Diverticulitis

Free 30-minute First Step Conversation with Russell Mariani

The purpose of this First Step Conversation is to give you the opportunity to describe your current symptoms and condition and any relevant health/medical history to Russell. He will then explain his approach to addressing and resolving your health challenge(s). You will leave this session more hopeful and more confident about solutions!

Liz's Story: Diverticulitis

  • In June, 2014 I had a total knee replacement. I had been suffering with osteoarthritis for approximately 2 years and because of the constant pain and the inability to walk properly I decided to have surgery.

    In the weeks after surgery I was not feeling like myself and was concerned that I was not recovering properly. I talked to my Doctor and complained about feeling tired, lethargic, lackluster, always wanting to sleep, no energy at all, and he said it was just the normal recovery process for me and was to be expected.

    I pleaded with him to give me a Vitamin B shot or something and to do a blood test to find out what was wrong with me. The Vitamin B shot made no difference and the blood test results were inconclusive. Supposedly, I was “fine” and so I thought, “maybe the doctor is right” and this is just the normal process of recovery and so I just kept pushing myself.

    Normal recovery time after knee replacement surgery was supposed to be 6-8 weeks but I forced myself to get back to work after 3 weeks. I took pain meds for 4 weeks following the procedure and just kept thinking, “oh well, this is what recovery feels like” but praying all the time that I would start to feel better. I also had the scary thought; “OMG, am I going to feel this way for the rest of my life?”

    Then, one day in August, I had severe abdominal pain and was hospitalized. Tests were done and I was diagnosed with diverticulitis. The GI Surgeon said that if it happens a second time I would need surgery. He said if I chose elective surgery than it could be done laparoscopically but if I came into the hospital in another acute emergency situation I would receive a temporary ostomy bag which could be reversed in 6 weeks. Yikes! What was happening with my body? Other than my bum knee everything else in my body was fine just a few months ago and now this? I figured out from all the medical talk that diverticulitis had something to do with my colon and therefore my digestive system and therefore my diet but one surgeon told me to eat a high fiber diet and another surgeon suggested a low fiber diet so I was upset, overwhelmed, tired, confused and very uncomfortable.

    It was suggested that I schedule myself for a colonoscopy in 4-6 weeks in order to rule out any other more serious digestive disorders. Well, we never made it to the colonoscopy. Less than 4 weeks later, I had a second attack of diverticulitis and this time it was much more painful than the first attack and I was in the hospital for four days. When I asked the surgeon why this was happening to me he said; “we don’t know” and then added “you are now a walking time bomb and we have to schedule you for surgery within the next four weeks.”

    I was released from the hospital with the same level of confusion and uncertainty as after the first attack. Can you believe I was released from the hospital and I never met with a dietician or anyone to counsel me on what to eat and what to avoid leading up to my surgery?

    I went back to work and discussed my situation with my CEO, a kind and thoughtful person. When he saw that I was eating a bagel with some juice he suggested that that was probably not the best diet under the circumstances. He said that I had to get to the root of the problem and that surgery was not the answer. He said if I did not get to the root of the problem, it would most likely just come back again. This made sense to me. He suggested I contact his friend Carol Patti, a Clinical Nutritionist in New York City and once Carol heard my story she said we needed to talk to Russell Mariani, a Digestive Wellness expert who lives in Massachusetts.

    After almost two months of walking around totally confused and misinformed about any proper dietary suggestions for my condition, being told I was a “ticking time-bomb” and that surgery was my ONLY option and feeling on the verge of a nervous breakdown, speaking to Russell on the phone was a breath of fresh air and the first time I felt hopeful about solving my problems.

    Russell took his time, was very patient and understanding, he answered all my questions (unlike the doctors!) and most importantly he had already helped many people before me in very similar situations. He had a very precise, step by step program to address the root causes of my diverticulitis. It all made a lot of sense to me. I had nothing to lose (except maybe a part of my colon) and everything to gain (mostly a pain-free belly and some peace of mind again) and so after discussing it all with my husband Bob, I decided to make a commitment to Russell’s program.

    I think it is important to mention that at all times Russell insisted on keeping an open door policy with my medical doctors and surgeons. He offered to speak with the surgeons and explain his program to them. He told me that his program was both safe and effective but with acute diverticulitis there could not be any guarantees and that the actual risk of a bowel perforation was high, if not likely after already having two attacks, and therefore if in fact I had another attack of diverticulitis I would have to go to the hospital to make sure I had not suffered a bowel perforation. So, we went forward with eyes wide open and covering all of our relevant bases.

    Fortunately, from the first day on Russell’s program my pain and discomfort got steadily less and less and within a few short weeks I was feeling pretty normal for the first time in a long time! I talked with Russell every day, sometimes twice a day to make sure I was following his instructions correctly.

    Russell helped me to see that my health is my number one priority. I needed to make the time to prepare my food and meals and to sit down quietly and chew each mouthful thoroughly. I took specialized herbs to detox and cleanse my colon and to pull out all the “crap” (I think that is an official medical term) that was causing the diverticulitis in the first place. I took a few other supplements as well, like a superfood supplement and digestive enzymes and probiotics and he made sure I was properly hydrated and adequate sleep and rest was a top priority too.

    Well, after about a month on his program I had lost over 30 pounds and I never looked or felt better in my life. I met with my surgeon at this point, who was still insisting on surgery! He was basing the surgery decision on CT scan results from August! (and now it was almost December!) I did a three way call to Russell from the surgeon’s office and I listened intently as Russell asked my surgeon to please take an abdominal X-ray to “see” if I actually needed the surgery or not! Russell made it very clear that if I needed surgery, so be it, he would support the decision. The surgeon refused to order another CT scan or X-ray. He said that his decision was based on “statistics” and that the probability that I still needed surgery was enough proof or evidence for him. I was stunned. All I was looking for was some real time evidence; based on tests taken TODAY; (especially after almost 6 weeks of colon cleansing designed to remove all that “material” from my bowel pockets) not from three months ago; to determine whether I needed the surgery or not.

    I left the surgeon’s office that afternoon determined to get a second opinion. In the meantime, I was feeling energized and totally pain-free so I decided to continue with Russell’s program.

    Finally in January, 2015 I found another GI doctor who listened to my story and agreed to work with me as long as I agreed to another colonoscopy to determine whether I needed the surgery or not. This “second opinion” GI surgeon told me that he could find “no evidence” that I currently had any diverticulosis or diverticulitis, and as far as he was concerned, I did NOT need the surgery.

    Phew. After six months of endless uncertainty I finally had the proof and the peace of mind I was looking for. I have been able to keep the weight off as I have been enjoying my new diet and blood work from a recent physical with my Primary Care Doctor revealed that the cholesterol problem I had had for years was now resolved with my hdl and ldl numbers in the normal ranges. I think that is called a “beneficial side effect.”

    Needless to say, my health crisis was resolved by working with Russell. I now feel very confident that the basic principles and practices of a healthy diet that I have learned from Russell will serve me for many years into the future. I no longer worry that I am some kind of walking ticking time bomb waiting to explode at any minute. Instead I can resume my normally frantic New York City work-life with the peace of mind that comes from having learned some very important lessons about the people and places and things that nourish me best! Thank you Russell!

    Liz Berlly, age 55

    President, AVA Designs LLC

    New York City, USA

    February, 2015

What is Diverticulitis?

Diverticulitis literally means “inflammation of the diverticula.” Diverticula are normally small sac-like protrusions or pouches along the colon wall or lining. I say “normally small” because sometimes they can become quite expansive and large to the point where they contain one or more pounds of material. They can become filled with fecal matter and various kinds of bacteria and other micro-organisms that live inside our colons. When one or more of these diverticula fill up with either bad bacteria, unexpelled fecal matter, or both; the resulting condition is called “Diverticulosis” which is the precondition for all instances of Diverticulitis

Diverticulosis is routinely observed and diagnosed by medical doctors in well over 90% of occasions where an abdominal x-ray or abdominal MRI or abdominal CTScan has been taken. This means that millions of people are walking around like ticking time bombs not even aware of the fact that they have Diverticulosis which at any point in the future could easily become Diverticulitis. There is no accepted standard medical treatment for Diverticulosis. Medical Doctors will only intervene and provide medical treatment once a condition of Diverticulosis has turned into Diverticulitis. 

And how does this happen?  When one of more of the sac-like protrusions or pouches or “diverticula” filled with old fecal matter and various pathological micro-organisms (viruses, worms, parasites, yeast, mold, bacteria, etc) becomes infected… Diverticulosis turns into Diverticulitis. The medical treatment of choice for Diverticulitis is antibiotics; but antibiotics does nothing to address the root cause of the problem. 

Antibiotics do nothing to eliminate from the colon the combination of unresolved fecal matter and pathological micro-organisms that triggered the problem in the first place. This means that it is almost inevitable that eventually the person who suffered an attack of Diverticulitis will have another attack and another. After the second or third attack of Diverticulitis, medical doctors start talking about surgery to physically remove the part (or parts) of the colon that are problematic. 

This still does nothing to address the root causes. Even after surgery, the person is still vulnerable to developing Diverticulosis and Diverticulitis all over again. The biggest danger with Diverticulitis is the potential for the person suffering this condition to experience a perforation of the intestinal lining or colon wall, resulting from one or more of the infected diverticula bursting…just like what happens when someone experiences a burst appendix. This causes a rapid infection of the entire abdominal cavity and if proper medical emergency treatment is not administered quickly, the patient will die. 

This is why medical doctors start talking about surgery after the first or second attack of Diverticulitis. This is all very sad, because both Diverticulosis and Diverticulitis are totally preventable and if present, easily corrected. Check out the testimonials on this site related to Diverticulitis.

Like all other digestive disorders, Diverticulosis and Diverticulitis are completely correctable and easily prevented from future occurrences. If and only if you eliminate the root causes and if and only if you become more proactive in your own self-care. 

Diverticulitis occurs in the Colon

Diverticulitis Causes

As with all other digestive disorders the root causes of Diverticulitis consist of one or more insulting habits and influences over time in the seven root cause areas: mindfulness, hydration-dehydration, micronutrient deficiencies, macronutrient imbalances, intestinal dysbiosis and redox signaling molecules imbalances and deficiencies.. A list of contributing causes, all habits and influences in our diet and lifestyle include:

  • poor diet in general

  • too many processed foods, not enough whole foods

  • unintentional chronic dehydration (UCD)

  • broad spectrum micronutrient deficiencies

  • an overgrowth of bad bacteria and other pathological organisms (dysbiosis)

  • eating too many acid forming foods

  • eating too fast

  • not chewing enough

  • eating too many cold foods

  • drinking cold or iced beverages

  • too much negative stress

  • not enough adequate sleep and rest

  • lack of proper exercise

Diverticulitis Symptoms     

The most common symptoms of Diverticulitis are abdominal pain and discomfort. This pain can range from dull and mild to dull and moderate to sharp and extreme. If you are currently experiencing sharp and extreme pain stop reading this and go directly to the emergency room of your local hospital and request an x-ray to rule out a burst appendix or a burst diverticula or a burst colon wall. Tell the emergency room attendants that you believe you are experiencing Diverticulitis.

Diverticulitis is always uncomfortable and rarely stays in the mild to moderate category for very long. An attack of Diverticulitis will eventually become sharp and extreme and you will need to seek emergency medical attention. This is why they call it an “attack” of Diverticulitis. It’s very painful and extremely uncomfortable. I sincerely hope this never happens to you. The primary symptoms of an attack of Diverticulitis are extreme abdominal pain and discomfort. Most of the symptoms listed below can result from an ongoing and unresolved case of Diverticulosis.

  • fatigue 

  • weight loss 

  • loss of appetite 

  • loss of nutrients  (mal-absorption of nutrients)

  • sinus congestion

  • lung congestion

  • skin problems like psoriasis and eczema and dandruff

  • skin lesions 

  • headache

  • joint pain 

  • mood swings

  • anxiety

  • depression

Diverticulitis Remedies     

Unlike most other conditions described in the pages on this website, Diverticulitis is an acute condition not a chronic condition. If you have recently had your first, second or third attack of Diverticulitis, the best thing is to phone me directly to discuss your options. And yes, I am very happy to talk directly to your medical doctors about whether or not my program is appropriate for you at this time. Call Megan Moore in our office here and tell her you have Diverticulitis: 413 427 4254.

Along with all the other standard protocols described below which are all major components of my Intestinal Regeneration Program, the remedy for Diverticulitis is a deep and thorough cleanse of your entire colon. All the other steps are important, but no step is more important than removing the offending material from your colon that is triggering the attacks of Diverticulitis.

The remedies for Diverticulosis-Diverticulitis begin with your willingness to pay attention to and become more mindful of the relationship between what, when, how and how much you eat and the normal functioning of your entire digestive system. 

Diverticulosis-Diverticulitis is totally preventable and the remedies are completely within your control by making changes in your diet and lifestyle. 

Most likely you will need to pay attention to and make corrections in all seven root cause areas to be effective. You will need to get properly hydrated and stay properly hydrated. You will need to slow down at meal times and learn to chew your food completely before swallowing. You will need to address micronutrient deficiencies. You will need to eliminate junk foods. You will need to minimize processed foods and learn to integrate more fiber-rich whole food recipes. You will need to address intestinal dysbiosis and learn about the importance of periodic colon cleansing. You will need to understand the importance of specific organic quality whole food supplements including superfoods, digestive enzymes, probiotics and antioxidants. And most importantly you will need to learn how to manage your emotions and all the other negative stress factors in your life more effectively.  

Like all other digestive disorders, Diverticulitis is completely correctable and easily prevented from future occurrences. If and only if you eliminate the root causes and if and only if you become more proactive in your own self-care.

My book, Principle Eating: The No Diet Way to Complete Health and video course The Course in Functional Nutrition will teach you how to do all this. If you want specific step by step guidance and detailed personalized instructions contact me directly through our website and sign up for a free 30 minute  First Step Conversation and we can explore the possibility of working together one on one.

Updated in January, 2024

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