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Diverticulosis (pouches in the colon)

Also called: Diverticulosis, colon pouches

Small pouches in the colon wall, very common after 50. Most people have no symptoms. If they get inflamed, it's diverticulitis.

CommonOver half of adults over 60
HelpHigh-fiber diet

Overview

Nuts and seeds don't need to be avoided.

Small pouches bulge out of the colon wall.

Most people never know they have them.

Symptoms

Common signs:

  • Pouches found on a test

Less common

  • Bloating
  • Constipation
  • Bleeding without pain

When to get medical care

Call 911Heavy rectal bleeding.
Get care todayBelly pain with fever.
See a doctor soonBowel changes.

Causes

Low fiber, aging.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Over 50
  • Adults over 60: Very common
  • People who eat little fiber: Higher risk

Possible complications

Diagnosis

Found on colonoscopy or CT.

Treatment

Eat fiber.

Self-care

  • Eat fruits, vegetables, whole grains
  • Drink water
  • Stay active
  • Add fiber slowly to avoid gas
  • Drink plenty of water

Prevention

To prevent problems:

  • High fiber
  • Eat high-fiber foods

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a gastroenterologist (stomach and gut doctor).

Back to school, work, or sports

  • Most people keep up normal school and work. Rest when you need to.

Children, pregnancy, and older adults

  • Adults over 60: Very common.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Usually harmless.

Most never have problems.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • Do I need a colonoscopy?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Diverticulosis (pouches in the colon)

Sources

Last updated 2026-11-12.