By age 60, about one out of every three patients we see will have developed these pouches. By age 85, this increases to two out of every three patients. Only about 20 percent will develop diverticulitis, but it can cause significant issues for those who do. Diverticula occur in weak parts of muscle in the colon lining.
Diverticulosis is one of the most common incidental findings on colonoscopy and the eighth most common outpatient diagnosis in the United States. Over 50% of people over the age of 60 and over 60% of people over age 80 have colonic diverticula.
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.
But in fewer than 5% of patients with diverticulosis, the diverticula become inflamed or infected, causing diverticulitis – a condition that does typically cause symptoms such as: Pain in the lower left abdomen.
Several factors may increase your risk of developing diverticulitis: Aging. The incidence of diverticulitis increases with age.
By age 60, about one out of every three patients we see will have developed these pouches. By age 85, this increases to two out of every three patients. Only about 20 percent will develop diverticulitis, but it can cause significant issues for those who do. Diverticula occur in weak parts of muscle in the colon lining.
Most patients with diverticulitis are older than 50 years; the mean age at presentation appears to be about 60 years.
Diverticulitis is often a medical emergency, requiring immediate medical attention and, frequently, admission to hospital. Mild attacks can be treated at home, but should always be assessed promptly. Treatment may include: no eating or drinking – intravenous fluids are given to rest the bowel.
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. You can have diverticulosis for years without any complications or problems. If one or more of the diverticula become inflamed, however, that condition is diverticulitis.
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.
Eating a low-fiber diet mostly made up of processed foods may be a cause. Constipation and hard stools are more likely when you do not eat enough fiber. Straining to pass stools increases the pressure in the colon or intestines, which may lead to the formation of these pouches.
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.
Diverticulosis is uncommon before age 40, but about one-third of all Americans will develop the condition by age 60, and two-thirds will have it by age 85. That makes diverticulosis one of the most common medical conditions in the United States.
If the pouches become inflamed or infected, you have a condition called diverticulitis. The most common symptom is abdominal pain, usually on the left side. You may also have fever, nausea, vomiting, chills, cramping, and constipation. In serious cases, diverticulitis can lead to bleeding, tears, or blockages.
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.
Usually, there are no symptoms at all. When diverticulosis is far advanced, the lower colon may become very fixed, distorted, and even narrowed. When this occurs, there may be thin or pellet-shaped stools, constipation, and an occasional rush of diarrhea.
The risk of having colorectal cancer after an episode of acute diverticulitis is 44-fold higher than that of an age- and gender-adjusted reference population.
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.
Uncomplicated diverticulitis
Your doctor is likely to recommend: Antibiotics to treat infection, although new guidelines state that in very mild cases, they may not be needed. A liquid diet for a few days while your bowel heals. Once your symptoms improve, you can gradually add solid food to your diet.
Eating a high-fibre diet may help ease the symptoms of diverticular disease and stop you developing diverticulitis. Generally, adults should aim to eat 30g of fibre a day. Good sources of fibre include fresh and dried fruits, vegetables, beans and pulses, nuts, cereals and starchy foods.
A Developing Problem
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.
Diverticulosis: What to Eat. Cater says people with diverticulosis can benefit from eating fiber-rich foods, including: Whole grains, such as quinoa, bulgur, teff, barley, popcorn, oats, shredded wheat or bran cereals, and whole grain breads. Beans and legumes, including black beans, kidney beans, chickpeas and lentils.
Colon polyps are extremely common among adults 50 years of age and older, occurring in over 40 percent of individuals who undergo screening colonoscopy.