Diverticulosis bowel - causes, symptoms , treatment


1. reasons

2. Symptoms of diverticulitis

3. Complications of diverticulitis bowel

4. Diagnostics

5. Treatment of diverticulitis

6. Diet for diverticulitis

Diverticulitis - inflammation gryzhevidnyh protrusions or thin colon wall (diverticula) that develops against the backdrop of infection.This disease usually occurs in people older than 40 years, although severe illness is possible at any age.intestinal diverticulitis - a serious pathology, characterized by rapid progressive course.


diverticula are formed during the prenatal development of the child, or for a variety of reasons, may appear in an adult.The mechanism of their development has not been fully elucidated, but it is known that these formations appear at reducing the volume of fiber in the diet of man.Other factors predisposing to their development, doctors call increasing intraluminal pressure in the intestine and the age of patients.

not quite understand the reasons for inflammation of div

erticula.It is believed that everything happens when food debris trapped in the diverticula, formed fecal stones, which provoke the development of bacterial infections and, accordingly, intestinal diverticulitis.Inflammation causes swelling of the mucous membrane, disrupting the blood supply to her, and even more aggravating process.

Symptoms of diverticulitis

most pronounced symptoms of diverticulitis - sudden attacks of pain in the intestines and the violation of a chair.Start of acute diverticulitis is accompanied by a clearly localized aching abdominal pain and tenderness to palpation it.Usually, pain appears in the lower left part of the abdomen or in the suprapubic area, but since inflammation can occur in any part of the colon, the symptoms are similar to symptoms of diverticulitis variety of diseases.

For example, the clinical manifestations of the transverse colon diverticulitis may coincide with the symptoms of chronic gastric ulcers and diverticulitis of the right colon - resemble acute appendicitis.Such signs of inflammation like fever and leukocytosis, help diagnose intestinal diverticulitis and irritable bowel syndrome deleted.

For a long time it was thought that one of the essential symptoms of diverticulitis is constipation, but it later emerged that the disease may be accompanied by diarrhea.There is also clinical manifestations of diverticulitis include fever, fever, vomiting, and a constant feeling of nausea.

rectal bleeding is not characteristic of diverticulitis.Therefore, bleeding from the rectum should think about his other causes - such as hemorrhoids, colitis, tumors and arteriovenous malformations.

Complications of diverticulitis bowel

lack of proper treatment and the progressive development of the disease can lead to the following complications:

  • Peritonitis.When inflamed diverticulum bursts, all of its contents is in the abdominal cavity, which causes inflammation of the peritoneum - shell that lines the inside of the abdominal cavity.Peritonitis requires immediate treatment, most of all - surgical.
  • Education fistula - abnormal passages that connect with each other or loops of intestine or colon to the anterior abdominal wall to the vagina or bladder.
  • Development abscess (cavity with pus) on the site of the affected diverticulum.
  • Intestinal obstruction.
  • Intestinal bleeding.


experienced surgeon is able to identify the patient's intestinal diverticulitis at the first examination, conducted palpation of the abdomen, and after listening to the complaints of the patient.In some cases, diverticulitis symptoms can be confused with the clinical picture of appendicitis.Therefore, issuing an accurate diagnosis is necessary to do a CT scan, panoramic X-ray image or abdominal ultrasound.After you have removed the acute inflammatory process, you will also carry out a colonoscopy, and barium enema.

Treatment of diverticulitis

As a rule, the treatment can be carried out mild diverticulitis home.In this case, it is recommended complete rest, antibiotics and a special diet.Doctors also prescribe pain medication (eg, acetaminophen) and antispasmodics drugs (No-spa, Buscopan).Usually all symptoms quickly disappear.After several days of treatment the patient can move diverticulitis gentle on a diet low in fiber, and daily use of psyllium.A month later, the patient in a daily diet include foods that are high in fiber.

In severe and complicated cases, accompanied by fever, localized abdominal pain and other symptoms of acute inflammation, need urgent hospitalization and surgical treatment of diverticulitis.The patient was prescribed bed rest and intravenous antibiotics and fluids.In addition, these patients can not eat or drink until the symptoms disappear.If the patient's condition does not improve, your doctor decide on the surgery, especially if the abdominal pain intensified, and the temperature rises more and more.Approximately 20% of all patients with diverticulitis require surgery because of the fact that their state is not improved.

Sometimes the surgeon recommends surgery to treat diverticulitis, even when a person has no complications or signs of acute inflammation.This is what happens when the risk of severe complications is quite high, so the preventive operation in these cases is the easiest and safest way to cure.

Diet for diverticulitis

Diet for diverticulitis patients should be observed with the utmost rigor.Doctors nutritionists believe that if a child included in the daily diet of fiber, then the probability of diverticulitis disease will decrease by several times.

First of all, a diet for diverticulitis should not include the use of wheat bran and other products with insoluble fiber.Such products are highly irritating to the intestines.It is recommended to drink at least 8 glasses of fluid a day and do not neglect to moderate physical activity, because it performs natural massage intestine and prevents constipation.

In uncomplicated diverticulitis diet should contain foods rich in fiber, which reduces the time of finding food in the intestine, it accelerates its excretion and helps cleanse the body.

The diet should be included:

  • bran and whole wheat bread;
  • cabbage, broccoli, cauliflower and carrots;
  • apples and grapefruits.

from the diet should exclude:

  • foods that provoke swelling (beans, grapes and watermelon);
  • foods rich in crude fiber (pineapple, persimmon, radishes);
  • foods that can linger in the diverticula (nuts and seeds).

In acute or recurrent diverticulitis diet consists of only liquid food.You can eat pureed soups, herbal teas and infusions, stewed fruit, jelly and tea.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

make an appointment to see a doctor

Latest Blog Post

Tularemia - pathogen , diagnosis and prevention
August 12, 2017

Contents: 1. causative agent of tularemia 2. Signs of the disease 3. Diagnosis of tularemia 4. Vaccination against the diseas...

Hearing loss - the causes , extent , methods of treatment
August 12, 2017

Contents: 1. Causes of the disease 2. differ in the degree of hearing loss 3. Types of hearing loss 4. Treating hearing loss ...

Tubulointerstitial nephritis - symptoms, treatment
August 12, 2017

Contents: 1. Causes 2. Symptoms tubulointerstitial nephritis 3. Diagnostics tubulointerstitial nephritis 4. Treatment tubuloi...