10 Tips on Dietary Fiber

1. Keep in mind that a high-fiber diet may tend to improve:
   • Chronic constipation
   • Coronary heart disease
   • Hemorrhoids
   • Diabetes mellitus
   • Diverticular disease
   • Elevated cholesterol
   • Irritable bowel syndrome
   • Colorectal cancer
2. Try to double your daily fiber intake.
   • Average American intake: 10-15 grams per day
   • Recommended intake: 20-35 grams per day
3. Understand what fiber is, where it comes from:
   • Insoluble fiber
     • Cereals
     • Wheat/wheat bran
     • Whole grains
   • Soluble fiber
     • Brans
     • Fruit
     • Oatmeal/oat bran
     • Psyllium
     • Vegetables
4. Substitute high-fiber foods for high-fat and low-fiber foods.
5. Keep your daily fiber intake stable. Consider a fiber supplement if you:
   • Travel
   • Eat away from home often
   • Find it difficult to get enough fiber through food choices alone
6. Don’t shock your system: Increase fiber levels in your diet gradually.
7. Always increase fluids (water, soup, broth, juices) when you increase fiber.
8. Add both soluble and insoluble fiber, from a variety of sources.
9. Compare fiber content of foods:
   

   Grams of Fiber
   Bowl of thick vegetable (minestrone) soup	1

10. Choose foods high in fiber content.
    

    Fruits and Vegetables Highest in Fiber Per Serving
    Fruits Artichokes Apples, pears (with skin) Berries (blackberries, blueberries, raspberries) Dates Figs Prunes	Vegetables Beans (baked, black, lima, pinto) Broccoli Chick-peas Lentils Parsnips Peas Pumpkin Rutabaga Squash (winter)

    Other Good Fiber Choices

Eating high-fiber foods is a healthy choice for most people. If you have ever received medical treatment for a digestive problem, however, it is very important that you check with your doctor to find out if a high-fiber diet is the right choice for you.

What is the appropriate diet for a person recovering from a mild attack of diverticulitis?

Answer

Diverticulitis occurs when small, bulging pouches (diverticula) in your digestive tract become infected and inflamed — causing severe abdominal pain, fever and nausea. Treatment of diverticulitis depends on the severity of your symptoms and whether this is your first attack. Mild cases of diverticulitis can be treated with changes in diet, rest and antibiotics. Severe cases may eventually require surgery to remove the diseased portion of your colon.

During a mild attack of diverticulitis, your doctor may recommend a clear liquid diet or a low-fiber diet. This helps the area of infection to heal.

Foods allowed on a clear-liquid diet include:

• Plain water
• Fruit juices without pulp
• Broth (bouillon or consumme)
• Gelatin
• Popsicles without bits of fruit or fruit pulp
• Tea or coffee without cream

Foods allowed on a low-fiber diet include:

• Enriched white bread
• White rice or plain pasta, noodles or macaroni
• Low-fiber cereals
• Most raw, canned or cooked fruits without skins, seeds or membranes
• Fruit juice with little or no pulp
• Canned or well-cooked vegetables without seeds, hulls or skins
• Tender meat, poultry and fish
• Eggs
• Smooth peanut butter
• Milk, yogurt or cheese without seeds or nuts
• Desserts without seeds or nuts

Once your symptoms improve — often within a few days — you can gradually increase the amount of fiber in your diet. Start by adding about 5 to 15 grams of fiber a day to allow your digestive system to adjust to the higher fiber intake.

To prevent attacks of diverticulitis:

• Eat more fiber. High-fiber foods, such as fresh fruits and vegetables and whole grains, soften waste and help it pass more quickly through your colon. This reduces pressure within your digestive tract. Aim for 25 to 30 grams of fiber a day. If you have a difficult time consuming this much fiber every day, consider using a fiber supplement, such as psyllium (Metamucil, Nature’s Way) or methylcellulose (Citrucel).
• Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. But if you don’t drink enough liquid to replace what is absorbed, fiber can be constipating.
• Exercise regularly. Exercise promotes normal bowel function and reduces pressure inside your colon, decreasing your chances of forming diverticula.

BALTIMORE — A painful condition of the bowel can create small pouches that become inflamed — but some people have them without problems. Diverticulitis is the condition in which the small pouches occur, and when they become inflamed, you’ll know it, reported WBAL-TV in Baltimore. Dr. Jonathan Schreiber, a gastroenterologist at Baltimore’s Mercy Medical Center, said people who have the condition should avoid certain foods, including seeds or nuts.   “(Some of the) hard things we eat that aren’t completely digestible,” he said. “When they get to that area (of the digestive system), and get wedged into a little pocket, that leads to infection and diverticulitis.” The symptoms include pain, often accompanied by fever, a change in bowel patterns and, sometimes, rectal bleeding. “For someone with diverticulitis, blackberries are bad. So are peanuts, all nuts, popcorn — they all fit in the same category,” Schreiber said. But to avoid getting diverticulitis, Schreiber suggested a high-fiber diet with a lot of fruits, vegetables and whole-grain products. Treatment includes a change in diet and antibiotics, and if it’s severe, diverticulitis could include hospitalization and perhaps surgery.   Additional Resources: NIH: Diverticulosis and Diverticulitis

MayoClinic.com: Diverticulitis Overview