-diarrhoea medication

Taking medication for diarrhoea is not recommended in all cases and shouldn’t be done regularly unless instructed to do so by a medical professional. For example, in the case of diverticulitis, some doctors warn their patients away from anti-diarrhoea medication because it

There are a number of medications that can help stop diarrhoea. One of the most common is loperamide hydrochloride (often sold in the UK under the brand name, Imodium). However, many supermarket and pharmacy chains sell their own version of this medicine, which is the same and often cheaper.

Complications and when to seek help

You can click here for advice on diarrhoea and vomiting or here to see guidelines for when you should consider visiting your doctor.

NOTE: If you are diabetic, please take steps to ensure your blood sugar is well-controlled. You may want to speak to your diabetes nurse or consultant about what to do in this case.

Are these helpful tips? Do you do anything differently to deal with diarrhoea? Let us know in the comments.

5 Ways to reduce nausea

It is quite common for people with digestive problems to suffer with nausea. This can be because of food choices, poor eating habits, stress, gastritis, medication or could even be unexplained. If this isn’t something you suffer with frequently, you don’t need to worry because everyone feels nauseous from time-to-time. However, if you are feeling nauseous on a regular basis, you should mention it to your GP/PCP or gastroenterologist.

Nausea isn’t always followed by vomiting and there are things you can do to reduce nausea without relying on drugs.

  1. Drink water – Drinking a little water can help to settle your stomach, but take small slow sips and drink water from the cold tap rather than chilled water from the refrigerator.
  2. Take your mind off it – Thinking about how you feel sick can make you feel even worse. Try to take deep breaths and think about something else. For example, put on a TV show or a movie that you enjoy.
  3. Try some ginger – sipping on ginger tea, eating a ginger biscuit or chewing on a little crystallized ginger can really help to reduce nausea. You could also try sipping ginger ale – but again, slowly and small sips.
  4. Get some fresh air – Go and sit in the garden or on the balcony, or even open a window or door
  5. Sniff a perfume – put a spray of fragrance on a wrist and sniff it. Avoid food smells and stick to fragrances you enjoy. Having a little sniff of your wrist can help. If you don’t have a perfume or fragrance, an essential oil or even vapour rub can help alleviate nausea.

If none of the above work, then it’s time to consider a nausea medication. The best idea is to speak to your doctor or your local pharmacist about which product is the best for you!

Do you suffer with nausea? How do you cope with it? Let me know in the comments.