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Diverticulitis diet: Should I avoid nuts and seeds?
By Mayo Clinic staffOriginal Article: http://www.mayoclinic.com/health/diverticulitis-diet/AN01255

- With Mayo Clinic gastroenterologist
Michael F. Picco, M.D.
read biographyclose windowBiography of
Michael F. Picco, M.D.
Michael F. Picco, M.D.
Dr. Michael Picco has been with Mayo Clinic since 1999. He is board certified in internal medicine and gastroenterology. Dr. Picco is an assistant professor of medicine at College of Medicine, Mayo Clinic, and a consultant in gastroenterology at Mayo Clinic in Florida.
He has authored numerous publications in the area of gastroenterology, including original research, editorials and textbook chapters. He works with a team of gastroenterologists that takes care of complex gastrointestinal conditions and has a particular interest in diarrheal illnesses and inflammatory bowel diseases (ulcerative colitis and Crohn's disease). He is also active in medical education in training new gastroenterologist and internists.
"Mayo Clinic's website is an invaluable resource for patients and their families," Dr. Picco said. "Informed patients are better able to participate in their own health care. A patient's participation is vital to the treatment of his or her disease. I hope to assist in helping patients understand their digestive problems and current treatments that are offered. This will allow for better communication between patients, their physicians and other health care professionals."
Dr. Picco serves as a reviewer of new research for several medical journals in the area of gastroenterology and is an active member of the American Gastroenterological Association, American College of Gastroenterology and the Crohn's & Colitis Foundation of America. He serves on numerous committees that address physician training, research and clinical practice in gastroenterology, both at Mayo Clinic and at the national level.
"Patients need to know about their disease, what to expect, the latest treatments and side effects so that they can make informed decisions about their health care. Gastrointestinal disease affects not only patients but also their families. My goal is to assure that our website provides accurate, reliable information and resources for patients. We must always provide the latest, most cutting-edge information to assist patients in dealing with their medical problems," Dr. Picco said.
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Question
Diverticulitis diet: Should I avoid nuts and seeds?
Can people with diverticulitis eat nuts and seeds? I've heard conflicting advice.
Answer
from Michael F. Picco, M.D.
In the past, many doctors recommended that people with diverticulosis avoid seeds and nuts, including foods with small seeds, such as tomatoes, cucumbers and strawberries. It was thought that these tiny particles could lodge in the diverticula and cause inflammation (diverticulitis). But there is no scientific evidence that seeds and nuts cause diverticulitis flares. In fact, eating a high-fiber diet — which may include nuts and seeds — may reduce the risk of diverticular disease.
However, if you have diverticulitis and you believe that nuts and seeds trigger your attacks, avoid these foods. Just make sure you get enough fiber from other dietary sources.
Next questionPolymyositis: Can a gluten-free diet reduce symptoms?
- Diverticulosis and diverticulitis. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/. Accessed Dec. 3, 2009.


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