Lifestyle remains the major culprit behind diverticulitis flare-ups. A high-fat, low-fiber diet commonly followed in Western countries can exacerbate diverticulitis symptoms. Lack of fiber in the diet can cause constipation and strain the bowel.
While the cause of diverticular diseases is unknown, several studies have associated the conditions with low fiber intake, excessive alcohol use, anti-inflammatory medications, steroids, obesity, lack of exercise, and smoking.
If the symptoms don't improve within a few days, the risk of serious complications increases. Surgery is then recommended. People who already have an intestinal perforation or peritonitis need to have surgery immediately. Both of these conditions are medical emergencies.
Can diverticulitis be cured? Diverticulitis can be treated and be healed with antibiotics. Surgery may be needed if you develop complications or if other treatment methods fail and your diverticulitis is severe. However, diverticulitis is generally considered to be a lifelong condition.
Symptoms of diverticulitis
However, the pain associated with diverticulitis is constant and severe, rather than intermittent. It is most likely to occur if you have previously had symptoms of diverticular disease, and develops over a day or two.
Historically, recurrence of diverticulitis after surgery has been in the range of 7–11% with an estimated risk of recurrence over a 15-year period of 16% [3]. Recent data from several observational studies revealed recurrence rates of 10–35% after a first episode of uncomplicated diverticulitis [2, 5, 7].
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.
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.
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.
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.
When one or more of the pouches become inflamed, and in some cases infected, that condition is known as diverticulitis (die-vur-tik-yoo-LIE-tis). Diverticulitis can cause severe abdominal pain, fever, nausea and a marked change in your bowel habits.
Antibiotics are utilized for treating infections that can occur in acute diverticulitis. Ciprofloxacin, levofloxacin, metronidazole, amoxicillin-clavulanic, and moxifloxacin are typically prescribed to treat infection related to diverticulitis.
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.
Probiotics combined with mesalazine have also emerged as an alternative potential therapeutic strategy in preventing recurrent attacks of diverticulitis. One series reported that treatment with mesalazine and/or lactobacillus casei induced remission in 88% of their patients at a median follow-up of 2 years.
It is possible that stress plays a role in the development of diverticulitis as it is estimated that in 60 percent of cases the condition occurs due to environmental causes. Stress on the digestive system commonly experienced because of low fiber diets. Diets high in fat may also cause diverticulitis.
A mild case of diverticulitis may go away on its own without any treatment. When treatment is necessary, antibiotics and a liquid or low-fiber diet may be all that is necessary to resolve symptoms.
Once the sacs develop, they don't heal on their own, and they don't go away. We can cure diverticulosis by performing surgery to remove the sacs. But if you don't have symptoms and an infection doesn't develop, there's no reason to treat the condition at all, much less undergo surgery.
The prevalence of diverticulitis and diverticular bleeding has also been increasing[4]. Diverticulosis of the colon is often diagnosed during routine screening colonoscopy.
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.
Diverticular disease is associated with an increased incidence rate of depression and anxiety disorders.
The doctor also may suggest taking a fiber product, such as Citrucel® or Metamucil®, once a day. Your doctor may recommend a low- or high-fiber diet depending on your condition. Listed below are high-fiber food options for diverticulosis and low-fiber food options for diverticulitis.
Diverticulitis is treated using diet modifications, antibiotics, and possibly surgery. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs.