Diverticular disease and diverticulitis – Detailed Article

Diverticular disease and diverticulitis – Detailed Article

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Diverticular disease and diverticulitis – Detailed Article

Diverticular disease and diverticulitis – Detailed Article – Deverticula are small, bulging pouches that can form in the lining of your digestive system. They are most often found in the lower part of the large intestine (colon). Diverticula are common, especially after the age of 40, and rarely cause problems.

The presence of diverticula is known as diverticulosis (dye-voor-tic-uo-lOe-cis). When one or more pouches are inflamed, and in some cases are infected, the condition is known as diverticulitis (dye-voor-tic-uo-li-tis). Diverticulitis can cause severe abdominal pain, fever, nausea and a marked change in your stomach habits.

Symptoms – Diverticular disease and diverticulitis – Detailed Article

Signs and symptoms of diverticulitis include:

Pain, which can be persistent and lasts for several days. The common place of pain in the lower abdomen. Sometimes, however, the right side of the abdomen is more painful, especially in people of Asian descent.,
nausea and vomiting.,
fever.,
abdominal tenderness.,
Constipation or, less commonly, diarrhea.

Causes – Diverticular disease and diverticulitis – Detailed Article

The diverticula usually develops when naturally weak spots in your colon come under pressure. This causes marble-shaped pouches to spread through the wall of the colon.

Diverticulitis occurs when the diverticula tears, resulting in inflammation, and in some cases, infection.

The risk

Several factors may increase your risk of developing diverticulitis:

Aging. The incidence of diverticulitis increases with age.
obesity. Being severely overweight increases your chances of developing diverticulitis.
Smoking. People who smoke cigarettes are more likely than nonsmokers to experience diverticulitis.
lack of exercise. Strenuous exercise reduces your risk of diverticulitis.
Diets high in animal fat and low in fiber. A low fiber diet in combination with high intake of animal fat increases the risk, although the role of low fiber alone is not clear.
Some medicines. Many drugs are associated with an increased risk of diverticulitis, including steroids, opioids, and nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve).
Complications
Complications develop in about 25% of people with acute diverticulitis, which may include:

An abscess, which occurs when pus gets collected in the pouch.
Blockage due to scar in your bowel.
An abnormal passage (fistula) between the bowel or sections of the bowel and other organs.
Peritonitis, which can occur if an infected or inflated sac breaks, dilating the intestinal contents in your abdominal cavity. Peritonitis is a medical emergency and requires immediate care.

Treatment – Diverticular disease and diverticulitis – Detailed Article

Treatment depends on the severity of your signs and symptoms.

Unexplained diverticulitis
If your symptoms are mild, you can be treated at home. Your doctor is likely to recommend:

Antibiotics for the treatment of infections, although new guidelines suggest that in very mild cases, may not be required.
A liquid diet for a few days while your bowel heals. Once your symptoms improve, you can gradually include a solid diet in your diet.
This treatment is successful in most people with incomplete diverticulitis.

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