Diverticular Disease: Therapy

General measures

  • For lower abdominal pain due to acute sigmoid diverticulitis (diverticulitis of the sigmoid colon), cooling (e.g., ice bladder) helps; also spasmolytics (antispasmodic drugs), if necessary.
  • Nicotine restriction (refrain from tobacco use).
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • Regular physical activity
  • Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program.
  • Review of permanent medication due topossible effect on the existing disease.

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
  • Observance of the following specific dietary recommendations:
    • In diverticulitis, food abstinence (2-3 days) should be observed in highly acute courses. In less severe courses, a low-slag diet can be prescribed.
    • After the acute inflammation subsides: low-fat diet and fiber content of the diet slowly increase.
    • Diet rich in:
      • Probiotic foods
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – Taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

  • Endurance training (cardio training).
  • Physical activity prevents lack of exercise and thus serves, among other things, the prevention of constipation, which in turn would increase the intraluminal pressure (intestinal pressure). The cause of the formation of diverticula is probably an excessive intraluminal pressure and increased intestinal motility / intestinal motility (→ diverticulosis).
  • For detailed information on sports medicine, please contact us.