Written by Veronica Yoo

Understanding Diverticulitis: Causes, Symptoms, and Holistic Treatment Options


Diverticulitis, a condition of the gastrointestinal system, arises when pouches formed on the walls of the colon become inflamed or infected. It’s a more severe form of a condition known as diverticulosis, where the pouches or diverticula are present but not inflamed or infected. Understanding the causes, symptoms, and the array of treatments is essential to manage this condition effectively and avoid complications. Comprehensive treatments can include conventional medicine, lifestyle changes, nutritional adjustments, and herbal remedies.

Causes of Diverticulitis

The exact cause of diverticulitis remains unknown. However, it is speculated that the condition occurs when the pouches or diverticula in the colon wall become inflamed due to the accumulation of waste, bacteria, or foreign bodies. Factors that can contribute to the risk of developing diverticulitis include:

  1. Aging: Risk increases with age, particularly after 40.
  2. Low-fiber diet: Diets low in fiber can lead to harder stools, requiring more pressure to pass, potentially leading to diverticula formation.
  3. Obesity: Increased body weight raises the likelihood of developing the condition.
  4. Lack of exercise: Regular physical activity is believed to reduce the risk.
  5. Smoking: Smoking increases the risk of developing diverticulitis and complications.
  6. Certain medications: Steroids, opiates, and nonsteroidal anti-inflammatory drugs (NSAIDs) can heighten the risk.

Symptoms of Diverticulitis

Diverticulitis often presents with the following symptoms:

  • Abdominal pain: The most common symptom, usually on the lower left side.
  • Fever and chills.
  • Bloating and gas.
  • Diarrhea or constipation.
  • Nausea and vomiting.
  • Loss of appetite.

Conventional Treatments

The severity of diverticulitis dictates the course of treatment:

  • Mild Diverticulitis: Managed with rest, dietary changes, and antibiotics to treat the infection.
  • Severe Diverticulitis: May require hospitalization, intravenous antibiotics, and in extreme cases, surgery to remove the affected part of the colon.

Nutritional Approach

Nutritional management is pivotal in treating and preventing diverticulitis. Here are some recommendations:

  • High-fiber diet: A diet rich in fiber can help create softer, bulkier stools. Include fruits, vegetables, legumes, and whole grains.
  • Probiotics: These beneficial bacteria, found in yogurt and supplements, can help maintain gut health.
  • Stay hydrated: Adequate fluid intake is crucial, especially with a high-fiber diet, to avoid constipation.
  • Avoid irritating foods: Limit intake of foods that can irritate or get caught in the diverticula, like nuts, seeds, and popcorn.

Herbal Remedies

Certain herbs are believed to support gut health and may help manage diverticulitis symptoms:

  1. Aloe Vera: Known for its anti-inflammatory properties, can soothe the digestive tract.
  2. Slippery Elm: May help soothe the lining of the stomach and intestines.
  3. Chamomile: Acts as an anti-inflammatory agent and can relax muscle spasms in the gastrointestinal tract.
  4. Peppermint: Helps relax the muscles of the GI system, which might reduce symptoms of indigestion and irritable bowel syndrome.

Lifestyle Adjustments

In addition to nutritional and herbal approaches, adopting a healthy lifestyle can also mitigate the risks and impacts of diverticulitis:

  • Regular Exercise: Helps maintain a healthy weight and reduces the risk of constipation.
  • Stress Management: Stress can impact gut health. Techniques such as yoga, meditation, and deep-breathing can be beneficial.
  • Regular Medical Checkups: Regular screenings can help in early detection and management of the condition.


Diverticulitis is a serious condition that necessitates a multifaceted approach for management. This involves understanding its causes and symptoms, adopting a high-fiber diet, staying hydrated, and incorporating probiotics into one’s diet. Additionally, integrating herbal remedies like Aloe Vera, Slippery Elm, Chamomile, and Peppermint can offer added support to conventional treatments. Last but not least, maintaining a healthy lifestyle, regular exercise, stress management, and routine medical checkups play crucial roles in managing and preventing diverticulitis effectively.

The integration of conventional treatments with lifestyle modifications, nutritional enhancements, and herbal interventions can pave the way for holistic well-being and optimal gastrointestinal health. Remember always to consult healthcare providers before making significant changes to your treatment plan or incorporating new remedies to ensure they are appropriate and safe based on individual health conditions.

Expanded Nutritional Approach for Diverticulitis

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Implementing a Low-FODMAP Diet for Diverticulitis Management

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Veronica Yoo

Veronica is dedicated and experienced nutritionist and certified health coach who specializes in functional medicine, She's a published author, nutritional instructor, WBFF professional figure athlete, and both the brains and beauty behind all that Makeover Nutrition offers.

Veronica is also the President & CEO of a BC based health and wellness association; Pacific Alliance of Body Care.