Diets

Diverticular Disease

Diverticular disease includes diverticulosis (presence of small pouches in the colon wall) and diverticulitis (inflammation or infection of these pouches), causing abdominal pain, bloating, and changes in bowel habits.

1 diet linked to it

Ways of eating that may help

General information about how people eat, not medical advice. Talk to a clinician before changing your diet to treat a condition.

High-fiber vegan diets are highly protective against diverticular disease, with studies showing vegetarians have 30-40% lower risk of developing diverticulosis and diverticulitis compared to meat-eaters. The abundant fiber increases stool bulk, reduces colonic pressure, and speeds transit time, preventing the formation of diverticula. For those with existing diverticulosis, high-fiber plant-based diets reduce the risk of progression to diverticulitis, contrary to outdated advice to avoid nuts and seeds.

How High dietary fiber (35-50g daily) increases fecal bulk and water content, reducing intracolonic pressure during defecation which is the primary factor in diverticula formation. Faster transit time reduces exposure of the colon wall to pressure and potentially harmful substances. The improved gut microbiome from diverse plant fiber intake reduces inflammation and may strengthen the intestinal wall, while regular bowel movements prevent the straining that contributes to diverticula development.

Key foods Legumes like lentils and black beans, whole grains including brown rice and quinoa, vegetables like broccoli and carrots, fruits including pears and apples with skin, ground flaxseeds and chia seeds, oats, sweet potatoes, berries

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