Are You Experiencing a Diverticulitis Flare Up? Common Signs and Symptoms
What is diverticulitis?
The food you eat moves through the digestive system, where it’s absorbed into the body or eliminated as waste. The colon (aka large intestine) is the last stop on the journey of food through the digestive tract. This is where remaining water is absorbed and the contents are changed into stool.
People can develop a condition of the large intestine called diverticulosis which is characterized by the presence of pouches (or diverticula) in the wall of the gastrointestinal tract. These pouches most commonly occur in the left side of the large intestine. If one or more of these pouches becomes inflamed, it’s called diverticulitis.
If diverticulitis is mild, it’s often treated with rest, dietary changes, and antibiotics. In more severe cases, antibiotics, hospitalization, and even surgery may be needed. If you think you’re having a diverticulitis flare, speak with your healthcare provider right away.
Common signs and symptoms of a diverticulitis flare up
Pain in the abdomen (below the chest) is a common symptom of diverticulitis flare ups. Pain is usually felt in the lower left abdomen and can be sudden and intense. It may be mild and get worse slowly or vary in intensity over time.
Other symptoms of diverticulitis include nausea, fever, and an abdomen that’s tender to touch. A sudden change in bowel movements, such as diarrhea or constipation, may also occur.
It’s important to recognize the signs of a diverticulitis flare early so you can seek medical attention. If left untreated, symptoms may worsen and become serious.
Complications of diverticulitis include a bacterial infection called an abscess, blockage of the colon, a tear in the colon, and bleeding from ruptured blood vessels.
Abdominal Pain and Tenderness
While the most common site of diverticulitis pain is in the lower left part of the abdomen, pain may also occur elsewhere in the body. Pain may be felt in your pelvis or radiate to your back. In people of Asian descent, it’s more common to experience diverticulitis pain in the upper right quadrant of the abdomen.
The intensity of pain from diverticulitis can range from mild to severe and it may get better or worse over time. The pain may be sharp or burning.
During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days.
Most people can locate the specific spot of the pain where a diverticulum has become inflamed. This inflammation can be caused by a bacterial infection of the diverticula. The infection causes inflammation, which then causes the diverticulum to swell and tear.
A diverticulum can also tear from hard stools or inflammation of the colon. Then the tear may become infected.
If you’re experiencing abdominal pain, tracking your pain pattern can be helpful in order to provide your healthcare provider with important information about your case.
Changes in Bowel Habits
Diverticulitis can cause changes in bowel habits, such as constipation or diarrhea. Constipation is defined as having fewer than three bowel movements per week. It can also include stools that are hard, dry, and difficult to pass or a feeling of incomplete emptying. In contrast, diarrhea is characterized by loose, watery stool three or more times a day.
Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. It’s also important to monitor yourself for constipation as it may be a sign of a blockage, which is considered a severe complication of diverticulitis.
What does poop look like with diverticulitis?
Diverticulitis poop may look normal, especially in mild cases. But narrow or pellet-like stools can occur if you have advanced or severe diverticulitis. This is because the large intestine may narrow, causing stool to become thin, narrow, pellet shaped.
If you have blood in your stool, you should seek immediate medical attention.
Fever and Chills
Since diverticulitis can be caused by an infection, fever and chills are a possible sign. Fever can be part of the body’s immune response to the bacterial infection of the diverticula. The body sets the temperature higher and shivering produces more body heat.
It’s important to monitor your temperature if you think you’re having a diverticulitis flare.
If you have a fever over 100.4 F, you should seek immediate medical attention.
Nausea and Vomiting
The immune system’s response to diverticulitis can cause nausea and even vomiting. It’s important to stay hydrated and follow your medical team's treatment recommendations in order to help alleviate these symptoms.
If you have excessive vomiting or severe nausea, you should seek immediate medical attention.
Bloating and Gas
Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. The abdomen can become distended and even sensitive to touch, which can give the perception of a bloated feeling. Narrowing of the large intestine in diverticulitis can also increase feelings of gas. Severe bloating or gas should be reported to your medical team.
Loss of Appetite
Diverticulitis may cause loss of appetite, especially if you’re experiencing nausea or vomiting. Following your healthcare team’s dietary guidance can help you stay nourished even if you don’t feel like eating.
Fatigue and Weakness
Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if it’s moderate to severe. If you have an infection, the body’s immune response can cause weakness and fatigue. Lastly, if you’re not eating enough due to loss of appetite or if you’re vomiting, you may be undernourished. This can lead to fatigue and weakness.
Making sure you rest and nourish yourself while still following your team's dietary guidelines for diverticulitis can help you regain your energy.
When to seek medical attention
If you think you’re experiencing diverticulitis, you should see your healthcare provider to get evaluated. Even if you’re not sure, abdominal pain is not something that should be ignored.
You should seek immediate medical attention if:
You have blood in your stool
You have a fever over 100.4 F
You have excessive vomiting or severe nausea
You have sudden or severe abdominal or back pain that worsens quickly
*Note: This is not an exhaustive list - if you have any concerns, please consult with a healthcare provider right away.
What foods can trigger a diverticulitis flare up?
In the past, people with diverticulosis (small pouches) were told to avoid nuts, seeds, and popcorn to prevent diverticulitis flares, but there is no evidence to support this. Since there are no known specific foods or food groups that are proven to trigger a diverticulitis flare, there is not a specific diet for diverticulitis.
That being said, there is no need to fear fiber if you’re not actively in a diverticulitis flare. In fact, high-fiber foods, including fruits, vegetables, and whole grains can help food pass more quickly through the digestive tract. This may reduce pressure in the intestines and reduce the risk of diverticula forming and becoming inflamed.
How to manage a diverticulitis flare up at home
A diverticulitis diet is individualized to the person. A mild case may require a low-fiber diet, or the diet may start with clear liquids for a few days and then advance to low-fiber.
If the diet starts with clear liquids only, here are some examples of what’s allowed during that stage:
Broth (chicken, vegetable, etc.)
No pulp fruit juices (apple, cranberry, etc.)
Popsicles without pieces of fruit
Gelatin
Water
Tea or coffee with no milk or cream added
Once the diet is advanced to low-fiber foods, it can include:
Low-fiber cereals
White rice, pasta, and noodles
Refined white bread
Poultry, eggs, and fish
Milk, yogurt, and cheese
Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)
Canned or cooked fruits without skin or seeds
How a Season dietitian can help
Once you have recovered from the diverticulitis flare, you can slowly return to a regular diet. If you need help planning your diet during or after a diverticulitis flare, a Season dietitian can help! Our team of dietitians can help create a plan to manage symptoms and transition back to a regular diet. They can also help create a plan that emphasizes fiber once you're no longer actively experiencing a flare-up.
Are You Experiencing a Diverticulitis Flare Up? Common Signs and Symptoms
What is diverticulitis?
The food you eat moves through the digestive system, where it’s absorbed into the body or eliminated as waste. The colon (aka large intestine) is the last stop on the journey of food through the digestive tract. This is where remaining water is absorbed and the contents are changed into stool.
People can develop a condition of the large intestine called diverticulosis which is characterized by the presence of pouches (or diverticula) in the wall of the gastrointestinal tract. These pouches most commonly occur in the left side of the large intestine. If one or more of these pouches becomes inflamed, it’s called diverticulitis.
If diverticulitis is mild, it’s often treated with rest, dietary changes, and antibiotics. In more severe cases, antibiotics, hospitalization, and even surgery may be needed. If you think you’re having a diverticulitis flare, speak with your healthcare provider right away.
Common signs and symptoms of a diverticulitis flare up
Pain in the abdomen (below the chest) is a common symptom of diverticulitis flare ups. Pain is usually felt in the lower left abdomen and can be sudden and intense. It may be mild and get worse slowly or vary in intensity over time.
Other symptoms of diverticulitis include nausea, fever, and an abdomen that’s tender to touch. A sudden change in bowel movements, such as diarrhea or constipation, may also occur.
It’s important to recognize the signs of a diverticulitis flare early so you can seek medical attention. If left untreated, symptoms may worsen and become serious.
Complications of diverticulitis include a bacterial infection called an abscess, blockage of the colon, a tear in the colon, and bleeding from ruptured blood vessels.
Abdominal Pain and Tenderness
While the most common site of diverticulitis pain is in the lower left part of the abdomen, pain may also occur elsewhere in the body. Pain may be felt in your pelvis or radiate to your back. In people of Asian descent, it’s more common to experience diverticulitis pain in the upper right quadrant of the abdomen.
The intensity of pain from diverticulitis can range from mild to severe and it may get better or worse over time. The pain may be sharp or burning.
During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days.
Most people can locate the specific spot of the pain where a diverticulum has become inflamed. This inflammation can be caused by a bacterial infection of the diverticula. The infection causes inflammation, which then causes the diverticulum to swell and tear.
A diverticulum can also tear from hard stools or inflammation of the colon. Then the tear may become infected.
If you’re experiencing abdominal pain, tracking your pain pattern can be helpful in order to provide your healthcare provider with important information about your case.
Changes in Bowel Habits
Diverticulitis can cause changes in bowel habits, such as constipation or diarrhea. Constipation is defined as having fewer than three bowel movements per week. It can also include stools that are hard, dry, and difficult to pass or a feeling of incomplete emptying. In contrast, diarrhea is characterized by loose, watery stool three or more times a day.
Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. It’s also important to monitor yourself for constipation as it may be a sign of a blockage, which is considered a severe complication of diverticulitis.
What does poop look like with diverticulitis?
Diverticulitis poop may look normal, especially in mild cases. But narrow or pellet-like stools can occur if you have advanced or severe diverticulitis. This is because the large intestine may narrow, causing stool to become thin, narrow, pellet shaped.
If you have blood in your stool, you should seek immediate medical attention.
Fever and Chills
Since diverticulitis can be caused by an infection, fever and chills are a possible sign. Fever can be part of the body’s immune response to the bacterial infection of the diverticula. The body sets the temperature higher and shivering produces more body heat.
It’s important to monitor your temperature if you think you’re having a diverticulitis flare.
If you have a fever over 100.4 F, you should seek immediate medical attention.
Nausea and Vomiting
The immune system’s response to diverticulitis can cause nausea and even vomiting. It’s important to stay hydrated and follow your medical team's treatment recommendations in order to help alleviate these symptoms.
If you have excessive vomiting or severe nausea, you should seek immediate medical attention.
Bloating and Gas
Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. The abdomen can become distended and even sensitive to touch, which can give the perception of a bloated feeling. Narrowing of the large intestine in diverticulitis can also increase feelings of gas. Severe bloating or gas should be reported to your medical team.
Loss of Appetite
Diverticulitis may cause loss of appetite, especially if you’re experiencing nausea or vomiting. Following your healthcare team’s dietary guidance can help you stay nourished even if you don’t feel like eating.
Fatigue and Weakness
Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if it’s moderate to severe. If you have an infection, the body’s immune response can cause weakness and fatigue. Lastly, if you’re not eating enough due to loss of appetite or if you’re vomiting, you may be undernourished. This can lead to fatigue and weakness.
Making sure you rest and nourish yourself while still following your team's dietary guidelines for diverticulitis can help you regain your energy.
When to seek medical attention
If you think you’re experiencing diverticulitis, you should see your healthcare provider to get evaluated. Even if you’re not sure, abdominal pain is not something that should be ignored.
You should seek immediate medical attention if:
You have blood in your stool
You have a fever over 100.4 F
You have excessive vomiting or severe nausea
You have sudden or severe abdominal or back pain that worsens quickly
*Note: This is not an exhaustive list - if you have any concerns, please consult with a healthcare provider right away.
What foods can trigger a diverticulitis flare up?
In the past, people with diverticulosis (small pouches) were told to avoid nuts, seeds, and popcorn to prevent diverticulitis flares, but there is no evidence to support this. Since there are no known specific foods or food groups that are proven to trigger a diverticulitis flare, there is not a specific diet for diverticulitis.
That being said, there is no need to fear fiber if you’re not actively in a diverticulitis flare. In fact, high-fiber foods, including fruits, vegetables, and whole grains can help food pass more quickly through the digestive tract. This may reduce pressure in the intestines and reduce the risk of diverticula forming and becoming inflamed.
How to manage a diverticulitis flare up at home
A diverticulitis diet is individualized to the person. A mild case may require a low-fiber diet, or the diet may start with clear liquids for a few days and then advance to low-fiber.
If the diet starts with clear liquids only, here are some examples of what’s allowed during that stage:
Broth (chicken, vegetable, etc.)
No pulp fruit juices (apple, cranberry, etc.)
Popsicles without pieces of fruit
Gelatin
Water
Tea or coffee with no milk or cream added
Once the diet is advanced to low-fiber foods, it can include:
Low-fiber cereals
White rice, pasta, and noodles
Refined white bread
Poultry, eggs, and fish
Milk, yogurt, and cheese
Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)
Canned or cooked fruits without skin or seeds
How a Season dietitian can help
Once you have recovered from the diverticulitis flare, you can slowly return to a regular diet. If you need help planning your diet during or after a diverticulitis flare, a Season dietitian can help! Our team of dietitians can help create a plan to manage symptoms and transition back to a regular diet. They can also help create a plan that emphasizes fiber once you're no longer actively experiencing a flare-up.
Are You Experiencing a Diverticulitis Flare Up? Common Signs and Symptoms
What is diverticulitis?
The food you eat moves through the digestive system, where it’s absorbed into the body or eliminated as waste. The colon (aka large intestine) is the last stop on the journey of food through the digestive tract. This is where remaining water is absorbed and the contents are changed into stool.
People can develop a condition of the large intestine called diverticulosis which is characterized by the presence of pouches (or diverticula) in the wall of the gastrointestinal tract. These pouches most commonly occur in the left side of the large intestine. If one or more of these pouches becomes inflamed, it’s called diverticulitis.
If diverticulitis is mild, it’s often treated with rest, dietary changes, and antibiotics. In more severe cases, antibiotics, hospitalization, and even surgery may be needed. If you think you’re having a diverticulitis flare, speak with your healthcare provider right away.
Common signs and symptoms of a diverticulitis flare up
Pain in the abdomen (below the chest) is a common symptom of diverticulitis flare ups. Pain is usually felt in the lower left abdomen and can be sudden and intense. It may be mild and get worse slowly or vary in intensity over time.
Other symptoms of diverticulitis include nausea, fever, and an abdomen that’s tender to touch. A sudden change in bowel movements, such as diarrhea or constipation, may also occur.
It’s important to recognize the signs of a diverticulitis flare early so you can seek medical attention. If left untreated, symptoms may worsen and become serious.
Complications of diverticulitis include a bacterial infection called an abscess, blockage of the colon, a tear in the colon, and bleeding from ruptured blood vessels.
Abdominal Pain and Tenderness
While the most common site of diverticulitis pain is in the lower left part of the abdomen, pain may also occur elsewhere in the body. Pain may be felt in your pelvis or radiate to your back. In people of Asian descent, it’s more common to experience diverticulitis pain in the upper right quadrant of the abdomen.
The intensity of pain from diverticulitis can range from mild to severe and it may get better or worse over time. The pain may be sharp or burning.
During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days.
Most people can locate the specific spot of the pain where a diverticulum has become inflamed. This inflammation can be caused by a bacterial infection of the diverticula. The infection causes inflammation, which then causes the diverticulum to swell and tear.
A diverticulum can also tear from hard stools or inflammation of the colon. Then the tear may become infected.
If you’re experiencing abdominal pain, tracking your pain pattern can be helpful in order to provide your healthcare provider with important information about your case.
Changes in Bowel Habits
Diverticulitis can cause changes in bowel habits, such as constipation or diarrhea. Constipation is defined as having fewer than three bowel movements per week. It can also include stools that are hard, dry, and difficult to pass or a feeling of incomplete emptying. In contrast, diarrhea is characterized by loose, watery stool three or more times a day.
Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. It’s also important to monitor yourself for constipation as it may be a sign of a blockage, which is considered a severe complication of diverticulitis.
What does poop look like with diverticulitis?
Diverticulitis poop may look normal, especially in mild cases. But narrow or pellet-like stools can occur if you have advanced or severe diverticulitis. This is because the large intestine may narrow, causing stool to become thin, narrow, pellet shaped.
If you have blood in your stool, you should seek immediate medical attention.
Fever and Chills
Since diverticulitis can be caused by an infection, fever and chills are a possible sign. Fever can be part of the body’s immune response to the bacterial infection of the diverticula. The body sets the temperature higher and shivering produces more body heat.
It’s important to monitor your temperature if you think you’re having a diverticulitis flare.
If you have a fever over 100.4 F, you should seek immediate medical attention.
Nausea and Vomiting
The immune system’s response to diverticulitis can cause nausea and even vomiting. It’s important to stay hydrated and follow your medical team's treatment recommendations in order to help alleviate these symptoms.
If you have excessive vomiting or severe nausea, you should seek immediate medical attention.
Bloating and Gas
Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. The abdomen can become distended and even sensitive to touch, which can give the perception of a bloated feeling. Narrowing of the large intestine in diverticulitis can also increase feelings of gas. Severe bloating or gas should be reported to your medical team.
Loss of Appetite
Diverticulitis may cause loss of appetite, especially if you’re experiencing nausea or vomiting. Following your healthcare team’s dietary guidance can help you stay nourished even if you don’t feel like eating.
Fatigue and Weakness
Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if it’s moderate to severe. If you have an infection, the body’s immune response can cause weakness and fatigue. Lastly, if you’re not eating enough due to loss of appetite or if you’re vomiting, you may be undernourished. This can lead to fatigue and weakness.
Making sure you rest and nourish yourself while still following your team's dietary guidelines for diverticulitis can help you regain your energy.
When to seek medical attention
If you think you’re experiencing diverticulitis, you should see your healthcare provider to get evaluated. Even if you’re not sure, abdominal pain is not something that should be ignored.
You should seek immediate medical attention if:
You have blood in your stool
You have a fever over 100.4 F
You have excessive vomiting or severe nausea
You have sudden or severe abdominal or back pain that worsens quickly
*Note: This is not an exhaustive list - if you have any concerns, please consult with a healthcare provider right away.
What foods can trigger a diverticulitis flare up?
In the past, people with diverticulosis (small pouches) were told to avoid nuts, seeds, and popcorn to prevent diverticulitis flares, but there is no evidence to support this. Since there are no known specific foods or food groups that are proven to trigger a diverticulitis flare, there is not a specific diet for diverticulitis.
That being said, there is no need to fear fiber if you’re not actively in a diverticulitis flare. In fact, high-fiber foods, including fruits, vegetables, and whole grains can help food pass more quickly through the digestive tract. This may reduce pressure in the intestines and reduce the risk of diverticula forming and becoming inflamed.
How to manage a diverticulitis flare up at home
A diverticulitis diet is individualized to the person. A mild case may require a low-fiber diet, or the diet may start with clear liquids for a few days and then advance to low-fiber.
If the diet starts with clear liquids only, here are some examples of what’s allowed during that stage:
Broth (chicken, vegetable, etc.)
No pulp fruit juices (apple, cranberry, etc.)
Popsicles without pieces of fruit
Gelatin
Water
Tea or coffee with no milk or cream added
Once the diet is advanced to low-fiber foods, it can include:
Low-fiber cereals
White rice, pasta, and noodles
Refined white bread
Poultry, eggs, and fish
Milk, yogurt, and cheese
Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)
Canned or cooked fruits without skin or seeds
How a Season dietitian can help
Once you have recovered from the diverticulitis flare, you can slowly return to a regular diet. If you need help planning your diet during or after a diverticulitis flare, a Season dietitian can help! Our team of dietitians can help create a plan to manage symptoms and transition back to a regular diet. They can also help create a plan that emphasizes fiber once you're no longer actively experiencing a flare-up.
Are You Experiencing a Diverticulitis Flare Up? Common Signs and Symptoms
What is diverticulitis?
The food you eat moves through the digestive system, where it’s absorbed into the body or eliminated as waste. The colon (aka large intestine) is the last stop on the journey of food through the digestive tract. This is where remaining water is absorbed and the contents are changed into stool.
People can develop a condition of the large intestine called diverticulosis which is characterized by the presence of pouches (or diverticula) in the wall of the gastrointestinal tract. These pouches most commonly occur in the left side of the large intestine. If one or more of these pouches becomes inflamed, it’s called diverticulitis.
If diverticulitis is mild, it’s often treated with rest, dietary changes, and antibiotics. In more severe cases, antibiotics, hospitalization, and even surgery may be needed. If you think you’re having a diverticulitis flare, speak with your healthcare provider right away.
Common signs and symptoms of a diverticulitis flare up
Pain in the abdomen (below the chest) is a common symptom of diverticulitis flare ups. Pain is usually felt in the lower left abdomen and can be sudden and intense. It may be mild and get worse slowly or vary in intensity over time.
Other symptoms of diverticulitis include nausea, fever, and an abdomen that’s tender to touch. A sudden change in bowel movements, such as diarrhea or constipation, may also occur.
It’s important to recognize the signs of a diverticulitis flare early so you can seek medical attention. If left untreated, symptoms may worsen and become serious.
Complications of diverticulitis include a bacterial infection called an abscess, blockage of the colon, a tear in the colon, and bleeding from ruptured blood vessels.
Abdominal Pain and Tenderness
While the most common site of diverticulitis pain is in the lower left part of the abdomen, pain may also occur elsewhere in the body. Pain may be felt in your pelvis or radiate to your back. In people of Asian descent, it’s more common to experience diverticulitis pain in the upper right quadrant of the abdomen.
The intensity of pain from diverticulitis can range from mild to severe and it may get better or worse over time. The pain may be sharp or burning.
During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days.
Most people can locate the specific spot of the pain where a diverticulum has become inflamed. This inflammation can be caused by a bacterial infection of the diverticula. The infection causes inflammation, which then causes the diverticulum to swell and tear.
A diverticulum can also tear from hard stools or inflammation of the colon. Then the tear may become infected.
If you’re experiencing abdominal pain, tracking your pain pattern can be helpful in order to provide your healthcare provider with important information about your case.
Changes in Bowel Habits
Diverticulitis can cause changes in bowel habits, such as constipation or diarrhea. Constipation is defined as having fewer than three bowel movements per week. It can also include stools that are hard, dry, and difficult to pass or a feeling of incomplete emptying. In contrast, diarrhea is characterized by loose, watery stool three or more times a day.
Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. It’s also important to monitor yourself for constipation as it may be a sign of a blockage, which is considered a severe complication of diverticulitis.
What does poop look like with diverticulitis?
Diverticulitis poop may look normal, especially in mild cases. But narrow or pellet-like stools can occur if you have advanced or severe diverticulitis. This is because the large intestine may narrow, causing stool to become thin, narrow, pellet shaped.
If you have blood in your stool, you should seek immediate medical attention.
Fever and Chills
Since diverticulitis can be caused by an infection, fever and chills are a possible sign. Fever can be part of the body’s immune response to the bacterial infection of the diverticula. The body sets the temperature higher and shivering produces more body heat.
It’s important to monitor your temperature if you think you’re having a diverticulitis flare.
If you have a fever over 100.4 F, you should seek immediate medical attention.
Nausea and Vomiting
The immune system’s response to diverticulitis can cause nausea and even vomiting. It’s important to stay hydrated and follow your medical team's treatment recommendations in order to help alleviate these symptoms.
If you have excessive vomiting or severe nausea, you should seek immediate medical attention.
Bloating and Gas
Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. The abdomen can become distended and even sensitive to touch, which can give the perception of a bloated feeling. Narrowing of the large intestine in diverticulitis can also increase feelings of gas. Severe bloating or gas should be reported to your medical team.
Loss of Appetite
Diverticulitis may cause loss of appetite, especially if you’re experiencing nausea or vomiting. Following your healthcare team’s dietary guidance can help you stay nourished even if you don’t feel like eating.
Fatigue and Weakness
Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if it’s moderate to severe. If you have an infection, the body’s immune response can cause weakness and fatigue. Lastly, if you’re not eating enough due to loss of appetite or if you’re vomiting, you may be undernourished. This can lead to fatigue and weakness.
Making sure you rest and nourish yourself while still following your team's dietary guidelines for diverticulitis can help you regain your energy.
When to seek medical attention
If you think you’re experiencing diverticulitis, you should see your healthcare provider to get evaluated. Even if you’re not sure, abdominal pain is not something that should be ignored.
You should seek immediate medical attention if:
You have blood in your stool
You have a fever over 100.4 F
You have excessive vomiting or severe nausea
You have sudden or severe abdominal or back pain that worsens quickly
*Note: This is not an exhaustive list - if you have any concerns, please consult with a healthcare provider right away.
What foods can trigger a diverticulitis flare up?
In the past, people with diverticulosis (small pouches) were told to avoid nuts, seeds, and popcorn to prevent diverticulitis flares, but there is no evidence to support this. Since there are no known specific foods or food groups that are proven to trigger a diverticulitis flare, there is not a specific diet for diverticulitis.
That being said, there is no need to fear fiber if you’re not actively in a diverticulitis flare. In fact, high-fiber foods, including fruits, vegetables, and whole grains can help food pass more quickly through the digestive tract. This may reduce pressure in the intestines and reduce the risk of diverticula forming and becoming inflamed.
How to manage a diverticulitis flare up at home
A diverticulitis diet is individualized to the person. A mild case may require a low-fiber diet, or the diet may start with clear liquids for a few days and then advance to low-fiber.
If the diet starts with clear liquids only, here are some examples of what’s allowed during that stage:
Broth (chicken, vegetable, etc.)
No pulp fruit juices (apple, cranberry, etc.)
Popsicles without pieces of fruit
Gelatin
Water
Tea or coffee with no milk or cream added
Once the diet is advanced to low-fiber foods, it can include:
Low-fiber cereals
White rice, pasta, and noodles
Refined white bread
Poultry, eggs, and fish
Milk, yogurt, and cheese
Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)
Canned or cooked fruits without skin or seeds
How a Season dietitian can help
Once you have recovered from the diverticulitis flare, you can slowly return to a regular diet. If you need help planning your diet during or after a diverticulitis flare, a Season dietitian can help! Our team of dietitians can help create a plan to manage symptoms and transition back to a regular diet. They can also help create a plan that emphasizes fiber once you're no longer actively experiencing a flare-up.
Are You Experiencing a Diverticulitis Flare Up? Common Signs and Symptoms
What is diverticulitis?
The food you eat moves through the digestive system, where it’s absorbed into the body or eliminated as waste. The colon (aka large intestine) is the last stop on the journey of food through the digestive tract. This is where remaining water is absorbed and the contents are changed into stool.
People can develop a condition of the large intestine called diverticulosis which is characterized by the presence of pouches (or diverticula) in the wall of the gastrointestinal tract. These pouches most commonly occur in the left side of the large intestine. If one or more of these pouches becomes inflamed, it’s called diverticulitis.
If diverticulitis is mild, it’s often treated with rest, dietary changes, and antibiotics. In more severe cases, antibiotics, hospitalization, and even surgery may be needed. If you think you’re having a diverticulitis flare, speak with your healthcare provider right away.
Common signs and symptoms of a diverticulitis flare up
Pain in the abdomen (below the chest) is a common symptom of diverticulitis flare ups. Pain is usually felt in the lower left abdomen and can be sudden and intense. It may be mild and get worse slowly or vary in intensity over time.
Other symptoms of diverticulitis include nausea, fever, and an abdomen that’s tender to touch. A sudden change in bowel movements, such as diarrhea or constipation, may also occur.
It’s important to recognize the signs of a diverticulitis flare early so you can seek medical attention. If left untreated, symptoms may worsen and become serious.
Complications of diverticulitis include a bacterial infection called an abscess, blockage of the colon, a tear in the colon, and bleeding from ruptured blood vessels.
Abdominal Pain and Tenderness
While the most common site of diverticulitis pain is in the lower left part of the abdomen, pain may also occur elsewhere in the body. Pain may be felt in your pelvis or radiate to your back. In people of Asian descent, it’s more common to experience diverticulitis pain in the upper right quadrant of the abdomen.
The intensity of pain from diverticulitis can range from mild to severe and it may get better or worse over time. The pain may be sharp or burning.
During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days.
Most people can locate the specific spot of the pain where a diverticulum has become inflamed. This inflammation can be caused by a bacterial infection of the diverticula. The infection causes inflammation, which then causes the diverticulum to swell and tear.
A diverticulum can also tear from hard stools or inflammation of the colon. Then the tear may become infected.
If you’re experiencing abdominal pain, tracking your pain pattern can be helpful in order to provide your healthcare provider with important information about your case.
Changes in Bowel Habits
Diverticulitis can cause changes in bowel habits, such as constipation or diarrhea. Constipation is defined as having fewer than three bowel movements per week. It can also include stools that are hard, dry, and difficult to pass or a feeling of incomplete emptying. In contrast, diarrhea is characterized by loose, watery stool three or more times a day.
Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. It’s also important to monitor yourself for constipation as it may be a sign of a blockage, which is considered a severe complication of diverticulitis.
What does poop look like with diverticulitis?
Diverticulitis poop may look normal, especially in mild cases. But narrow or pellet-like stools can occur if you have advanced or severe diverticulitis. This is because the large intestine may narrow, causing stool to become thin, narrow, pellet shaped.
If you have blood in your stool, you should seek immediate medical attention.
Fever and Chills
Since diverticulitis can be caused by an infection, fever and chills are a possible sign. Fever can be part of the body’s immune response to the bacterial infection of the diverticula. The body sets the temperature higher and shivering produces more body heat.
It’s important to monitor your temperature if you think you’re having a diverticulitis flare.
If you have a fever over 100.4 F, you should seek immediate medical attention.
Nausea and Vomiting
The immune system’s response to diverticulitis can cause nausea and even vomiting. It’s important to stay hydrated and follow your medical team's treatment recommendations in order to help alleviate these symptoms.
If you have excessive vomiting or severe nausea, you should seek immediate medical attention.
Bloating and Gas
Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. The abdomen can become distended and even sensitive to touch, which can give the perception of a bloated feeling. Narrowing of the large intestine in diverticulitis can also increase feelings of gas. Severe bloating or gas should be reported to your medical team.
Loss of Appetite
Diverticulitis may cause loss of appetite, especially if you’re experiencing nausea or vomiting. Following your healthcare team’s dietary guidance can help you stay nourished even if you don’t feel like eating.
Fatigue and Weakness
Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if it’s moderate to severe. If you have an infection, the body’s immune response can cause weakness and fatigue. Lastly, if you’re not eating enough due to loss of appetite or if you’re vomiting, you may be undernourished. This can lead to fatigue and weakness.
Making sure you rest and nourish yourself while still following your team's dietary guidelines for diverticulitis can help you regain your energy.
When to seek medical attention
If you think you’re experiencing diverticulitis, you should see your healthcare provider to get evaluated. Even if you’re not sure, abdominal pain is not something that should be ignored.
You should seek immediate medical attention if:
You have blood in your stool
You have a fever over 100.4 F
You have excessive vomiting or severe nausea
You have sudden or severe abdominal or back pain that worsens quickly
*Note: This is not an exhaustive list - if you have any concerns, please consult with a healthcare provider right away.
What foods can trigger a diverticulitis flare up?
In the past, people with diverticulosis (small pouches) were told to avoid nuts, seeds, and popcorn to prevent diverticulitis flares, but there is no evidence to support this. Since there are no known specific foods or food groups that are proven to trigger a diverticulitis flare, there is not a specific diet for diverticulitis.
That being said, there is no need to fear fiber if you’re not actively in a diverticulitis flare. In fact, high-fiber foods, including fruits, vegetables, and whole grains can help food pass more quickly through the digestive tract. This may reduce pressure in the intestines and reduce the risk of diverticula forming and becoming inflamed.
How to manage a diverticulitis flare up at home
A diverticulitis diet is individualized to the person. A mild case may require a low-fiber diet, or the diet may start with clear liquids for a few days and then advance to low-fiber.
If the diet starts with clear liquids only, here are some examples of what’s allowed during that stage:
Broth (chicken, vegetable, etc.)
No pulp fruit juices (apple, cranberry, etc.)
Popsicles without pieces of fruit
Gelatin
Water
Tea or coffee with no milk or cream added
Once the diet is advanced to low-fiber foods, it can include:
Low-fiber cereals
White rice, pasta, and noodles
Refined white bread
Poultry, eggs, and fish
Milk, yogurt, and cheese
Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)
Canned or cooked fruits without skin or seeds
How a Season dietitian can help
Once you have recovered from the diverticulitis flare, you can slowly return to a regular diet. If you need help planning your diet during or after a diverticulitis flare, a Season dietitian can help! Our team of dietitians can help create a plan to manage symptoms and transition back to a regular diet. They can also help create a plan that emphasizes fiber once you're no longer actively experiencing a flare-up.
