You may need surgery if your: Recurrences continue despite antibiotics or lifestyle changes. Symptoms are severe, including formation of a fistula, an abscess, or a perforation. Bowel is obstructed.
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.
Consume a liquid diet or low-fiber diet until your flare-up improves. Rest as needed. Sometimes, doctors recommend surgery for people with more serious flare-ups or recurrent diverticulitis. Surgical removal of the affected portion of the colon (and the infected or inflamed diverticula) should resolve the problem.
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. Before choosing elective surgery, you and your doctor discuss the benefits and risks.
Many people will not have a recurrence. In one study of 3,165 patients hospitalized for diverticulitis, only 13.3% had a recurrence after 9 years. If a patient has diverticulitis and high blood pressure, consider a calcium channel blocker to reduce intraluminal pressure (and lower blood pressure as well).
A low-fiber diet leads to constipation, which increases pressure within the digestive tract with straining during bowel movements. The combination of pressure and straining over many years likely leads to diverticulosis.
Compared with reference individuals, patients with diverticular disease had statistically significantly increased overall cancer incidence (24.5 vs 18.1 per 1000 person-years), equivalent to 1 extra cancer case in 16 individuals with diverticular disease followed-up for 10 years.
For most people, diverticulitis won't affect their life span.
In most cases of surgery for diverticulitis, a colostomy is not required.
Most of the time, diverticulitis is uncomplicated, which means that inflammation and possible infection are the extents of the problem. It heals easily with the right treatment.
Your colon is shortened and therefore stool may pass at a faster rate. Give it time, approximately 6-8 weeks, and your colon should start to function more normally.
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.
Despite having some symptoms in common, diverticular disease isn't associated with more serious conditions, such as bowel cancer. However, diverticulitis is often a medical emergency, requiring immediate medical attention and, frequently, admission to hospital.
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.
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.
About 30 to 40 percent of people who have diverticulitis once will never develop it again. For those who have subsequent episodes, particularly two or more, surgery is often required to remove the affected portion of the colon.
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.
Symptoms of diverticulitis are more severe and often start suddenly, but they may become worse over a few days. They include: Tenderness, usually in the left lower part of the abdomen.
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.
Diverticulitis is an intestinal disease that can cause fatigue in some people. The fatigue may be caused by infection, inflammation, or sleep disruption due to pain. It could also be related to nutritional deficiencies such as anemia, dehydration, medication side effects, or surgery.
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.
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.
Appendicitis: An inflammation of the appendix is a common condition which also causes left-sided abdominal pain. Appendicitis8 is often considered alongside diverticulitis and is another reason a physician might order a CT scan.