Diverticulitis: Symptoms and Treatment

Content

  • Diverticulitis, diverticulitis symptoms
  • Treatment for diverticulitis



  • Diverticulitis, diverticulitis symptoms

    diverticulitis - Inflammation of one or more diverticula. Diverticulitis is more common in people older than 40 years, although in severe possible in patients of any age. Among people younger than 50 years of age who are in need of surgical treatment for diverticulitis, men three times more than women; in the group of persons over 70 years, women outnumber men three times.

    Common initial symptoms - pain, tenderness (usually in the lower left abdomen), and fever.

    If the doctor knows that the person hasdiverticulosis, diverticulitis can be diagnosed almost entirely on the basis of symptoms. The introduction of barium and subsequent X-rays used to confirm the diagnosis, but the study could trigger damage.

    Inflammation can lead to diverticulitis atthe formation of pathological reports (fistula) between the colon and other organs. Most fistulas form between the sigmoid colon and the bladder and are more common in men than in women, but surgical removal (hysterectomy), the uterus increases the risk of fistula in women. During its formation intestinal contents, including bacteria into the bladder and causing the infectious process in the urinary tract. Fistulas may develop between the large and small intestines, uterus, vagina, abdominal wall, or even the thigh or chest cavity.

    Other possible complications of diverticulitis -inflammation of the surrounding tissue, spread inflammation of the intestinal wall, breaking the wall of a diverticulum (perforation), abscess, inflammation of the abdominal cavity (peritonitis), bleeding and intestinal obstruction.

    Treatment for diverticulitis

    Easy diverticulitis can be treated at home. The recommended rest, diet mainly of liquid foods and antibiotics. Symptoms usually disappear quickly. After a few days of treatment, a person can move to gentle, low-fiber, diet and take a daily psyllium seed. One month later the diet include foods high in fiber. Patients with pain at a specific location of the abdomen, fever and other signs of severe infection and complications usually hospitalized. They prescribe intravenous fluids and antibiotics, bed rest; patients do not eat or drink until the symptoms subside. If the condition does not improve, the question about the operation, especially if abdominal pain and fever are increasing. Approximately 20% of patients who have diverticulitis require surgical treatment due to the fact that their state is not improved; of these, 70% had severe pain and signs of inflammation, while others - bleeding, fistula or intestinal obstruction.

    Diverticulitis: Symptoms and TreatmentSometimes, for the treatment of diverticulitis doctor recommendsoperation, even though the person has no signs of inflammation or complications. This happens in cases where a high risk of severe complications which require urgent surgical intervention and preventive operation is more simple and safe method of treatment. Emergency surgery is necessary for patients who are hospitalized due to perforation (perforation) of the intestine and peritonitis. The surgeon usually removes the damaged intestine segment and creates a connection between the large intestine and the skin surface, called a colostomy. Dissection of the ends of the intestine are sewn in a subsequent operation, and the colostomy is closed.

    When massive bleeding occurs, itthe source is determined by injecting a contrast agent into the arteries that supply the large intestine, then do X-ray examination, called angiography. Introduction of vasopressin (a drug that constricts arteries) may stop the bleeding, but it is potentially dangerous, especially in the elderly. In some cases bleeding recurs within a few days, which requires surgery. Removal of the affected intestine is possible only if the bleeding source is installed. Otherwise, remove a much larger part of the intestine - such an operation is called a subtotal colectomy. If the bleeding stops (or significantly reduced) without treatment, the best way to determine its cause - a colonoscopy.

    Leave a reply