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If you’ve ever experienced a diverticulitis attack, I’m sure you’d be the first to say that it’s not a pleasant experience.I bet you’d be willing to do a lot of things to prevent it from happening again!

Or maybe you’re someone who has been diagnosed with diverticulosis by your gastroenterologist, but you’re not quite sure what to do to prevent those painful attacks you’ve heard about and you want to learn more. Today I’ll be providing tips on how to prevent diverticulitis attacks naturally.

Diverticular disease is the term used to encompass a spectrum of issues from diverticulosis (the presence of sac-like pouches called diverticula that protrude from the colonic wall) to diverticulitis (the inflammation of these pouches and the accompanying symptoms).

[14] If you’re wondering whether you may have intestinal inflammation, it’s a great thing to get tested (and you can order a stool test from a specialty lab like Genova Diagnostics which will measure it).

It is clear that chronic inflammation is involved in the development of diverticular disease, and that those who wish to prevent attacks should take steps to reduce intestinal inflammation.

In fact, few studies show any benefit to avoiding nuts and seeds and one study even showed that intake of nuts and popcorn was associated with a decreased risk of diverticulitis and diverticular bleeding.[5] High fiber diets are also often recommended, despite inconclusive evidence.[6] It is evident that recommendations for diverticular disease are due for an update.

Newer research suggests that the factors underlying diverticular disease are the following [7,8]: While inflammation is well-accepted in the model of acute diverticulitis, more and more research points to the involvement of chronic low grade inflammation in the development of symptomatic diverticulosis.

If you’ve been diagnosed with diverticulosis, you may have received advice from your gastroenterologist about avoiding nuts and seeds and eating more fiber.

However, these recommendations are based on inconclusive research and may not provide much benefit to you.

Small intestinal bacterial overgrowth (SIBO) is common in diverticulitic patients.

[18] Rifaximin, a non-absorbable antibiotic (meaning it only affects the gut, not the rest of the body), has been shown to effectively treat SIBO [19] and this treatment has also been shown to improve diverticular disease outcomes.

Diverticular disease is common in the Western world, with the highest rates seen in the United States and Europe.

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