Diverticulitis is a common gastrointestinal condition involving inflammation of small, bulging pouches (diverticula) that can form in the lining of the large intestine. When these pouches become inflamed or infected, it leads to diverticulitis, which can cause symptoms like abdominal pain. Dietary advice for this condition has historically caused confusion, and this article clarifies current understanding, particularly concerning specific food items.
Current Dietary Understanding for Diverticulitis
For many years, individuals with diverticular disease were advised to avoid foods like nuts, seeds, and popcorn. The prevailing theory was that these small food particles might lodge in the diverticula, potentially causing inflammation or infection.
Current scientific understanding, however, indicates this traditional advice is outdated and unsupported by evidence. Multiple studies have shown no increased risk of diverticulitis or its complications from consuming nuts, seeds, or popcorn. Some research suggests that consuming these foods may even offer a protective effect against diverticulitis.
Modern dietary guidelines for managing diverticular disease, particularly during remission, emphasize a high-fiber diet. Fiber helps soften stool and add bulk, promoting regular bowel movements. This reduces pressure within the colon, helping prevent new diverticula and reducing flare-ups.
During an acute diverticulitis flare-up, a temporary shift to a low-fiber or clear liquid diet may be recommended by healthcare providers. This allows the inflamed bowel to rest and heal. As symptoms improve, fiber should be gradually reintroduced into the diet to help prevent future episodes.
Cherries and Diverticulitis: What the Science Says
Cherries are generally considered safe for individuals with diverticulitis and are not typically associated with triggering flare-ups. The concern that small seeds, like those in tart cherries, might get trapped in diverticula has been largely disproven, similar to the broader understanding regarding nuts and seeds.
Cherries offer several nutritional benefits that contribute to overall health, including gut health. A cup of cherries provides approximately 3 grams of dietary fiber, aiding healthy digestion and promoting regular bowel movements. This fiber content aligns with current recommendations for a high-fiber diet to manage diverticular disease during remission.
Beyond fiber, cherries are rich in antioxidants, such as anthocyanins and polyphenols. These compounds possess anti-inflammatory properties that combat oxidative stress and reduce inflammation throughout the body, including the gut. Some research suggests these antioxidants may protect the gut lining and support a balanced gut microbiome.
While cherries are generally beneficial, individual responses to foods can vary. Some individuals may find certain foods cause discomfort, so personal observation is important. It is always advisable to consult with a healthcare provider or a registered dietitian for personalized dietary advice, especially when managing a condition like diverticulitis.