Diverticulitis

Diverticulitis is caused when the diverticula- irregular bulging pouches in the colon wall develop over time and become inflamed, tear, swell, and become infected. Diverticula can form due to spasms or straining.

Pain in the lower abdomen is a common symptom of diverticulitis. Other symptoms include:

  • Nausea and vomiting
  • Fever
  • Tenderness in the abdomen when touched
  • Changes in stool which include constipation or diarrhea
  • Rectal bleeding
  • A distended abdomen

Diverticulitis is more common in people over 50. Other factors that put you at risk of diverticulitis include:

  • Obesity
  • Smoking
  • A low-fiber diet
  • A high-red meat diet
  • Heavy alcohol use
  • Lack of exercise.
  • Low vitamin D levels
  • Certain medicines such as steroids, opioids, and nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen sodium.

Many conditions can cause pain and other symptoms related to diverticulitis. A healthcare provider will perform a physical exam where they gently touch different parts of the abdomen to learn where the pain and tenderness are.

They may also order laboratory tests to determine what is causing your symptoms and use them to rule out other conditions and make a diagnosis. These tests include:

  • Blood tests for signs of infection and immune system activity.
  • Urine test
  • Stool test
  • Pregnancy test
  • Liver enzyme test to rule out liver disease.

A CT scan can show inflamed diverticula, abscesses, fistulas, or other complications.

There are many ways to help prevent diverticulitis including:

  • Exercising regularly.
  • Eating a high-fiber diet.
  • Maintaining a healthy weight.
  • Drinking plenty of fluids.
  • Limiting alcohol use and quitting smoking.

Treatment for diverticulitis depends on the severity of the condition. Uncomplicated diverticulitis is when there are mild symptoms and no complications, and you can be treated at home. A healthcare provider will recommend a liquid diet and then a gradual increase to low-fiber solid foods. You may also be prescribed antibiotics.

Complicated diverticulitis is when the symptoms are serious and there are signs of complications. You will need to be in the hospital for treatment.

Surgery on the colon may be performed if complicated diverticulitis is diagnosed. Other reasons surgery may be needed include:

  • Complications include ruptures in the colon wall, fistulas, or other serious tissue damage.
  • There were multiple episodes of uncomplicated diverticulitis.
  • You have a weakened immune system.

Surgery is usually performed laparoscopically. Two procedures used for treating diverticulitis include:

  • The diseased section of the colon is removed. The remaining healthy tissues are connected to recreate a complete colon.
  • The healthy section and the diseased section are separated. The healthy section is directed to an opening in the abdomen wall. Waste is collected using a colostomy bag giving the diseased section time to heal. When it is healed, the two sections are reconnected, and the opening in the abdomen wall is closed.

If you are experiencing signs and symptoms of diverticulitis and would like to schedule an appointment with a physician at Flushing Hospital, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

April is IBS Awareness Month – Learn More About This Condition

Irritable bowel syndrome (IBS) is a condition marked by recurring or alternating bouts of cramps, diarrhea or constipation. It affects an estimated 30 to 45 million people in the United States – or 10 to 15 percent of the population. Despite its prevalence, many people living with this disorder are unaware that they have it and do not receive the necessary treatment and support.

In an attempt to help others gain a better understanding about this condition, April has been designated IBS Awareness Month. During this time, those involved in this effort will look to focus attention on important health messages about IBS diagnosis, treatment, and quality of life issues.

There are many obstacles in raising awareness about IBS. One of the biggest hurdles is getting people to openly discuss their condition. Even though the disorder is very common, many with IBS are reluctant to openly talk about their symptoms or seek medical care. They may feel uncomfortable discussing their symptoms, even with their doctor, because of social taboos surrounding bowel symptoms.

In addition, IBS is often mischaracterized as a trivial condition, but it is actually one of the most prevalent and burdensome chronic issues reported by patients. IBS has been cited as one of the leading causes of work absenteeism (second only to the common cold) and its symptoms also have a profound impact on the personal and professional activities of those living with it.

Another obstacle that many that IBS encounter is that there is still so much that is unknown about the disease. IBS symptoms result in no damage to the gastrointestinal (GI) system, making it difficult to diagnose. In addition, even though there are many theories regarding what causes IBS, there is no known official cause for the condition.  There is also no official test to diagnose IBS and there is no cure.

In an effort to help those living with IBS, many health care professionals suggest patients learn all that they can about their condition, including identifying those things that seem to make their symptoms worse. Most importantly, people with IBS are encouraged to talk openly with their doctor about IBS so they can help them better manage their condition through improved lifestyle choices and medication therapy aimed to relieve symptoms.

Flushing Hospital is committed to joining the fight to raise awareness and addressing misconceptions about IBS to help those affected get diagnosed and receive appropriate care.

To schedule an appointment to speak with one of Flushing Hospital’s doctors, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.