Peritonitis. In rare cases, an infected diverticulum (pouch in your colon) can split, spreading the infection into the lining of your abdomen (perforation). An infection of the lining of the abdomen is known as peritonitis. Peritonitis can be life-threatening, and requires immediate treatment with antibiotics.
Blood in your stools. Fever above 100.4°F (38°C) that does not go away. Nausea, vomiting, or chills. Sudden belly or back pain that gets worse or is very severe.
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.
About 25% of people with acute diverticulitis develop complications, which may include: An abscess, which occurs when pus collects in the pouch. A blockage in your bowel caused by scarring. An abnormal passageway (fistula) between sections of bowel or the bowel and other organs.
If left untreated, diverticulitis may lead to a collection of pus (called an abscess) outside the colon wall or a generalized infection in the lining of the abdominal cavity, a condition referred to as peritonitis.
How is uncomplicated diverticulitis treated? 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.
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.
If your diverticula keep getting inflamed, your bowel may get narrower or get blocked. You may have constipation, trapped wind, bad tummy pain and a swollen tummy. You may also feel sick or be sick. You may need bowel resection surgery to remove the damaged or blocked part of your bowel or to correct a fistula.
A liquid diet and rest are usually the best ways to ease diverticulitis symptoms. If there is a bleed within the intestines you may need to be hospitalized. Only in severe cases is surgery needed to remove the diseased pouches. With the proper care, diverticulosis symptoms may go away within in a few days.
Severe cases of diverticulitis that come on quickly and cause complications will likely require a hospital stay and involve intravenous (IV) antibiotics. A few days without food or drink will help your colon rest. Severe cases of diverticulitis will likely require a hospital stay.
Terminal ileal diverticulitis is a rare complication. Park and Lee [2] described incidence of terminal ileal diverticulitis is 0.1% in approximately 9,000 patients with right lower abdominal pain.
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.
When you have acute diverticulitis, a perforated colon is not that unusual because diverticulitis causes tiny tears — perforations — in the colon walls. These tears can grow larger and become problematic. Colonic perforation can also be a life-threatening complication of recent colon surgery called anastomotic leakage.
Historically, surgery was advised after two attacks of uncomplicated diverticulitis and after one attack in patients younger than 40 years [16].
Taking Tylenol (acetaminophen) as directed can take the edge off your pain and help you feel better. Other pain relievers might be your preferred drugs of choice. But when it comes to diverticulitis, acetaminophen is your best bet.
Diverticulitis can be a serious, and even a potentially life-threatening complication. Health problems that can arise from diverticulitis include: Rectal bleeding. Abscesses and fistulas.
The pain caused by diverticulitis is typically severe and comes on suddenly, although the pain may also be mild and worsen over several days. The intensity of the pain may change over time.
Give it time, approximately 6-8 weeks, and your colon should start to function more normally. When a long piece of colon is removed, however, a faster transit time may be a permanent side effect of the surgery. Nausea is common after surgery.
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. Reducing obesity.
In most cases of surgery for diverticulitis, a colostomy is not required.
Some people refer to it as a diverticulitis attack or flare-up. The most common symptom is sharp, cramp-like pain in your lower abdomen. The pain may come on suddenly and persist for days without letting up. Usually, the pain is on the left side of the lower abdomen.
If you've had two or three episodes of diverticulitis, your doctor may recommend an elective procedure called sigmoidectomy, in which the affected part of the colon—called the sigmoid colon—is removed to help prevent a recurrence.
Diverticulitis can usually be treated at home with antibiotics prescribed by a GP. You can take paracetamol to help relieve any pain. Talk to a GP if paracetamol alone is not working. Do not take aspirin or ibuprofen, as they can cause stomach upsets.