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What is Diverticulitis?
Vigorous exercise appears to abbreviate your peril of diverticulitis. Diverticulitis is the infection or inflammation of the pockets that can form in your intestines. These pockets are called diverticula. The sachets are generally not harmful. They can appear anywhere in your intestines. If you have it, it’s called diverticulosis.
Diverticula conventionally develop when naturally impotent places in your colon give way under pressure. This pushes out marble-sized pouches through the wall of the colon.
Diverticulitis occurs when the diverticula tear, leading to inflammation and, in some cases, infection. Risk factors Several factors can increase your risk of developing diverticulitis: Aging. The incidence of diverticulitis increases with age. Obesity. Being seriously overweight increases your chances of developing diverticulitis. Smoking.
People who smoke cigarettes are more likely than non-smokers to suffer from diverticulitis. Lack of exercise Vigorous exercise appears to abbreviate your peril of diverticulitis. Food is rich in animal fats and low in fiber.
A low fiber diet combined with a high intake of animal fat appears to increase the risk, although the role of low fiber alone is unclear. Certain medications. Several medications 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).
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About 25% of people with acute diverticulitis develop complications, which can include: An abscess, which occurs when pus builds up in the pocket. A blockage in your gut is caused by scarring. Abnormal passage (fistula) between sections of the intestine or between the intestine and other organs.
Peritonitis can occur if the infected or inflamed pouch ruptures, spilling intestinal contents into your abdominal cavity.
Peritonitis is a medical emergency and requires immediate care.
Symptoms of diverticulitis Diverticulitis can cause symptoms ranging from mild to severe. These symptoms can appear suddenly, or they can develop gradually over several days. Potential symptoms of diverticular disease include Trusted Source: Pain in your abdomen Bloating Diarrhea Constipation If you develop diverticulitis, you might experience:
Constant or severe pain in your abdomen Nausea and vomiting Fever and chills Blood in your stool Bleeding from your rectum Abdominal pain is the most common Trusted Source symptom of diverticulitis. It will most likely occur in the lower left side of your
abdomen. It can additionally develop in the right side of your abdomen. If you develop any of the above symptoms, it may be a designation of a solemn complication from diverticulitis or another condition.
To diagnose diverticulitis, your medico will likely ask you about your symptoms, medical history, and the medications you take. They will likely perform a physical exam to check for tenderness in your abdomen. If they require more information, they can perform a digital rectal exam to check:
Rectal bleeding Bread Masses Other Quandaries Several other conditions can cause symptoms homogeneous to diverticulitis. To rule out other conditions and look for denouements of diverticulitis, your medico may order one or more tests. Tests may include: Abdominal ultrasound, abdominal MRI, abdominal CT scan, or abdominal X-ray to engender images of your gastrointestinal (GI) tract A colonoscopy to look inside your digestive tract; albeit it occurs after an episode of diverticulosis Stool test to check for infections, such as Clostridium difficile (C. diff) Urine test to check for infections
Blood tests to check for denouements of inflammation, anemia, or kidney or liver quandaries Pelvic exam to rule out gynecological quandaries in people designated female at birth Gravidity test to rule out gravidity in people designated female at birth If you have diverticulitis, these exams and tests can avail your medico ken if it’s simple or complexified
Treatment depends on the severity of your signs and symptoms. Uncomplicated diverticulitis:
If your symptoms are mild, you may be treated at home. Your doctor is likely to recommend: Antibiotics to treat infection, although new guidelines state that in very mild cases, they may not be needed. A liquid diet for a few days while your bowel rejuvenates. Once your symptoms amend, you can gradually integrate solid victuals into your diet. Complexified diverticulitis:
If you have a rigorous attack or have other health quandaries, you’ll likely need to be hospitalized. Treatment generally involves: Intravenous antibiotics Insertion of a tube to drain an abdominal abscess if one has composed Surgery:
You’ll likely need surgery to treat diverticulitis if: You have a complication, such as a bowel abscess, fistula or obstruction, or a transfixion (perforation) in the bowel wall You have had multiple episodes of uncomplicated diverticulitis You have an enervated immune system There are two main types of surgery: Primary bowel resection. The surgeon abstracts diseased segments of your intestine and then reconnects the salubrious segments (anastomosis).
This sanctions you to have mundane bowel forms of kineticism. Depending on the quantity of inflammation, you may have open surgery or a minimally invasive (laparoscopic)
procedure. Bowel resection with colostomy. If you have so much inflammation that it’s not possible to rejoin your colon and rectum, the surgeon will perform a colostomy. An aperture (stoma) in your abdominal wall is connected to the salubrious part of your colon. Waste passes through the aperture into a bag.
Once the inflammation has facilitated, the colostomy may be inverted and the bowel reconnected. Follow-up care: Your medico may recommend colonoscopy six weeks after you recuperate from diverticulitis, especially if you haven’t had the test in the precedent year. There doesn’t appear to be a direct link between diverticular disease and colon or rectal cancer.
But colonoscopy — which is perilous during a diverticulitis attack — can omit colon cancer as a cause of your symptoms. After prosperous treatment, your medico may recommend surgery to obviate future episodes of diverticulitis. The decision on surgery is an individual one and is often predicated on the frequency of attacks and whether complications have occurred.
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