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Colonoscopy today - diverticulOSIS diagnosed. What now?

(21 Posts)
Rowantree Sat 07-Mar-15 16:48:51

Hey all,

I had a colonoscopy this morning at King's (Denmark Hill, London). Went OK, though not totally pain-free, despite sedation. I was feeling very bloated and 'windy' for a while but now that's improved and I'm just very tired and rather sleepy and lethargic guilt

Nothing sinister was found, just 'occasional diverticulosis' (not diverticulitis) in a few areas. I don't know whether I will have a follow-up appointment because the form says 'refer to GP'.
In the meantime I don't know either why I have it or what to do to alleviate it. Researches online indicate that it tends to be prevalent in overweight people (guilty - trying to lose weight) and those whose diets are low in fibre. This baffles me - we eat lots of wholemeal bread and pasta, plenty of vegetables, pulses and fruit and almost always cook from scratch. Ready meals (curries, perhaps) are a very occasional treat.
In my semi-sedated state I can't recall whether the doctor advised me to eat LESS fibre or more. I don't have pain or fever as people with diverticulitis often do, but my bowel habits can be....a tad unpredictable sometimes. I still am not sure whether that's diverticulosis or the relatively new medication for anxiety and depression which is causing the symptoms.

If anyone on Gransnet has diverticulOSIS, I'd be grateful for any advice, or recommendations of good, trustworthy books I can read on the subject. smile
Thank you!

MargaretX Sat 07-Mar-15 17:16:22

My friend was diagnosed a couple of months ago. She was given a long course of antibiotics because an area of the bowel was inflamed.
She's much better now.

Juliette Sat 07-Mar-15 17:37:38

My neighbour has had diverticulitis for several years, the dietician advised her to sprinkle her breakfast cereal with bran. I bought her some last week from Holland and Barrett as the supermarkets only sell oat bran these days. She also has a pro-biotic drink everyday, this seems to work very well for her.

Juliette Sat 07-Mar-15 17:41:28

PS. My neighbour also has a fairly fibre rich diet, fruit, wholemeal bread etc. but it would appear not enough to be beneficial, hence the added bran. Hope this is helpful.

MiniMouse Sat 07-Mar-15 18:33:16

Rowantree I was diagnosed with mild diverticulosis a couple of years ago. I'm not overweight and I've always eaten healthily - how unfair is that?! My ologist told me that it can be an age related condition and added, "Think how much worse it might have been if you hadn't eaten sensibly!" No particular diet changes for me, just continue eating fibre.

Rowantree Sat 07-Mar-15 19:01:18

Thank you all. I plan to keep eating healthily unless told to the contrary, but I will look into increasing fibre intake still further - not sure how!
Maybe eating the whole fruit, including orange and banana skin....?

Minimouse can I ask you if you have any symptoms?

Grannyknot Sat 07-Mar-15 19:49:29

Hi rowan I don't have what you have - but for years now (since school days, actually) I've eaten pips - I eat grape pips, apple cores, clementine pips, everything that a pear has to offer (there's hardly any core in them anyway). What I mean is I eat it all because I am too lazy to sit and pick out pips. Some of them are tasty and others are just, well, fibre! Maybe you could do that. (I must add that some members of my family think I'm a bit odd for doing this).

Good luck with your quest to address the problem. flowers

Rowantree Sat 07-Mar-15 20:16:05

I must admit that I don't do that, but it's a good idea.
Maybe I could even try eating avocado and mango stones. grin

Grannyknot Sat 07-Mar-15 20:30:49

That's funny, rowan I wouldn't try that. Too much chewing!

An uncle of mine used to slice and eat raw potato like an apple. Weird or what smile

annodomini Sat 07-Mar-15 20:37:29

A barium enema revealed a small area of diverticulitis, several years ago - I've lost track of time! As a demi-veggie (ie fish-eater), I have a healthy diet. The only time I get twinges is when I eat a lot of seeded fruit. Raspberries and blackberries are best strained but I must admit I don't always do this and then I pay for it. I try to avoid nuts but can be intolerably tempted by pistachios and/or fruit and nut chocolate. I really must take myself in hand!

Deedaa Sat 07-Mar-15 20:59:00

DH has diverticulosis. It makes life with his cancer even more complicated and the drugs he was taking made the diverticulosis worse and he ended up with peritonitis. Touch wood he's been OK since. Opinions seem to be divided on diet, with some people saying too much fibre makes it worse. DH eats pretty badly but whether he has a week eating no vegetables at all or a healthy week with lots of fruit and veg and live yoghurt it doesn't seem to make much difference confused

MiniMouse Sun 08-Mar-15 12:12:33

Rowantree I've pm'd you.

Anya Sun 08-Mar-15 12:58:08

Rowan I found this for you

It should help.

Rowantree Sun 08-Mar-15 23:35:16

Thank you all for your advice and suggestions and Anya that's a most useful article which makes a lot of sense. What totally mystifies me is that I have always had a high-fibre diet with plenty of vegetables, fruit and wholegrains, so it's a bit frustrating to read that low fibre consumption could be the cause. Nevertheless, I must look into ways to increase it further!

Minimouse many thanks for your PM - will be replying shortly smile

I will probably try and see the GP anyway to see what she has to say/advise.

JessM Mon 09-Mar-15 16:37:11

diverticulosis = pockets in the wall of the colon
diverticulitis = inflamed/ infected pockets in the colon

I wonder whether it is constipation that is the cause and the association with low fibre is because that is a common cause of constipation.

Soutra Mon 09-Mar-15 20:07:35

Likewise Deedaa DH has "osis" and lives with it, touch wood, without episodes of "itis". The consultant told me exactly what JessM said (wish I'd read it here first then I wouldn't have had to ask!)

Anya Mon 09-Mar-15 22:52:41

Thanks rowantree I thought it explained the different stages well without being over simplistic. I see others didn't bother.

Rowantree Tue 10-Mar-15 08:58:41

JessM I very rarely get constipation!

Useful to have that distinction. But I'm still puzzled and put out as I have a very healthy and varied diet - though blushes I eat too much and enjoy chocolate and desserts too much. Trying hard to address this with the 5/2 and slowly improving smile

Anya Tue 10-Mar-15 09:43:23

It's not just low fibre diets that can cause diverticular problems Rowantree
I'm not a medic but I googled this for you which might be of interest. It might just be an ageing thing.

The cause of diverticular disease is unknown, but several factors may contribute to changes in the wall of the colon, including aging, the movement of waste through the colon, changes in intestinal pressure, a low fiber diet, and physical abnormalities.

Who's Most At Risk?
These factors increase the risk for developing diverticular disease:
Smoking
Low fiber diet
Advanced age (more than half of people over age 70 have the condition)
Obesity
Male gender, for diverticulitis
Physical inactivity

The following may contribute as well:
High fat intake
Lack of regular physical activity
Use of non-steroidal anti-inflammatory drugs, cortico-steroids, and opiate analgesics

Source: Diverticular disease | University of Maryland Medical Center umm.edu/health/medical/altmed/condition/diverticular-disease#ixzz3TySgYc00
University of Maryland Medical Center

petra Tue 10-Mar-15 11:12:09

Nothing works for me.
I'm 5ft and 8 stone. Very good diet. I juice fruit and veg every day, have porridge and banana for lunch.
I'm very active. Painted the lounge ceiling, burnt off another door, painting, etc. Gardening when the weathers fine (that's just this week)
I'm not on any medication. My Doc puts it down to age.

JessM Tue 10-Mar-15 12:47:44

Thing about knowing you have pockets is it allows you to eat best diet to avoid more problems.
It can be quite hard to meet the suggested minimum 18 gms of fibre a day. And nobody knows the ideal.
I eat:
porridge with sultanas in the morning
something bread based lunchtime - sometimes with soup or baked beans
in the evening typical would be something with a big grated cabbage based salad. Plus piece of fruit e.g an orange.

There is a difference between roughage - the woody branny fibre and cellulose - the fibre you get in cabbage, soft fruit etc. Both counteract constipation by absorbing water but roughage does not suit everyone.
petra I am not a fan of juicing. You take out all the fibre, you can end up consuming too much fruit sugar and there are no proven benefits to extra vitamin C. It is better for bowels to eat whole fruit/veg.

The only time I did juicing what when son on chemo and (in NZ) apples were v cheap from market. It was a palatable form of calories for him when feeling queasy and occupational therapy for me smile