Is There A Cure For Uncomplicated Pancolonic Diverticular Disease?
I asked Google AI this question and received this answer.
There is no definitive cure for uncomplicated pancolonic diverticular disease, as the structural pouches (diverticula) in the colon are permanent. However, the condition is highly manageable. The primary goal is symptom control and preventing flare-ups using diet and lifestyle modifications.
Management & Control Strategies
Once diverticular disease is present, the condition is managed conservatively rather than cured:
High-Fiber Diet: Consuming whole grains, fruits, and vegetables helps maintain regular bowel movements and reduces pressure on the colon.
Lifestyle Adjustments: Regular exercise, adequate hydration, and weight management are highly recommended to reduce the risk of the condition progressing.
No Food Restrictions: Contrary to outdated advice, you do not need to avoid nuts, seeds, popcorn, or fruit skins, as they do not increase the risk of complications.
Managing Flare-ups (Diverticulitis)
If uncomplicated diverticular disease flares up into uncomplicated diverticulitis, it is typically treated with:
Conservative Rest: For mild, uncomplicated flare-ups, symptoms often resolve on their own with a temporary liquid or low-residue diet and bowel rest.
Medication: Healthcare providers may prescribe oral antibiotics and pain relievers if needed.
Outpatient Care: Most uncomplicated episodes can be safely treated at home without the need for hospital admission.
I then asked Google AI, this supplementary question.
I Am coeliac. Is That A Hindrance Or A Help?
I received this answer.
Having coeliac disease is both a structural help and a practical hindrance when managing pancolonic diverticular disease.
While your mandatory gluten-free diet naturally protects your colon from a major source of gut irritation, it simultaneously makes getting the required amount of daily fibre significantly more challenging.
How Coeliac Disease Helps (The Benefits)
Reduced Inflammatory Load: Because you maintain a strict gluten-free diet to protect your small intestine, you are already avoiding the widespread gut inflammation, severe bloating, and irregular bowel habits that gluten triggers in coeliac patients.
This lack of abdominal bloating lowers the internal “pressure cooker” effect inside your colon, reducing the risk of your diverticular pouches becoming irritated.
The “Healthy Diet” Trap Avoided: Many individuals without coeliac disease are told to aggressively load up on wholewheat bread, bran cereals, and standard pasta to treat diverticulosis. If they have an underlying, undiagnosed gluten sensitivity, this advice backfires terribly, causing massive gas and straining. Your coeliac status safely keeps you far away from this trap.
How Coeliac Disease Hinders (The Challenges)The Fibre Deficit: The primary medical recommendation for pancolonic diverticular disease is a high-fibre diet.
Unfortunately, mainstream high-fibre staples in the UK are typically wheat-based. Standard gluten-free replacement products (like gluten-free breads or white flour blends) are notoriously low in fibre, often relying heavily on refined starches.
Symptom Confusion:
Coeliac accidental cross-contamination and diverticular flare-ups share highly overlapping symptoms, including severe abdominal cramps, bloating, and altered bowel habits. This can make it difficult to determine whether a sudden bout of gastric pain is an autoimmune reaction in your small intestine or a flare-up in your colon.
Balancing Both Conditions Successfully
To ensure your coeliac disease does not hinder your diverticular health, focus your diet entirely on naturally gluten-free, high-fibre foods rather than processed gluten-free substitutes.
One of my favourite foods, is to eat a whole punnet of Dyson’s year-round strawberries with a small pot of Marks and Spencer’s luxury heather honey and ginger logurt, around tea-time.
I asked Google AI a supplementary question, if this was good practice
I received this answer.
Eating a whole punnet of Dyson’s strawberries with a pot of M&S Heather Honey and Ginger yoghurt is a highly effective, delicious practice for your conditions, but with one important nutritional caveat regarding the sugar and fat content in that specific luxury yoghurt.
The Good: Why Your Timing and Ingredients Alignment is Excellent
The Perfect Tea-Time Window: Eating a heavy dose of fibre at tea-time (late afternoon) is excellent practice.
It ensures your digestive system stays active and hydrated into the evening, preventing nighttime constipation and reducing bowel pressure while you sleep.
Naturally Gluten-Free: Both components of this snack are 100% naturally gluten-free. Checking the official ingredients, the M&S Collection Heather Honey and Ginger Yogurt uses cornflour as its thickener rather than wheat starch, making it perfectly safe for your coeliac disease.
The Anti-Inflammatory Ginger Boost: Real diced and ground ginger in the yoghurt acts as a natural prokinetic (speeding up gastric emptying) and has mild anti-inflammatory properties, which can soothe a sensitive, diverticula-prone colon.
Hydration and Stool Bulk: A full Dyson Farming punnet (typically 250g to 400g) packs massive fluid volume and 5 to 8 grams of stool-softening dietary fibre, ticking a massive box for your pancolonic management.
The Caveat: The “Luxury” Trade-off
While the strawberries are an absolute nutritional green light, the M&S Luxury Collection yoghurt is explicitly designed as an indulgent treat rather than a health food.
High Added Sugars: This specific yoghurt contains added refined white sugar and muscovado sugar on top of the natural heather honey, resulting in roughly 14.8g of sugar per 100g. High sugar loads can occasionally ferment rapidly in the lower bowel, triggering gas and bloating that stretches the diverticular pouches.
High Saturated Fat: Made with 15% Devonshire whipping cream, a single 150g pot delivers a substantial dose of saturated fat. While this does not harm your coeliac disease, an overly rich tea-time snack can slow down stomach emptying for some individuals.
The Verdict & How to Optimise It
It is perfectly fine to keep enjoying this exact combination if it is currently making your gut feel great! Your personal symptom response is always the best guide.
However, if you want to make it an elite, everyday “best practice” for your long-term health, consider this simple tweak: use half the pot of the luxury M&S yoghurt mixed with an equal amount of plain, unsweetened Greek yoghurt.
This retains the live cultures, the fiery ginger punch, and the luxury honey flavour while cutting the sugar and saturated fat in half.
Would you like some recommendations for other gut-friendly, naturally gluten-free ways to sweeten plain probiotic yoghurt, or would you like to explore other high-fibre tea-time snacks?
I probably have the snack, three times a week.
Could Tennis Help The Symptoms Of Uncomplicated Pancolonic Diverticulitis?
When I used to play real tennis a very regularly, I didn’t seem to get the angry gut, I have now.
I asked Google AI, the question in the title of this post and received this answer.
Yes, playing tennis can help manage the symptoms of uncomplicated pancolonic diverticulitis as part of an active lifestyle, though it is best suited for the prevention of flare-ups rather than treatment during an active attack.
Regular, moderate-to-vigorous exercise like tennis has been shown to significantly reduce the risk of developing diverticulitis.
How Tennis Helps DiverticulitisReduces Risk of Attacks:
Studies show that vigorous activity, such as tennis, can reduce the risk of developing diverticulitis by up to 27%), as mentioned in research published in the Journal of Gastrointestinal and Liver Diseases.
Improves Bowel Function: Regular exercise helps keep bowels moving, which helps prevent constipation—a major contributing factor to diverticular pain.
Reduces Inflammation: Regular, moderate-intensity physical activity (which can include tennis) has an anti-inflammatory effect on the body.
Weight Management: Exercise helps manage weight, reducing obesity, which is a major risk factor for complicated diverticular disease.
My exercise levels have certainly dropped since I had the stroke and moved to London.
Could Horseriding Help The Symptoms Of Uncomplicated Pancolonic Diverticulitis?
When I used to ride horses a small amount, I didn’t seem to get the angry gut, I have now.
I asked Google AI, the question in the title of this post and received this answer.
While there is no direct scientific evidence regarding horseriding specifically, general physical activity and exercise are strongly recommended for managing and preventing the symptoms of uncomplicated diverticulitis.
Regular exercise helps to increase bowel motility (movement), which can help reduce the pressure within the colon that contributes to diverticular symptoms.
Here is how physical activity, including potentially activities like horseriding, can play a role in managing this condition:
Benefits of Regular Exercise on Diverticular Symptoms
Reduced Risk: Studies show that regular, vigorous activity can decrease the risk of developing diverticulitis.
Improved Digestion: Exercise encourages regular bowel movements, preventing the constipation that often exacerbates diverticular pain.
Weight Management: Maintaining a healthy weight reduces pressure on the colon, which is beneficial for managing diverticular disease.
Important Considerations for Horseriding
Gentle Movement vs. Jarring: While light-to-moderate, regular activity is beneficial, you should ensure that the activity does not cause sharp pain or excessive stress on the abdominal area, especially if you have had recent symptoms.
Individual Tolerance: The key is to engage in regular exercise that you enjoy and that your body tolerates well.
When to Avoid Exercise
If you are experiencing an acute flare-up of diverticulitis (fever, severe abdominal pain), you should avoid strenuous exercise, rest, and follow your doctor’s advice, which often involves a liquid or low-fiber diet.
Could Uncomplicated Pancolonic Diverticulitis Cause The Constant Pain In My Hip Joints?
It’s not chronic pain, but I must have had it for at least forty years.
So what does Google AI make of my question?
It gave me this answer.
Yes, it is possible for uncomplicated pancolonic diverticulitis (inflammation throughout the entire colon) to cause constant pain in your hip joints.
While diverticulitis is primarily a gastrointestinal issue, it can cause referred pain to the hips and legs or trigger systemic inflammation that affects joints.
Here is how your condition might be linked to your hip pain:
1. Referred Pain (Nerve Pathway Irritation)
The inflammation from a diverticulitis flare-up can irritate nearby nerves that connect to the hip, thigh, or groin area.
Location: While classic diverticulitis causes left-side abdominal pain, a severe or widespread (pancolonic) flare can cause “referred pain” in the lower back, hip, and thigh.
Constant nature: If the underlying inflammation remains active, this pain can feel constant rather than intermittent.
2. Systemic Inflammation and “Diverticulitis-Associated Arthritis”
Rarely, active diverticulitis can trigger a form of inflammatory arthritis, acting as an extra-intestinal manifestation of the disease.
Migrating Pain: This can cause joint pain and stiffness in larger joints, including the hips, knees, and ankles.
Connection: As the gut inflammation resolves with proper care (antibiotics/diet), the joint pain often improves.
3. Anatomical Proximity
The colon sits in close proximity to the musculoskeletal structures of the pelvis, including the iliopsoas muscles (hip flexors).Inflammation in the colon can cause swelling that affects these muscles, leading to pain in the hip region, particularly with movement.
That looks like a possibility to me!
But it needs more investigation.
Eating To Raise My Vitamin B12
Is My B12 Level Low?
Consider.
- The Weather Isn’t B12-Friendly As I found Out In Does Miserable Weather Deplete Your B12?
- My brain seems to hoover up any B12 it can find for its own purposes.
- I am getting signs in my body like red feet, pine-and-needles, which Google AI tells me could be low be a sign of B12.
I am not surprised my B12 is low.
B12 Rich Foods
Typing “B12 Rich Foods” into Google AI gave me this.
Vitamin B12-rich foods are primarily animal-based, with clams and beef liver offering the highest concentrations. Other excellent sources include fish (salmon, trout, tuna, sardines), red meat, eggs, dairy products (milk, yogurt, cheese), and poultry. Vegetarians and vegans can find B12 in fortified foods like nutritional yeast, plant milks, and breakfast cereals.
I’ll now go through each food in order.
- Clams – Never tried them, but I’m not a great lover of shellfish! – My biggest client did poison himself on oysters in the City.
- Beef Liver – Love it!
- Fish (Salmon, Trout, Tuna, Sardines) – No Problem!
- Red Meat, Eggs – No Problem!
- Dairy Products (Milk, Yogurt, Cheese) – No Problem! – I’ve only eaten yoghurt in the last few years.
- Poultry – No Problem!
I think I can increase my B12 intake with foods I like.
I often eat two small pots of yoghurt a day, with the second with a punnet of strawberries.
Smoked Salmon Also Seemsw Good For My Diverticular Disease.
I’ve just got to watch what I eat!
But I have Seen Worse Diets
Is Smoked Salmon Good For Uncomplicated Pancolonic Diverticular Disease?
For lunch today, I made myself a sandwich with a 100 gram pack of Mark’s and Spencer’s smoked salmon.
Out of curiosity, I asked Google AI. “Is there any B12 in smoked salmon” and received this reply.
Yes, smoked salmon is an excellent source of vitamin B12. A 100-gram (3.5-ounce) serving provides over 100% of the daily recommended value, with some studies showing as much as 136% (roughly 3.3µg) of the daily intake. It is considered a rich source of B12 along with other nutrients like omega-3 fatty acids, protein, and vitamin D.
Key details regarding B12 in smoked salmon include:
High Concentration: A 3-ounce serving provides approximately 2.8 micrograms of vitamin B12.
Daily Needs: Consuming 100g of smoked salmon can fulfill 136% of the daily requirement for vitamin B12.
It looks like a pack of smoked salmon can provide my daily needs of B12.
I followed up, by asking Google AI, the question in the title of this post.
This was the answer that I received.
Smoked salmon can be a suitable protein choice for managing uncomplicated diverticular disease, particularly during periods when a low-fiber or moderate-fiber diet is recommended to manage symptoms. It is generally considered a lean, high-quality protein source.
However, the suitability of smoked salmon depends on the status of your condition:
During a Symptom-Free Period (General Diverticulosis):A healthy, balanced, high-fiber diet is recommended, and fish like salmon is a good choice.
During a Symptom Flare (Uncomplicated Diverticulitis):
A low-fiber, low-residue diet is typically recommended to allow the colon to rest.
Smoked salmon is generally acceptable as a soft, easy-to-digest protein source in this phase.
Important Considerations:
Smoked salmon is a processed meat (smoked/cured), and some guidelines advise limiting processed meats as they may contribute to inflammation,
or at least suggesting they should not be consumed frequently compared to fresh, white fish
Key Recommendations:
Include in a balanced diet:
It can be part of a healthy diet, for example, with low-FODMAP foods.
Watch for Sodium:
Smoked salmon can be high in salt, so moderate consumption is advised.
Focus on Lifestyle:Overall, a high-fiber diet (when not in a flare), plenty of water, and avoiding smoking are the best ways to manage diverticular disease.
It looks from this, that smoked salmon in moderation should be OK.
Are Sprouts Good For Uncomplicated Pancolonic Diverticular Disease?
I asked Google AI the question in the title of this post and got this answer.
Yes, sprouts are considered beneficial for managing uncomplicated pancolonic diverticular disease as part of a high-fiber diet. They are a good source of dietary fiber, which is recommended to help prevent constipation and reduce pressure in the colon, thereby lowering the risk of symptom flare-ups.
That sounds that they are.
This lunchtime, I seemed to avoid the dreaded fartrigen, despite eating a lot of brussels sprouts.
Can Toddlers Get Uncomplicated Pancolonic Diverticular Disease?
I am asking this question, as I do wonder, if I’ve had the disease for many years, as I don’t feel any different now, to how I felt at 18, 30 or 50.
In my first couple of years of life, I was also a bad bed-wetter.
My mother cured me of this, by putting me in a small bed next to her’s and then getting me out of bed every time I woke. In the end her persistence paid off.
Since I’ve been diagnosed with uncomplicated pancolonic diverticular disease, I am certainly drinking a lot of fluids and gooing to the toilet a lot.
Although thankfully, I am not wetting the bed.
But, I do always sleep close to a toilet.
So I asked Google AI the question in the title of this post and received this answer in the form of this peer-reviewed paper, which was entitled Congenital Cecal Diverticulitis In A Pediatric Patient.
This is the abstract.
Diverticulitis in the pediatric population is a very rare cause of abdominal pain. When present in the cecum or ascending colon, it is often incorrectly diagnosed preoperatively as acute appendicitis. This is especially true in Western countries where right-sided diverticulitis is less common. Here we detail a case of a pediatric patient with complicated congenital cecal diverticulitis and review the literature on pertinent management. An extensive work up with imaging and endoscopy was completed and definitive surgical treatment with diverticulectomy an appendectomy was performed. As the incidence of diverticular disease in younger individuals increases, right sided diverticulitis is worthy of consideration on the differential diagnosis.
Note.
- I don’t remember being in any pain, but I was less than three, as this happened before my sister was born, when I was only 21 months old.
- I remember picking my sister up from hospital in my father’s Y-Type MG.
- My eldest son had appendicitis diagnosed at ten, but they didn’t operate. So was it diverticulitis?
- He wasn’t X-rayed or scanned.
- Doctors always believed I had a disease, they couldn’t identify.
- When I was identified as a coeliac at 50, I thought that was the problem.
But then as my now-retired GP said. “Whatever, I’ve got, doesn’t seem serious!”
British Strawberries In December
I purchased these strawberries at Marks & Spenbcers on Moorgate this morning.
Note.
- The packaging doesn’t photograph well.
- They were grown by the Summer Berry Co. in West Sussex.
- They also claim to be hand-picked.
- The tray appears to be made of good old-fashioned recyclable card-board.
- They are also labelled Not for EU, although they are Class 1!
I’ve eaten them before and they’re certainly good enough for this strawberry addict.
This Google Map shows the location of their strawberry fields.
The farm is located just to the North of Selsey and Bognor Regis.
Are Strawberries Good For Uncomplicated Pancolonic Diverticular Disease?
As a sufferer of the disease, I have to ask Google AI, the question in this sub-title.
This is the answer I received.
Yes, strawberries are good and safe for people with uncomplicated pancolonic diverticular disease. Current medical evidence and guidelines indicate that there is no need to avoid small seeds found in fruits like strawberries, raspberries, or blueberries.
This is the rationale
In the past, it was a common belief that small food particles like seeds could get trapped in the diverticula (the small pouches in the colon wall), causing inflammation (diverticulitis). However, this theory has been debunked by recent research.
As I’ve always preferred strawberries to an elaborate dessert, even in my friend’s Michelin-starred restaurant, I wonder, if I’ve had uncomplicated pancolonic diverticular disease for many years.
The source of the answer was from Johns Hopkins University.
Does Uncomplicated Pancolonic Diverticular Disease Cause Erectile Dysfunction?
Over my forty years with C, I suffered from intermittent erectile dysfunction, but C generally knew how to cure it.
I do wonder if this was caused by having uncomplicated pancolonic diverticular disease during those generally happy years.
To check, I asked Google AI, the question in the title of this post and received this answer.
Yes, studies suggest that colonic diverticulosis (CD) is an independent risk factor for developing erectile dysfunction (ED). The association is likely related to shared underlying causes, such as chronic low-grade inflammation and vascular issues.
I can accept that!
As for about the first thirty years of our marriage, I was an undiagnosed coeliac, I feel I should ask if undiagnosed coeliac disease causes erectile dysfunction.
I received this answer.
Yes, undiagnosed celiac disease can cause erectile dysfunction (ED) due to the resulting malnutrition, hormonal imbalances, and inflammation. These issues can lead to sexual dysfunction, which may improve once the celiac disease is treated with a strict gluten-free diet.
That would certainly fit with my experience.
I do think, that if the link between undiagnosed coeliac disease is true, then in some cases testing of everybody for coeliac disease may avoid a degree of mental distress.
The Anonymous Widower 