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James Newman · 08-26-2008, 08:45 PM

I generally start patients out on a liquid diet and advance it slowly over the course of a day or two giving the gut a chance to rest and reduce inflammation. It is very important to avoid much roughage, small seeds, nuts, berries, etc during the inflammatory phase (itis) of diverticular disease. Some of the smaller things may need to be avoided in the future depending upon tolerance. You will see lots of things to be avoided during the osis phase in some literature but it isn't well supported. The theory, however, is to avoid irritating the diverticula further. The following will support that goal as well much more efficiently:

As inflammation and pain subside (osis) increase the fiber and fluid intake concurrently. This should be done slowly and a good number is to shoot for 35-50 grams per day. Maintaining consistent intake of fiber and fluid are the hallmarks of the diet once you are in the diverticulosis phase.

I didn't see any mention of pain meds. This tends to slow down the bowels. I am assuming his pain is in the LLQ? Keep me posted, I will keep him in my thoughts. The Doc is likely wanting to r/o associated peritonitis, perforation, abcess, etc.

Hope this helps....

N e w m a n

08-26-2008, 08:45 PM	#2 (permalink)
James Newman Sunny with a high of 75 Join Date: Mar 2004 Location: OK Posts: 1,007	I generally start patients out on a liquid diet and advance it slowly over the course of a day or two giving the gut a chance to rest and reduce inflammation. It is very important to avoid much roughage, small seeds, nuts, berries, etc during the inflammatory phase (itis) of diverticular disease. Some of the smaller things may need to be avoided in the future depending upon tolerance. You will see lots of things to be avoided during the osis phase in some literature but it isn't well supported. The theory, however, is to avoid irritating the diverticula further. The following will support that goal as well much more efficiently: As inflammation and pain subside (osis) increase the fiber and fluid intake concurrently. This should be done slowly and a good number is to shoot for 35-50 grams per day. Maintaining consistent intake of fiber and fluid are the hallmarks of the diet once you are in the diverticulosis phase. I didn't see any mention of pain meds. This tends to slow down the bowels. I am assuming his pain is in the LLQ? Keep me posted, I will keep him in my thoughts. The Doc is likely wanting to r/o associated peritonitis, perforation, abcess, etc. Hope this helps.... N e w m a n __________________ "Branch chainz, bro. Leucine in the sky with diamonds." - Alan Aragon My training log - The Weight is OVER... My MS Bike Tour 150 donation page.