Severe diverticulitis symptoms, including sudden, intense, and continuing lower-abdominal or low-back pain, ongoing fever, excessive nausea and vomiting, persistent diarrhea, and blood in your stools, indicate you might need to go to the hospital.
In any case, if you experience any of the severe symptoms of diverticulitis or one of the symptoms that mimic something potentially more serious, you should go to the emergency room for treatment as soon as possible.
Your doctor will look inside your large bowel to see if you have any diverticula. This will also help to rule out other conditions and find where any bleeding is coming from. An X-ray of your tummy. This can check for complications such as a hole (perforation) in your bowel.
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.
Symptoms of diverticulitis tend to be more serious and include: more severe abdominal pain, especially on the left side. high temperature (fever) of 38C (100.4F) or above. diarrhoea or frequent bowel movements.
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.
That's why you should go to an emergency room immediately if you have any of the following symptoms: Excessive vomiting and severe nausea. Fever of more than 100 degrees — with or without chills. Loss or sudden change in appetite.
The most common symptoms of diverticulitis include severe left lower quadrant abdominal pain, marked changes in bowel habits, fever, and nausea. Possible complications include perforation of bowels, abscess formation, fistula formation, obstruction, and bleeding.
If you've already been diagnosed with diverticular disease, you usually do not need to contact a GP – the symptoms can be treated at home. But if you have any bleeding or severe pain, seek immediate medical advice.
You should present to your emergency department should you develop fever, worsening or severe abdominal pain, or become unable to tolerate fluids. Diverticulitis can often become a medical emergency, requiring immediate medical attention and admission to hospital.
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.
Nutrition is a priority consideration in the treatment and prevention of diverticulitis. Diverticulitis is associated with low fiber intake. Addressing poor nutritional intake in patients with diverticulosis will improve outcomes.
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.
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.
The most common symptom of diverticulitis is belly or abdominal pain. The most common sign that you have it is feeling sore or sensitive on the left side of your lower belly. If infection is the cause, then you may have fever, nausea, vomiting, chills, cramping, and constipation.
Stage IV: Fecal peritonitis results from the free perforation of a diverticulum.
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.
Perforation as a result of infected diverticulitis often leads to intra-abdominal sepsis and peritonitis requiring emergency surgery [2]. Uncommonly diverticulitis perforates into the anterior abdominal wall or retroperitoneum causing spreading infection that may require massive debridement [3, 4].
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.
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.
The treatment of diverticulitis depends on how serious the symptoms are. Some people may need to be in the hospital, but most of the time, the problem can be treated at home.