Nuts and seeds may be acceptable

DEAR DR. GOTT: At my recent colonoscopy, I was somewhat surprised when my doctor told me that eating popcorn and peanuts wasn’t a bad thing as long as it was in moderation and with plenty of fiber. My wife couldn’t believe it, either. I sometimes eat “salted in the shell” peanuts, shell and all, and have had no diverticulitis reoccurrences. What is your opinion on eating popcorn and peanuts as I sometimes do?

DEAR READER: There are two schools of thought on this. One and the oldest is that individuals with diverticulosis/divertiulitis (having pouches in the colon wall/infection of the pouches) avoid all foods with small seeds such as raspberries, strawberries, tomatoes, popcorn, corn and nuts. The reasoning behind this is that these foods may not break down completely before hitting the intestine and, thus, become lodged in the diverticula (pouches), which might lead to inflammation and infection.
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What is diverticulosis?

DEAR DR. GOTT: Several months ago, I was diagnosed with diverticulosis. Can you tell me the difference between diverticulosis and diverticulitis? Some days I do well with this problem, and other days are awful. I am trying to eat the right kinds of food, but still some days are bad. Do you have any suggestions on what foods are good for this problem?

DEAR READER: Diverticulosis occurs when small pouches in the lining of the large intestine bulge outward. Each pouch is called a diverticulum, while multiple pouches are known as diverticula. Most people with diverticulosis are symptom-free. Those with symptoms will have cramps and bloating of the lower abdomen. They may complain of constipation.
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Can diverticulitis strike again?

DEAR DR. GOTT: In November 2006, I was diagnosed with diverticular disease. In October 2009, I had surgery, and the diseased portion of my intestines was removed. Two abscesses were drained, one ovary was removed and a fistula was repaired. I’ve been pain free since.

My question is, could this happen again? I try to consume the recommended amount of fiber, and I drink plenty of water. Your thoughts, please.

DEAR READER: Diverticula are small sacs or pockets in one or more areas of the colon, more commonly in the sigmoid colon. People with diverticula present are diagnosed with diverticulosis. Should bacteria or waste get trapped in these pouches, inflammation and infection can result. When this occurs, the condition is then known as diverticulitis. [Read more...]

Daily Column

DEAR DR. GOTT:
I have been reading your column for a long time. I am very thankful for all the information you provide, including natural and home remedies. Every time I get the paper your column is the one I look forward to and then clip out, saving it for future reference or to help someone else. Thank you Doctor Gott for caring. Please keep up all the good work you do.

I want to share my own sickness with you in the hopes that my experience can help someone else. I have Celiac Sprue and went through years of not feeling well and seeing many doctors before I got any answers. I learned that it is an allergy to the gluten in grains such as wheat, rye, oats and barley. I love baked goods and bread and baking was a family activity. I had to stop and learn how to use new ingredients.

In my town there is a “Sprue Club”. [Read more...]

Daily Column

DEAR DR. GOTT:
Can you give me some advice about ulcerative colitis? I have had this condition for 25 years. I have seen several doctors and taken lots of medication over the years and had to quit my job because of it. My doctor insists it is caused by bacteria but I was wondering if it could be caused by allergies?

DEAR READER:
Ulcerative colitis (UC) is a disease of the colon (large intestine) and rectum. It causes ulcers (sores) in the intestinal lining and inflammation (swelling). The ulcers forms where the swelling has killed the lining cells causing bleeding and pus. The inflammation can also cause diarrhea.

Ulcerative colitis affects men and women equally. It can occur at any age but generally starts between ages 15 and 30, appears to run in families and is more common in Caucasians and those of Jewish descent.

Symptoms include bloody diarrhea, abdominal pain, [Read more...]

Sunday Column

DEAR DR. GOTT:
For about four years, I have been battling with what I consider chronic diverticulitis that was diagnosed by MRI. During one of the past four years I had a flare-up every nine weeks. I was put on antibiotics each time and was finally told to see a surgeon. This cycling made me think that surgery was not the answer (for me, at least) and I began looking into dietary supplements. I took Xango for over a year and it seemed to keep the diverticulitis in check for a while. Then I was back to flare-ups, antibiotics, and was again told to see a surgeon.

One day while chewing gum that contained an artificial sweetener, I felt mild GI distress. Later that day I drank some diet soda and again experienced the same distress. About that time the light went on. STOP the artificial sweeteners! I did and it’s been almost a year now without any flare-ups, complications or symptoms from my diverticulitis. What a blessing!

True diverticulitis is probably not caused (or affected) by artificial sweeteners, but it’s worth a try. By listening to my body I’ve been able to avoid surgery.

DEAR READER:
Diverticulitis can occur in individuals with diverticulosis. Diverticulosis is generally a harmless condition of the colon that causes small pouches to bulge outward in weakened areas. It is estimated that about 10% of adult Americans over 40 have diverticulosis. That number jumps to more than 50% in those over 60.
Diverticulitis occurs when some or all of the pouches become infected or inflamed. This condition is relatively uncommon affecting only about 10-25% of individuals with diverticulosis.

Because most people with diverticulosis do not have any symptoms, they go undiagnosed. Some may experience mild cramping, constipation and bloating. If you experience any of these symptoms, see your doctor to rule out other conditions such as irritable bowel syndrome, stomach ulcers and more.

Symptoms of diverticulitis include abdominal pain or tenderness (often on the lower left side). If the cause is infection, vomiting, cramping, constipation, chills, nausea and fever may be present. If inflammation is the cause, fever, chills and vomiting are generally not present. If you have these symptoms see your doctor immediately. He or she will most likely prescribe antibiotics, bed rest and pain medication for severe cases.

Your case is more complicated. To the best of my knowledge, diverticular disease is not caused by artificial sweeteners. However, you were positively diagnosed with diverticulosis by MRI. I believe that this may be an inconsequential finding in your situation. Antibiotics did not seem to help when you were having flare-ups every nine weeks.

In my opinion, you are one of the unfortunate individuals who experiences gastrointestinal upset and distress from artificial sweeteners and sugar alcohols. From your brief note and apparent remission of the condition with the cessation of non-sugar sweeteners, your symptoms were not caused by diverticulitis.

According to an article entitled “Artificial Sweeteners” (written by B. Kovacs, MS, RD and edited by W.C. Shiel, Jr., MD, FACP, FACR) all artificial sweeteners and sugar alcohols can cause gastrointestinal upset. While reading the article, it also became apparent to me that despite claims made by thousands of consumers, the FDA has failed to follow up these claims with more scientific research. Furthermore, most of the substances in the sweeteners are unhealthful and in some cases, known cancer-causing agents. The author goes on to say that since sweeteners are not necessary for bodily health, they only serve to please our sweet tooth.

For those who would like to read the article I mentioned I direct you to www.MedicineNet.com. This website is part of the WebMD network which is produced by more than 70 US board certified physicians. These physicians have also partnered with Webster’s to write the “Webster’s New World™ Medical Dictionary”.

I applaud your ability to find the cause of your symptoms and take responsibility for your own health. Most individuals do not have such profound symptoms and sweeteners, when used in moderation are considered to be safe. However, for those who do not wish to use them but don’t want to use sugar either, there are several options. Fructose is natural fruit sugar. It is as sweet as table sugar but is not detrimental to diets. Over-ripe fruit and dried fruits are abundant in fructose. Try making a “syrup” by blending hot water, dried figs, dates and/or raisins to pour over hot cereal, French toast or other items. It provides all the sweetness of sugar without the guilt!

To give you related information, I am sending you copies of my Health Reports “Diverticular Disease” and “Constipation and Diarrhea”. Other readers w ho would like a copy should send a self-addressed, stamped number 10 envelope and $2 (per report) to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title(s).

Is diverticulitis info outdated?

DEAR DR. GOTT: I am a relatively healthy 48-year-old nurse with no history, no meds and no allergies. I developed severe abdominal pain and was diagnosed with diverticulitis. I knew immediately, as I have been preaching to my patients, that nuts, seeds, corn and popcorn were out of my diet which my gastroenterologist confirmed. Although I am not a big nut and seed fan, I do like corn and popcorn.

After my diagnosis, I went online to learn as much as I could about this condition. After reviewing several websites, such as the Mayo Clinic and “WebMD”, I began to notice a trend in their recommendations about diet. The majority of them ended with similar statements. “Your doctor may recommend no nuts, seeds or corn, but there has been no evidence to suggest that these foods actually contribute to this condition.”
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