Pizza is a beloved food that has been a staple in many people’s diets for decades. However, for those living with diverticulitis, the thought of indulging in a slice can bring on discomfort and worry. But fear not – having diverticulitis does not mean giving up pizza altogether. In this article, we will discuss safe toppings, portion sizes, and other helpful tips for enjoying your favorite pizza without aggravating your diverticulitis. So, can you eat pizza with diverticulitis? The answer may surprise you.

Can You Eat Pizza with Diverticulitis?

If you have been diagnosed with diverticulitis, you may worry that you have to give up some of your favorite foods. Many people believe that pizza is off-limits for those with this condition due to its potential to cause discomfort and flare-ups. However, the good news is that with some modifications and careful choices, you can still enjoy pizza without aggravating your diverticulitis. In this article, we will discuss whether you can eat pizza with diverticulitis and provide tips for making it a safe and enjoyable part of your diet.

What is Diverticulitis?

Diverticulitis is a condition where small pouches, known as diverticula, form in the lining of the colon. These pouches can become inflamed or infected, causing symptoms such as abdominal pain, bloating, constipation, and diarrhea. While the exact cause of diverticulitis is not clear, it is believed to be related to a low-fiber diet, genetic factors, and age.

If you have been diagnosed with diverticulitis, your doctor may recommend dietary changes to help manage your symptoms. A low-residue diet, which includes foods that are low in fiber and easy to digest, is often recommended during a flare-up. This diet helps to give your digestive system a break and allows the inflammation to settle down. But once your symptoms improve, it is essential to gradually increase your fiber intake to prevent future flare-ups.

Is Pizza Safe for Diverticulitis?

Now, let’s get to the main question – can you eat pizza with diverticulitis? The answer is not a straightforward yes or no. It ultimately depends on the type of pizza you are consuming and the state of your diverticulitis. Certain toppings and crusts may trigger symptoms or worsen your condition, while others are safe and even beneficial.

Here are some things to consider when choosing pizza with diverticulitis:


Sometimes, it is not the pizza itself but the toppings that can cause issues for people with digestive conditions like diverticulitis. Here are some toppings to avoid or limit:

  • Spicy or acidic foods: These can irritate the lining of your colon and worsen inflammation.
  • High-fat meats: Fatty meats like pepperoni, sausage, and bacon can be challenging to digest and may cause discomfort.
  • Cheese: While cheese is a delicious and traditional pizza topping, it can be high in fat and may trigger symptoms in some people.
  • Onions and garlic: These ingredients are known for causing bloating and gas, which can be uncomfortable if you have diverticulitis.
  • Jalapenos and other hot peppers: These peppers contain a compound called capsaicin, which can irritate the lining of the colon and lead to abdominal pain and cramping.

Instead, consider these toppings that are generally safe for those with diverticulitis:

  • Grilled chicken or fish: These lean protein sources are easy to digest and less likely to cause discomfort.
  • Mushrooms: These low-fat and high-fiber vegetables can add flavor and texture to your pizza without aggravating your diverticulitis.
  • Spinach: This leafy green is an excellent source of fiber and can provide important nutrients without irritating your colon.
  • Bell peppers: These colorful vegetables are low in fat and high in antioxidants, making them a healthy choice for pizza toppings.


The crust is another essential factor to consider when choosing pizza with diverticulitis. The traditional pizza crust made with refined white flour is low in fiber and may cause digestive issues for some individuals. Instead, opt for a whole wheat or gluten-free crust that is higher in fiber and easier to digest. Some pizzerias even offer cauliflower crusts, which are low in carbs and suitable for those following a low-residue diet.

Tips for Enjoying Pizza with Diverticulitis

Now that you know which toppings and crusts are safe and which ones to avoid, here are some additional tips for enjoying pizza without discomfort:

  • Choose a smaller portion: Eating too much at once can put a strain on your digestive system and trigger symptoms. Stick to one or two slices of pizza and pair it with a side salad or roasted vegetables for a well-rounded meal.
  • Eat slowly and chew thoroughly: This will help your digestive system break down the food more easily and prevent any blockages in the diverticula.
  • Get creative with toppings: Instead of sticking to the same old pepperoni and cheese, experiment with different toppings to create a healthier and more diverse pizza. Try adding roasted vegetables, grilled chicken, or even fruits like pineapple for a sweet and savory combination.
  • Opt for thin-crust or Neapolitan-style pizzas: These types of pizza tend to have a thinner crust, which means less flour and more room for healthy toppings.
  • Avoid greasy and deep-dish pizzas: These types of pizza can be tough for your digestive system to break down and may cause discomfort or inflammation.
  • Consider making your own pizza: This way, you have complete control over the ingredients and can customize it to your liking. You can also try making a pizza with a cauliflower crust or a whole wheat pita as the base for a healthier option.

The Bottom Line

Having diverticulitis does not mean you have to give up pizza altogether. With the right toppings, crust, and portion size, you can still enjoy this beloved food without discomfort. It is also essential to listen to your body and pay attention to how different ingredients and portion sizes affect your symptoms. If you notice that a particular topping or a thicker crust tends to trigger symptoms, consider avoiding it in the future.

Remember to always consult with your doctor or a registered dietitian for personalized advice on managing your diverticulitis. They can help you create a balanced and safe diet plan that includes all your favorite foods, pizza included. With some modifications and mindful choices, you can continue to enjoy the occasional pizza without compromising your digestive health.

In conclusion, having diverticulitis does not have to mean giving up one of your favorite foods – pizza. By making some simple adjustments to toppings, portion sizes, and cooking methods, you can still enjoy pizza without discomfort. Remember to also listen to your body and avoid trigger ingredients. With these tips, you can continue to satisfy your pizza cravings while managing your diverticulitis symptoms. Enjoy your pizza guilt-free!

By Kitty Smith

I am a Ohio living blogger with a penchant for all things pretty. You can typically find me roaming around my neighborhood of Long Island with latte in my hand and with an iPhone raised above my head to capture the majesty of it all. I mostly post fashion content to Kitty's Lifestyle and I also post recipes on my cooking blog Kitty's Kitchen Recipes.

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