Question 1

is it voluntary or involuntary straining for a bowel movement that mostly causes diverticular disease?  i.e colon muscle or abdominal muscle straining

Accepted Answer

Diverticula are: formed by increased pressure on weakened spots of the intestinal walls by gas, waste, or liquid. Diverticula can form while straining during a bowel movement, such as with constipation. Squeezing the colon increases the pressure within the colon lumen.  There are likely both voluntary and involuntary components in the development of dive reticular disease.

Question 2

is a colon resection always necessary following an acute diverticular abscess?

Accepted Answer

No, but...: ...Each case is unique, and depends on your history of prior diverticulitis, risks of recurrence, underlying complications, response of abscess to conservative management, co-morbidities, etc.

Question 3

is ultrasound able to show sigmoid colon to rule out diverticular pouches in a non emergency setting?

Accepted Answer

No, ultrasound: is not very sensitive for detecting non-inflammed diverticula.

Question 4

would having a few scattered diverticuli of left colon be categorized as having diverticular disease ?

Accepted Answer

Technically: It's not really a disease but rather a description of the state of your colon.

Question 5

i just had a colonoscopy and have been diagnosed with sigmoid diverticular disease and the doctor also found a 3cms cytic/mucinous lesion in my colon?

Accepted Answer

Discuss with doctor: If the doctor biopsied the lesion, you should discuss the findings with him.  In general, colonic lesions found at colonoscopy should be removed.

Question 6

would a colonoscopy note moderate diverticulosis in the sigmoid colon?and could this diverticular be causing obscure gi bleeding?

Accepted Answer

Yes x 2: Yes and yes. Obscure GI bleed could also be caused by a large hiatal hernia (diagnosed with upper GI contrast study) or a small bowel tumor (diagnosed on ct scan).

Question 7

is it normal for 27 yr old f to have diverticular disease? ct shows several diverticular and remarkably thickened bowel. could it also be colon cancer

Accepted Answer

Could be : Diverticular disease is seen in older patients ie over 60, but I have seen it in younger people. One of the theories on why people get diverticuli, or tiny pouches, in the colon, is the low fiber, high fat diet in the U.S. There may also be an inherited aspect.Thickened wall of the colon and diverticuli aren't associated with cancer, but it's reasonable to get a colonoscopy--talk to your doctor.

Question 8

how does straining for a bowel movement cause diverticular disease when this action squeezes the colon from the outside (diverticula push out not in)?

Accepted Answer

Diverticula are: formed by increased pressure on weakened spots of the intestinal walls by gas, waste, or liquid. Diverticula can form while straining during a bowel movement, such as with constipation. Squeezing the colon increases the pressure within the colon lumen.

Question 9

how common  is loopy colons?

Accepted Answer

How loopy: most of people older than sixty and used to take a lot of laxatives, and used to strain, and suffered from constipation will have loopy colon, is more common than you think.

Question 10

do colon clense help?

Accepted Answer

Help what?: If you referring to cleansing your colon..It can clean out your stool, but as you eat stool will re-accumulate. Is there a health benefit? I am not aware of anything signifincant, at least not in the long run.
As a matter of fact, excessive use/missue of such can destroy normal colonic bacteria and predispose to other problems/infections. Not recommended.
Consult your doc.
Good luck.

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Doctor answers about:

Diverticular colon

A member asked:

Is it voluntary or involuntary straining for a bowel movement that mostly causes diverticular disease? i.e colon muscle or abdominal muscle straining

A member asked:

Is a colon resection always necessary following an acute diverticular abscess?

A member asked:

Is ultrasound able to show sigmoid colon to rule out diverticular pouches in a non emergency setting?

A member asked:

Would having a few scattered diverticuli of left colon be categorized as having diverticular disease ?

A member asked:

I just had a colonoscopy and have been diagnosed with sigmoid diverticular disease and the doctor also found a 3cms cytic/mucinous lesion in my colon?

A member asked:

Would a colonoscopy note moderate diverticulosis in the sigmoid colon?and could this diverticular be causing obscure gi bleeding?

A member asked:

Is it normal for 27 yr old f to have diverticular disease? ct shows several diverticular and remarkably thickened bowel. could it also be colon cancer

A member asked:

How does straining for a bowel movement cause diverticular disease when this action squeezes the colon from the outside (diverticula push out not in)?

A member asked:

How common is loopy colons?

A member asked:

Do colon clense help?

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