Which combination of dietary changes is typically recommended for prevention of future diverticulitis episodes?

• A. High fiber, increased fluids, and regular exercise
• B. Low fiber, high dairy, and rest
• C. High fat, low fiber, and no exercise
• D. High sodium, low fluids, and bed rest

Answer: (A)

Preventing future diverticulitis episodes hinges on keeping stool soft, bulky, and moving through the colon with less strain. A high-fiber diet adds bulk to stool and speeds its passage, which lowers the pressure inside the colon that can contribute to diverticula becoming inflamed. Adequate fluids are essential so fiber can work effectively and stools don’t become dry or hard. Regular exercise supports overall bowel motility and helps reduce transit time, further decreasing colonic pressure. Together, these lifestyle changes promote regular, easier bowel movements and reduce the likelihood of flare-ups. In practice, gradually increasing fiber intake with fruits, vegetables, and whole grains, staying well hydrated, and engaging in consistent physical activity are the key steps for prevention. (Note: dietary changes during an acute diverticulitis episode differ, but for prevention between episodes, this approach is recommended.)