inflammation of a diverticulum, especially inflammation involving diverticula of the colon. Weakness of the muscles of the colon, sometimes produced by chronic constipation, leads to the formation of diverticula, small blind pouches that form in the lining and wall of the colon. Inflammation may occur as a result of collections of bacteria or other irritating agents trapped in the pouches.
Symptoms of diverticulitis include muscle spasms and cramplike pains in the abdomen, especially in the lower left quadrant. Diagnosis is confirmed by barium enema (see barium test
), in which the diverticula are clearly shown.
Treatment consists of bed rest, cleansing enemas, a bland or low-residue diet, and drugs to reduce infection. In severe cases portions of the affected bowel may require surgical removal and a temporary colostomy.
Inflammation of a diverticulum, especially of the small pockets in the wall of the colon which fill with stagnant fecal material and become inflamed; rarely, they may cause obstruction, perforation, or bleeding.
diverticulitis /di·ver·tic·u·li·tis/ (-li´tis) inflammation of a diverticulum.
Inflammation of a diverticulum in the intestinal tract, causing fecal stagnation and pain.
Etymology: L, diverticulare, to turn aside; Gk, itis, inflammation
inflammation of one or more diverticula. The penetration of fecal matter through the thin-walled diverticula causes inflammation and abscess formation in the tissues surrounding the colon. With repeated inflammation the lumen of the colon narrows and may become obstructed. During periods of inflammation the patient experiences crampy pain, particularly over the sigmoid colon; fever; and leukocytosis. Barium enemas and proctoscopy are used to rule out carcinoma of the colon, which exhibits some of the same symptoms. Conservative treatment includes bed rest, IV fluids, antibiotics, and abstaining from eating and drinking. In acute cases bowel resection of the affected part greatly reduces mortality and morbidity rates. Compare diverticulosis
diverticulitis Surgery Inflammation of one or more diverticula which, when acute, may rupture causing peritonitis Clinical More common in the elderly; ± abrupt onset with tenderness in left hypogastrium, pain of variable severity may radiate to the back, rebound tenderness, fever, anorexia, constipation, GI tract discomfort, N&V Lab ↑ WBCs, left shift of myeloid series, ↑ ESR Diagnosis Hx, barium enema, ultrasound, sigmoidoscopy, colonoscopy Management-medical Oral antibiotics, low-fiber foods; for severe diverticulitis with high fever and pain, hospitalization, IV antibiotics Management-surgical Excision of bleeding diverticula or resection for persistent bowel obstruction or abscesses not responding to antibiotics Prognosis Pain waxes, wanes, spontaneously remits
Inflammation of a diverticulum, especially of the small pockets in the wall of the colon that fill with stagnant fecal material and become inflamed; rarely, may cause obstruction, perforation, or bleeding.
diverticulitis Inflammation of abnormal outward protrusions (diverticula) of the inner lining of the large intestine (colon) through the muscular wall. Inflamed diverticula may perforate, causing the serious condition of PERITONITIS.
diverticulitis inflammation of the diverticula of the colon causing acute pain.
A condition of the diverticulum of the intestinal tract, especially in the colon, where inflammation may cause distended sacs extending from the colon and pain.
Inflammation of a diverticulum, especially of the small pockets in the wall of the colon that fill with stagnant fecal material and become inflamed.
inflammation of a diverticulum, especially inflammation involving diverticula of the intestine. Weakness of the muscles of the bowel leads to the formation of diverticula, small blind pouches lined by intestinal mucosa in the lining and wall, usually following blood vessels. Inflammation may occur as a result of collections of bacteria or other irritating agents trapped in the pouches and perforation may occur. In horses and pigs these are associated with muscular hypertrophy of the small intestine.
diverticulitis and ileitis
Patient discussion about diverticulitis
Q. How to prevent diverticulitis? I am a 43 year old man. I just had colonoscopy and my Doctor said I have diverticulosis and am at risk in developing diverticulitis. How can I prevent developing diverticulitis?
A. You have Diverticulosis, which means you have diverticulas (small pouches) on your digestive system. These diverticula are permanent and will not go away. No treatment has been found to prevent complications of diverticular disease. Diet high in fiber increases stool bulk and prevents constipation, and theoretically may help prevent further diverticular formation or worsening of the diverticular condition. Some doctors recommend avoiding nuts, corn, and seeds which can plug diverticular openings and cause diverticulitis. Whether avoidance of such foods is beneficial is unclear. If you develop unexplained fever, chills or abdominal pain, you should notify your doctor immediately since it could be a complication of diverticulitis.
Q. How can one manage severe diverticulitis and the infections and abccesses it causes? I have recently had bowl surgery for an abccess caused by diverticultis. I would like to find what I can do to prevent these infections in terms of diet and lifestyle.
A. Adding fibers to your diet can help prevent the development of new diverticula (the lesions in diverticulosis) and diverticulitis (the complication of this disease).
You may read more here: http://www.nlm.nih.gov/medlineplus/tutorials/diverticulosis/htm/index.htm
Q. how long is a patient diagnosed with diverticulitis stay in the hospital How long is the observation period a patient diagnosed with diverticulitis
A. Simple diverticulitis may be treated as outpatient without hospitalization. Complicated cases are usually admitted and treated with antibiotics for several days.More discussions about diverticulitis
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