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.
Treatment for Diverticulitis
Symptoms should improve in 2-3 days, and the diet can be slowly advanced. Communication with your health care provider is important if symptoms worsen or do not improve. Treatment of moderate to severe symptoms of diverticulitis occurs in the hospital.
The most common symptom of diverticular disease is intermittent (stop-start) pain in your lower abdomen (stomach), usually in the lower left-hand side. The pain is often worse when you are eating, or shortly afterwards. Passing stools and breaking wind (flatulence) may help relieve the pain.
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.
Rest, taking over-the-counter medications for pain and following a low-fiber diet or a liquid diet may be recommended until your symptoms improve. Once your symptoms improve, you can slowly return to soft foods, then a more normal diet, which should be one that includes many high-fiber foods.
Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Severe or recurring diverticulitis may require surgery.
While the cause of diverticular diseases is unknown, several studies associate the conditions with low fiber intake, excessive alcohol use, anti-inflammatory medications, steroids, obesity, and smoking.
Symptoms of Diverticular Disease
Diverticulitis (flare-up) occurs when the diverticula become inflamed and/or infected. There might be an increase in diarrhea, cramping, and bowel irritability, and symptoms can include intense pain, abdominal cramping, bleeding, bloating, and fever.
Once diverticula form, they do not disappear by themselves. Fortunately, most patients with diverticulosis do not have symptoms, and therefore do not need treatment.
Long-term survival
The corresponding figures after uncomplicated diverticulitis were 97 % (CI 92 to 100) after 5 years, 91 % (CI 84 to 98) after 10 years, and 87 % (CI 76 to 97) after 15 years.
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.
You can have diverticulosis and not have any pain or symptoms. But symptoms may include mild cramps, swelling or bloating, and constipation. These symptoms can also be caused by irritable bowel syndrome, stomach ulcers, or other health problems. These symptoms don't always mean that you have diverticulosis.
Generally, it's not a cause for concern. Diverticulosis by itself typically doesn't trigger any symptoms. Rarely, diverticula may bleed, causing blood in the stool. As in your case, diverticulosis is often found during a routine colonoscopy or on an imaging exam, such as a CT scan, that's done for another reason.
The prevalence of diverticulitis and diverticular bleeding has also been increasing[4]. Diverticulosis of the colon is often diagnosed during routine screening colonoscopy.
Diverticulitis is more serious because infection can lead to other problems. Diverticulosis leads to diverticulitis in about 1 out of 5 to 1 out of 7 cases. Researchers think a diet low in fiber is to blame for a high incidence of diverticulosis.
How long does a diverticulitis flare-up typically last? After starting treatment, most people should start to feel better in two or three days. If symptoms don't start to get better by then, it's time to call a healthcare provider and get instructions on what to do next.
Curing diverticulitis
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.
If you don't treat it, diverticulitis can lead to serious complications that require surgery: Abscesses, collections of pus from the infection, may form around the infected diverticula. If these go through the intestinal wall, you could get peritonitis. This infection can be fatal.
Doctors may prescribe antibiotics to treat diverticulitis. They may also recommend acetaminophen or tricyclic antidepressants to manage ongoing abdominal pain. Experts do not advise people to take NSAIDs for diverticulitis as they may cause further complications.
Diverticulosis is when pockets called diverticula form in the walls of your digestive tract. The inner layer of your intestine pushes through weak spots in the outer lining. This pressure makes them bulge out, making little pouches. Most often it happens in your colon, the lower part of your large intestine.
The recent literature does not identify diverticular disease as a long-term risk factor for colorectal cancer. However, the risk of colorectal cancer is increased in the short-term period after hospitalization related to diverticular disease.
How often should you have a colonoscopy with diverticulosis? You'll probably need a colonoscopy every 5 to 8 years if you have diverticulosis. Your doctor will let you know how often you need a colonoscopy if you have diverticulosis depending on the severity of your symptoms.
Diverticulosis is quite common, especially as people age. More than 30% of U.S. adults between the ages of 50 and 59 and more than 70% of those older than age 80 have diverticulosis. Most people with diverticulosis will never develop symptoms or problems.