Core tip: Diverticular disease, which encompasses the range of clinical manifestations and complications that can occur with colonic diverticula, is frequently encountered in clinical practice. Colonoscopy is a vital tool in the diagnosis and management of diverticular disease.
A colonoscopy is a helpful tool for diverticular disease. Especially where there are severe symptoms or bleeding that might be from diverticulitis, a colonoscopy might be done right away. Follow-up colonoscopies are usually done after the symptoms of diverticulitis clear up.
Diverticulitis: Colonoscopy is relatively contraindicated in acute diverticulitis due to the risk of perforation. However, following an episode of diverticulitis, colono-scopy is recommended to assess for associated colorectal neoplasia.
The vast majority of patients would live their whole lives without having any sort of complication. The reason to be concerned is that there is a risk for complications, and there are ways that we reduce those complications: Increase your dietary fiber.
Abdominal and Pelvic CT: A CT scan is the best test to diagnose diverticulitis. It can also help determine the severity of the condition and guide treatment. You may receive an intravenous (IV) injection of contrast material. You may also drink an oral contrast material one hour before your scan.
In about 95 out of 100 people, uncomplicated diverticulitis goes away on its own within a week. In about 5 out of 100 people, the symptoms stay and treatment is needed. Surgery is only rarely necessary.
In most cases of surgery for diverticulitis, a colostomy is not required. However, sometimes this is not the case.
Mild cases of diverticulitis are usually treated with antibiotics and a low-fiber diet, or treatment may start with a period of rest where you eat nothing by mouth, then start with clear liquids and then move to a low-fiber diet until your condition improves. More-severe cases typically require hospitalization.
Uncomplicated diverticulitis
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 heals. Once your symptoms improve, you can gradually add solid food to your diet.
Probiotics combined with mesalazine have also emerged as an alternative potential therapeutic strategy in preventing recurrent attacks of diverticulitis. One series reported that treatment with mesalazine and/or lactobacillus casei induced remission in 88% of their patients at a median follow-up of 2 years.
Diverticulitis can be treated and be healed with antibiotics. Surgery may be needed if you develop complications or if other treatment methods fail and your diverticulitis is severe. However, diverticulitis is generally considered to be a lifelong condition.
Surgery usually isn't necessary in people who have acute diverticulitis. But there are exceptions: If abscesses (collections of pus) have formed, and treatment with antibiotics isn't successful, surgery is unavoidable.
While the cause of diverticular diseases is unknown, several studies have associated the conditions with low fiber intake, excessive alcohol use, anti-inflammatory medications, steroids, obesity, lack of exercise, and smoking.
The only way to cure diverticulitis is with surgery. You may need surgery for diverticulitis when you have: Complications (obstruction, punctured colon wall, severe abscess) Repeated episodes of uncomplicated diverticulitis.
Diverticulitis is caused by an infection of one or more of the diverticula. It is thought an infection develops when a hard piece of stool or undigested food gets trapped in one of the pouches. This gives bacteria in the stool the chance to multiply and spread, triggering an infection.
Computed tomography (CT) scans are commonly used to diagnose acute diverticulitis, but there are overlapping features between diverticulitis and colorectal cancer (CRC) on imaging studies. Hence, colonoscopy is typically recommended after an episode of acute diverticulitis to rule out underlying malignancy.
Most people with diverticulitis recover completely. But, at its most severe, a pouch can burst open, spilling fecal matter directly into a person's bloodstream. This results in an immediate risk of developing a blood infection called sepsis, which can be life-threatening.
Diverticula are the opposite of polyps because diverticula are small pouches that are open to the lumen (the channel within a tube such as a blood vessel or to the cavity within a hollow organ, for example, the large bowel). Colon polyps and diverticulitis have similar symptoms that include: Abdominal pain. Bloating.
Actually, no specific foods are known to trigger diverticulitis attacks. And no special diet has been proved to prevent attacks. In the past, people with small pouches (diverticula) in the lining of the colon were told to avoid nuts, seeds and popcorn.
Diverticulitis doesn't affect the life expectancy of most people with the condition. While complications from diverticulitis can be fatal, this outcome is not common. Diverticular disease is a common condition, especially in people over age 60.
In most patients, the pain is sharp and severe, but some patients report only mild discomfort. People may also experience fever, chills, nausea, vomiting and diarrhea. If left untreated, diverticulitis can lead to perforation, peritonitis, stricture and rectal bleeding.
When stress is added to the overall picture, the problem of diverticulitis becomes an issue. This is due to the body impulses that will immediately address stressful situations by shifting the oxygen and blood from the digestive tract to the brain and muscles.
Once you developed diverticula, they are unlikely to go away. Bleeding and inflammation are two common complications of diverticulosis. Diet plays an important role in the prevention of the progression of diverticulosis, but will not be able to reverse the process.