To analyze the incidence of and risk factors for recurrent diverticular hemorrhage and to determine whether discontinuing anticoagulation after diverticular hemorrhage is associated with ischemic stroke, a retrospective cohort study of patients enrolled in the OptumInsight Clinformatics database from 2000 to 2016 was carried out. Incidence rate for initial and recurrent diverticular hemorrhage was calculated by identifying patients who had hospitalizations with a primary discharge diagnosis consistent with diverticular hemorrhage.