DIVERTICULAR DISEASE

What is it?

Diverticulosis is a condition affecting the large bowel in which there are small out-pouchings or pockets of the lining of the bowel protruding through its muscle wall.

The cause of this is largely unknown, but seems to be related to the typical low-fiber modern day diet and possibly to subsequent constipation. Long term abuse of laxatives may also play a part.

Treatment & General Recommendations

• Moderate exercise, such as a daily walk, and some stretching exercises are beneficial.
• Try some gentle massage of the abdomen over the tender areas.
• During an acute attack of diverticulitis bed rest is advisable.
• Colonic irrigations and enemas may help but can only be used with caution under medical supervision.

DIET

This is the mainstay of treatment for diverticular disease:

• You need to avoid all dairy products and gluten as they are digestive irritants. Gluten is found in wheat, rye, oats and barley (and all foods containing these).

• It is essential that at least 40 percent of the diet is made up of raw fruits and vegetables.

• Include often - high fiber foods like fruits and vegetables, wholemeal breads, cereals (except mueslis etc containing nuts and seeds), brown rice and unprocessed bran. About two to five tablespoons of unprocessed bran should be consumed daily and can be sprinkled on cereal or mixed in with vegetables.

• Drink one and a half to two liters of water daily.

• Avoid - nuts and seeds (unless passed through a grinder) and wholegrain breads, as hard little particles can become stuck in the necks of the bowel pockets and trigger off a bout of diverticulitis. However, ground nuts and seeds provide a tasty, nutritious powder that can be sprinkled on cereals or vegetables and won't aggravate the bowel. Also avoid red meat, fatty foods, spices, and processed foods.