In most cases, even complicated diverticulitis resolves quickly and completely with treatment. Diverticulitis shouldn't affect your overall life expectancy. Only in the unlikely event of a bowel perforation or a ruptured abscess would you be at risk of life-threatening complications.
Living a Long Life With Diverticulitis. For most people, diverticulitis won't affect their life span. Many people don't even know they have diverticular disease. Only a small percentage will have symptoms, and an even smaller number will have complications.
As you age, your risk of developing diverticular disease increases even further. Most people who have this condition, also known as diverticulosis, never know it, because the diverticula do not usually cause any major symptoms or complications. Occasionally, though, these pockets become painfully infected.
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.
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.
Diverticulosis: You can have it for years and never know — if you take care of yourself. About one or two percent of patients under 30 experience diverticulosis while people age 60 and older have some degree of the condition.
A cohort study including 445,456 Danish adults found that patients with diverticular disease had a 120% higher risk of colon cancer compared to those without diverticulitis after an 18-year follow-up period [2]. This positive association was also revealed in several other observational studies [3,4,5].
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.
Diverticulitis symptoms are more noticeable and include severe abdominal pain and fever. Diverticulitis can be acute or chronic. With the acute form, you may have one or more severe attacks of infection and inflammation.
Many people know someone who had an operation for diverticulitis and ended up having a colostomy. In most cases of surgery for diverticulitis, a colostomy is not required. However, sometimes this is not the case.
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.
Most people with diverticulitis will not need surgery. The condition can usually be treated with antibiotics, fiber, and probiotics. When these treatments fail to reduce symptoms, doctors may recommend surgical removal of the infected part of the colon.
After you go home, you may have diarrhea on and off during the first month. It takes about three months for the bowels to learn their “new normal.” You'll need to avoid heavy lifting for six to eight weeks to prevent a hernia.
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.
Plus, probiotics have anti-inflammatory effects, which may help to ease inflammation from diverticulitis. Probiotics are available in supplement form, but they can also be found in certain foods, such as yogurt, kombucha, and fermented vegetables.
Most often, this is a mild condition that responds well to treatment. Some people will have more than one attack of diverticulitis. Surgery may be needed in some cases. Many times, providers will recommend that you have a colonoscopy after diverticulitis has healed.
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.
According to the American Gastrointestinal Association (AGA) guidelines, it is recommended to perform a colonoscopy six to eight weeks after resolution of acute diverticulitis [1].
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.
Cheese is low in fiber and high in protein, making it one of the most nutritious foods on the planet. The stool will be heavier if the stool is filled with excess fiber, which may irritate the diverticula and lead to diverticulitis. In these cases, the doctor may advise the patient to eat low-fat cheese.
Diet and lifestyle
Not eating enough fibre is thought to be linked to developing diverticular disease and diverticulitis. Fibre helps to make your stools softer and larger so they put less pressure on the walls of your intestines. Some other things that seem to increase your risk include: smoking.