Launching January 2027

Diverticulitis

Diverticulitis At A Glance

  • Diverticulitis occurs when one or more small pouches in the wall of the colon, called diverticula, become inflamed or infected.
  • The most common symptom is pain in the lower left side of the abdomen, often with tenderness, fever, nausea, constipation, or diarrhea.
  • Diverticulitis is different from diverticulosis, which means diverticula are present without inflammation or infection.
  • A CT scan of the abdomen and pelvis is commonly used to confirm the diagnosis and check for complications.
  • Mild cases may be treated with temporary dietary changes, pain management, and sometimes antibiotics, while more severe cases may require hospitalization or procedures.
  • Most people recover well, but severe diverticulitis can cause complications such as an abscess, perforation, bowel blockage, or infection in the abdomen.

Table of Contents

Table of Contents

What Is Diverticulitis?

Diverticulitis is a condition that occurs when small pouches that develop in the wall of the colon (large intestine), called diverticula, become inflamed or infected. Many people have diverticula without any symptoms, a condition known as diverticulosis. Diverticulitis develops when one or more of these pouches become irritated, inflamed, or infected, causing symptoms that may range from mild to severe.

Most people recover with rest, dietary changes, and medications when needed. However, severe cases can lead to complications such as abscesses, perforation (a hole in the colon), bowel blockage, or infection within the abdomen. Early diagnosis and treatment can help reduce the risk of these complications.

Learn More

Diverticulosis and Diverticulitis – NIH MedlinePlus
https://medlineplus.gov/diverticulosisanddiverticulitis.html

Provides easy-to-understand information about diverticulosis and diverticulitis, including symptoms, diagnosis, treatment, and prevention.

Diverticular Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Explains diverticulosis, diverticulitis, common symptoms, causes, and treatment options.

How Common Is Diverticulitis?

Diverticular disease becomes more common with age. Many adults over the age of 60 have diverticula, although most never develop symptoms. Only a portion of people with diverticulosis will develop diverticulitis during their lifetime.

Learn More

Diverticular Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Provides information about how common diverticular disease is and who is most likely to develop it.

What Symptoms Might You Notice?

Symptoms of diverticulitis often begin suddenly and can range from mild to severe.

Common symptoms may include:

  • Pain in the lower left side of the abdomen
  • Abdominal tenderness
  • Fever
  • Chills
  • Nausea or vomiting
  • Constipation
  • Diarrhea
  • Bloating
  • Loss of appetite

How Is Diverticulitis Diagnosed?

Your healthcare provider will ask about your symptoms, review your medical history, and perform a physical examination. Because other conditions can cause similar symptoms, additional testing is often needed to confirm the diagnosis.

A CT scan of the abdomen and pelvis is the most common imaging test used to diagnose diverticulitis and look for complications.

Learn More

Diverticular Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Explains how diverticulitis is diagnosed and what tests your healthcare provider may recommend.

Diverticulitis infographic – click to enlarge

What Causes Diverticulitis?

Healthcare providers do not know the exact cause of diverticulitis. It is believed to develop when one or more diverticula become inflamed or infected. Several factors may increase the risk of developing diverticulitis.

Common risk factors include:

  • Increasing age
  • Low-fiber diet
  • Obesity
  • Physical inactivity
  • Smoking
  • Family history
  • Certain medications, including some NSAIDs and steroids
  • Previous episodes of diverticulitis

Learn More

Diverticular Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Learn about the causes and risk factors associated with diverticular disease.

What Can Make Diverticulitis Worse?

Several factors may increase the risk of a diverticulitis flare-up or worsen symptoms.

Common factors include:

  • Low-fiber diet
  • Dehydration
  • Physical inactivity
  • Smoking
  • Obesity
  • Delaying treatment
  • Not completing prescribed antibiotics when indicated

Learn More

Diverticulitis – Cleveland Clinic
https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

Provides practical information about diverticulitis, treatment, and reducing the risk of future flare-ups.

Prevention

Although diverticulitis cannot always be prevented, healthy lifestyle habits may reduce your risk of future flare-ups.

Helpful prevention tips include:

  • Eat a high-fiber diet if recommended by your healthcare provider.
  • Drink plenty of water.
  • Stay physically active.
  • Maintain a healthy weight.
  • Avoid smoking.
  • Limit unnecessary use of NSAID medications unless directed by your healthcare provider.
  • Keep regular healthcare appointments.

Learn More

Eating, Diet, & Nutrition for Diverticular Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease/eating-diet-nutrition

Provides practical recommendations for reducing the risk of future diverticulitis episodes.

Labs

Laboratory tests help evaluate for infection, inflammation, and possible complications.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Looks for signs of infection.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, and electrolytes.
  • C-Reactive Protein (CRP): Measures inflammation.
  • Urinalysis: Helps rule out urinary tract conditions that may cause similar symptoms.

Learn More

Complete Blood Count (CBC) – NIH MedlinePlus
https://medlineplus.gov/lab-tests/complete-blood-count-cbc/

Explains what a CBC measures and why it may be ordered.

Diagnostics

Imaging studies help confirm diverticulitis and identify possible complications.

Common diagnostic tests include:

  • CT Scan of the Abdomen and Pelvis: The preferred test for diagnosing diverticulitis.
  • Abdominal Ultrasound: May be used in selected situations.
  • MRI: Sometimes used when CT is not appropriate.
  • Colonoscopy: Usually performed several weeks after recovery to evaluate the colon and rule out other conditions. It is generally not performed during an active flare due to an increased risk of complications.

Learn More

Diverticular Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Learn how imaging studies and colonoscopy are used to evaluate diverticular disease.

Treatment & Management

Treatment Options

Treatment depends on how severe your diverticulitis is and whether complications are present. Mild cases may be treated at home, while more severe cases may require hospitalization.

Treatment options may include:

  • Temporary dietary changes
  • Antibiotics for selected patients
  • Pain management
  • Intravenous (IV) fluids
  • Hospitalization
  • Drainage of an abscess
  • Surgery for severe or recurrent disease

Learn More

Diverticular Disease Treatment – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Provides information about treatment options for diverticulitis and when surgery may be needed.

Lifestyle Changes

Healthy lifestyle habits may help lower your risk of future diverticulitis episodes and improve your digestive health.

Helpful lifestyle changes include:

  • Eat a high-fiber diet after you have recovered, if recommended by your healthcare provider.
  • Drink plenty of water.
  • Stay physically active.
  • Maintain a healthy weight.
  • Avoid smoking.
  • Follow your healthcare provider’s dietary recommendations during and after a flare-up.
  • Take medications exactly as prescribed.
  • Keep regular healthcare appointments.

Learn More

Eating, Diet, & Nutrition for Diverticular Disease – NIDDK
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease/eating-diet-nutrition

Provides nutrition recommendations for diverticular disease, including healthy eating after recovery.

Medications

Medications may be recommended depending on the severity of your symptoms and whether an infection is present.

Common medications may include:

  • Acetaminophen: Often recommended for pain relief.
  • Antibiotics: May be prescribed for certain uncomplicated cases and are commonly used for complicated diverticulitis.
  • Antiemetics: Help reduce nausea and vomiting if needed.
  • Stool Softeners or Fiber Supplements: May be recommended after recovery, depending on your healthcare provider’s advice.

Learn More

Diverticulitis – Cleveland Clinic
https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

Provides patient-friendly information about medications and treatment options for diverticulitis.

Procedures

Most people with diverticulitis recover without surgery. However, if symptoms are severe or complications develop, your healthcare provider may recommend a procedure or surgery.

Common procedures may include:

  • Percutaneous Abscess Drainage: A radiologist places a small drain through the skin to remove an infected collection of fluid (abscess).
  • Colon Resection (Colectomy): Removes the damaged portion of the colon and reconnects the healthy sections. This may be recommended for recurrent or complicated diverticulitis.
  • Temporary Colostomy: In severe cases, part of the colon may need to heal before it can be reconnected. A temporary colostomy may be necessary until a second surgery can be performed.
  • Colonoscopy: Often recommended about 6–8 weeks after recovery from an episode of diverticulitis to evaluate the colon and rule out other conditions.

Learn More

Diverticular Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Learn about procedures and surgical treatment options for diverticulitis.

What Should You Expect Long-Term?

Many people recover completely from diverticulitis, especially when it is treated early. Some people experience only one episode, while others may have recurrent flare-ups.

Following your treatment plan, eating a healthy diet, staying active, and attending regular healthcare appointments can help reduce your risk of future episodes and complications.

What Can You Do At Home?

Following your healthcare provider’s recommendations at home can help you recover and reduce your risk of future flare-ups.

Helpful tips include:

  • Follow your recommended diet during recovery.
  • Gradually return to a high-fiber diet if recommended.
  • Drink plenty of water.
  • Stay physically active.
  • Take medications exactly as prescribed.
  • Complete all antibiotics if prescribed.
  • Avoid smoking.
  • Keep all follow-up appointments.

Learn More

Eating, Diet, & Nutrition for Diverticular Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease/eating-diet-nutrition

Provides practical nutrition recommendations to help reduce future diverticulitis flare-ups.

Frequently Asked Questions

What is the difference between diverticulosis and diverticulitis?

Diverticulosis means you have small pouches (diverticula) in your colon that usually do not cause symptoms. Diverticulitis occurs when one or more of those pouches become inflamed or infected.

Can diverticulitis come back?

Yes. Some people experience recurrent episodes, while others never have another flare-up.

Can I eat nuts, seeds, or popcorn?

Current research suggests that most people with diverticulosis or diverticulitis

do not need to avoid

nuts, seeds, or popcorn. Your healthcare provider can recommend the best diet for your individual situation.

Will I need surgery?

Most people do not need surgery. Surgery is usually reserved for severe, recurrent, or complicated cases.

How can I lower my risk of another flare-up?

Eating a high-fiber diet, drinking plenty of water, staying physically active, maintaining a healthy weight, and avoiding smoking may help reduce your risk.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • How severe is my diverticulitis?
  • Do I need antibiotics?
  • What foods should I eat while I recover?
  • When can I return to my normal diet?
  • Should I have a colonoscopy after I recover?
  • What signs should prompt me to seek emergency care?

When should I schedule a follow-up appointment?

Specialist Referrals

Many people with diverticulitis receive care from their primary care provider. Depending on the severity of your condition, your provider may recommend seeing a specialist.

You may be referred to:

  • Gastroenterologist: Specializes in diseases of the digestive system.
  • General Surgeon or Colorectal Surgeon: Evaluates patients with recurrent or complicated diverticulitis who may benefit from surgery.
  • Registered Dietitian: Helps develop a nutrition plan to improve digestive health and reduce the risk of future flare-ups.

Learn More

American College of Gastroenterology – Patient Resources
https://gi.org/patients/

Provides reliable patient education about diverticular disease and other digestive conditions.

Is Diverticulitis Curable?

Many episodes of diverticulitis resolve completely with treatment. However, diverticulosis (the small pouches in the colon) usually remains, which means diverticulitis can occur again in the future.

Healthy lifestyle habits, including eating enough fiber, staying physically active, maintaining a healthy weight, and avoiding smoking, may help lower the risk of future flare-ups.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Severe or worsening abdominal pain
  • A rigid or hard abdomen
  • High fever with severe abdominal pain
  • Persistent vomiting
  • Bloody stools
  • Dizziness or fainting
  • Difficulty staying awake
  • Signs of severe infection, such as confusion or rapid breathing

Seek prompt medical care if you notice:

  • Increasing abdominal pain
  • Fever that does not improve
  • Inability to eat or drink
  • Symptoms that worsen despite treatment

Learn More

Diverticulitis – NIH MedlinePlus
https://medlineplus.gov/diverticulosisanddiverticulitis.html

Learn the warning signs of diverticulitis complications and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Diverticulosis and Diverticulitis – NIH MedlinePlus
https://medlineplus.gov/diverticulosisanddiverticulitis.html

Easy-to-understand information about diverticular disease, including symptoms, diagnosis, treatment, and prevention.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) – Diverticular Disease
https://www.niddk.nih.gov/health-information/digestive-diseases/diverticular-disease

Comprehensive information about diverticulosis, diverticulitis, treatment options, nutrition, and long-term management.

American College of Gastroenterology – Patient Resources
https://gi.org/patients/

Evidence-based patient education about diverticular disease and other digestive conditions.

Cleveland Clinic – Diverticulitis
https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

Reliable patient education about symptoms, treatment, recovery, and prevention.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, return after treatment, or you have concerns about your recovery. Call 911 immediately if you experience severe abdominal pain, persistent vomiting, bloody stools, signs of severe infection, or another medical emergency.

Get personalized care for Diverticulitis

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.