There is a lot of misinformation floating around about diverticular disease – namely diverticulosis and diverticulitis.
Patients believe they can’t eat nuts or seeds, one of the most common myths, or they are simply confused about the difference between conditions. Below, the most common myths are dispelled.
Fact: This most persistent myth actually contradicts advice doctors give for preventing the condition in the first place. A healthy, high-fiber diet is actually the best medicine against diverticulitis, and seeds and nuts certainly fit the bill.
We used to think that a seed or nut plugged the pocket in the colon, and that’s what caused it to become inflamed or to rupture. But no surgeon has ever seen that, and studies have strongly suggested there’s nothing to that idea.
Fact: Patients often confuse the related conditions diverticulosis and diverticulitis.
Diverticulosis generally needs no treatment, while diverticulitis is a more serious condition that may require surgery.
Diverticulosis refers to small pockets that protrude through weak muscle layers in the intestinal wall, similar to a bubble in a tire. They’re fairly common. Sixty percent of people have them by age 60. Up to eighty percent of people have them by age 80.
A colonoscopy usually brings this condition to light, and it’s a very incidental finding. Most people don’t even realize they have the pockets, and by themselves, they are little cause for concern. Diverticulosis is like having freckles: It’s only a problem if those freckles turn into a mole. We don’t operate, ever, on diverticulosis.
Diverticulitis occurs when one or more of those pockets are blocked by waste and inflammation or an infection occurs, or when pockets rupture and bacteria that are normally in your stool get outside of the intestines and into the surrounding abdominal area.
When this happens, a variety of complications can arise:
Not everybody who has diverticulitis needs surgery, but they should see a physician, either in primary care or the emergency room, to get a proper diagnosis.
Fact: Diverticulitis happens in only 10 – 25 percent of those with diverticulosis. Also the great majority, or 75 percent, of those cases are the less serious type – requiring simple outpatient treatment, and perhaps medication.
Research shows the next bout of diverticulitis is most often going to be similar to your first bout. Usually, if your body could handle diverticulitis the first time, then the next time, it’s going to react just as well.
Lots of patients ask, “How do I prevent myself from getting diverticulitis?” Unfortunately, we don’t know why people get it. We think it’s from high pressure in the bowels and being constipated. We suggest eating a high-fiber, healthy diet and avoiding constipation.