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Diverticulosis

Diverticulosis - What You Need To Know?
What is diverticulosis/diverticulitis?
What are the symptoms?
What is the cause of diverticulosis?
How is diverticulosis treated?

Diverticulosis - What You Need To Know?

Diverticulosis of the colon is a common condition that afflicts about 50% of the population by age 60, and nearly all by the age 80. Only a small percentage of those with diverticulosis have symptoms, and even fewer will ever require surgery.

What is diverticulosis/diverticulitis?

Diverticula are pockets that develop in the colon wall, usually on the left side of the abdomen. Diverticulosis describes the presence of these pockets. Inflammation of these pockets is called DIVERTICULITIS.

What are the symptoms?

The major symptoms of diverticulosis are abdominal pain (usually in the lower left abdomen), diarrhoea, cramps, alteration of bowel habit and occasionally, severe rectal bleeding. These symptoms occur in a small percentage of patients with the condition, and are sometimes difficult to distinguish from another common bowel condition - Irritable Bowel Syndrome.

Diverticulitis - an infection of the diverticula - may cause one or more of the following symptoms: pain, chills, fever and change in bowel habits. More intense symptoms are associated with serious complications such as perforation, abscess or fistula formation (abnormal connection with other organs)

What is the cause of diverticulosis?

Indications are that a low fibre diet over the years creates increased colon pressure and results in pockets of diverticula. Genetic inheritance may also be important.

How is diverticulosis treated?

Symptomatic diverticulosis is usually treated by diet and occasionally medications to help control pain, cramps and changes in bowel habits. Increasing the amount of dietary fibre (grains, legumes, vegetables, etc.) and sometimes restricting certain foods, reduces the pressure in the colon, and complications may be less likely to arise. Sometimes however such a diet particularly if it includes nuts or seed containing foods may aggravate the condition.

Diverticulitis requires more intense management. Mild cases may be managed without hospitalization, and treatment may consist of oral antibiotics, dietary restrictions and possibly stool softeners. Severe cases require hospitalization with intravenous antibiotics and strict dietary restrants. Most acute attacks can be relieved with such methods.

Surgery is reserved for recurrent episodes, complications or severe attacks where there is little or no response to medication.

If surgery is necessary, usually part of the colon - commonly the left or sigmoid colon - is removed and the colon is joined (or "anastomosed") again to the rectum. Sometimes a temporary artificial opening (stoma) may be necessary.

Related Links

Diverticular Disease Information Sheet
American Society of Colon and Rectal Surgeons

Related Downloads

Diverticulosis - What You Need To Know
Fact Sheet


Authorised:
Adrian Polglase
Reviewed: Monday, February 27, 2006

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