IBS and diverticulitis are both gastrointestinal conditions that can cause symptoms such as abdominal discomfort and changes to your bowel movements. But they are not the same condition and have different causes.
Diverticulitis, which is more serious, is sometimes treated with medications, antibiotics, and in severe cases, surgery. Treatment for IBS symptoms may include adding fiber to the diet, reducing stress and anxiety, eating regular balanced meals, reducing caffeine intake, exercising regularly, and quitting smoking.
IBS and mild cases of diverticular disease may present similarly. Both disease processes involve abdominal pain: The pain associated with IBS is described as cramping and is relieved with elimination, whereas the pain from diverticular disease is constant and usually focused in the left lower quadrant of the abdomen.
Common alternative conditions that can clinically mimic diverticulitis include small bowel obstruction, primary epiploic appendagitis, acute cholecystitis, appendicitis, ileitis, ovarian cystic disease, and ureteral stone disease.
The prevalence of diverticulitis and diverticular bleeding has also been increasing[4]. Diverticulosis of the colon is often diagnosed during routine screening colonoscopy.
CAUSES. The most commonly accepted theory for the formation of diverticulosis is related to high pressure within the colon, which causes weak areas of the colon wall to bulge out and form the sacs. A diet low in fiber and high in red meat may also play a role.
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.
Far from a self-limited episode, acute diverticulitis may become a chronic disorder in some patients," the study states. "Diverticulitis is correlated with not only chronic IBS symptoms, but also long-term emotional distress beyond the event itself.
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 usually be treated at home with antibiotics prescribed by your GP. More serious cases may need hospital treatment to prevent and treat complications. Surgery to remove the affected section of the intestine is sometimes recommended if there have been serious complications, although this is rare.
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.
support that that the recurrence rate after an initial episode of diverticulitis treated medically is about 1.5% per year. Also, the mean age of patients with the first episode of diverticulitis is approximately 65 years, and such patients have an average life expectancy of 14 years.
It is possible that diverticulitis may initiate inflammatory changes which resemble Crohn's disease histologically, but do not carry the clinical implications of chronic inflammatory bowel disease.
It is possible that stress plays a role in the development of diverticulitis as it is estimated that in 60 percent of cases the condition occurs due to environmental causes. Stress on the digestive system commonly experienced because of low fiber diets. Diets high in fat may also cause diverticulitis.
High fiber vegetables such as broccoli, cabbage, and artichokes are high in fiber and can be difficult to digest. Eating them may cause gas and bloating. People with diverticulitis may not digest lactose well.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better. Then you can return to regular foods and slowly increase the amount of fibre in your diet. Use a heating pad set on low on your belly to relieve mild cramps and pain.
Eating a high-fiber diet, rich in foods such as bran, whole-wheat pasta, apples, pears, raspberries, beans, sweet potatoes, avocados, and vegetables, can help prevent regular flare-ups.
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.
People who are overweight are at an increased risk for diverticulitis. People who smoke also are more likely to develop the disorder than people who don't smoke. If you smoke, now would be an excellent time to quit.
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.