Doctor insights on:
Is Diverticulitis Dangerous
Possibly: Most cases of diverticulitis are mild and readily treated with antibiotics and diet change. However, diverticulitis is a spectrum from mild to severe. The most severe cases require emergency surgery and can result in the need for a temporary colostomy formation. Talk to your physician about when or if you should consider an elective operation for removal of part of your colon.
Inflammation: It is related to acute inflammation of a diverticulum (a sac-like protrusion of the colonic wall), generally considered to be due to be related to microperforation of a diverticulum. It can present with a wide range of symptoms but most commonly abdominal pain. Other common symptoms are nausea (sometimes with vomiting), constipation, diarrhea, flatulence, and bloating.See 1 more doctor answer
Early vs. Late: Acute diverticulitis is associated with swelling of the colon that may create a temporary partial blockage of the colon. Therefore, we often advocate no food or just liquids during the initial phase of treatment. When food is resumed, it is common to recommend a low-residue diet early on. After the inflammation resolves, we often recommend high-fiber diets, which may reduce the risk of recurrence.
Possibly: Diverticulitis is inflammation of the large bowel (also known as the colon). The inflammation results from simple infection to catastrophic perforation with leakage of contents into the abdomen. Most patients experience very minimal symptoms and are easily treated with antibiotics. However, some patients present with life-threatening symptoms, requiring hospitalization and emergency surgery.See 1 more doctor answer
Maybe: Diverticulitis is an infection that occurs in/around a diverticulum (a weakness or blowout of the wall of the colon), usually treated with antibiotics. This may solve the infection, but it can happen again, as the diverticulum is still there, along with others as well, as they are usually multiple. Preventive measures may help diminish more attacks, but surgery may be necessary to 'cure'!See 1 more doctor answer
Bad/Not-So-Bad: Diverticulosis is the condition where little pockets form on the colon at natural weak points. This is very common in the western world, presumably secondary to our diet, and increases with age. Diverticulitis is the condition where one of these pockets ruptures, leading to the release of intestinal contents into the abdominal cavity, causing (sometimes severe) inflammation and pain.See 1 more doctor answer
Antibiotics/liquids: Diverticulitis is treated initially with intravenous antibiotics and oral clear liquids with a change to oral antibiotics when the pain is resolving and the signs of infection (fever & elevated white blood count) are improving. A colonoscopy is indicated a few weeks after resolution to be sure there is not a cancer. Cases complicated by perforation may require immediate surgical intervention
It is rare: Diverticulitis has various potential complications which ranges from minor infection which responds well to oral antibiotics, to severe infection and peritonitis caused by spillage of stool from colon into the abdominal cavity. In severe cases it usually needs surgery and in these cases patient may end up having a colostomy. These days it is so rare to die from diverticulitis.See 2 more doctor answers
Probably ok: True acute diverticulitis is an infection requiring antibiotics for treatment. During acute diverticulitis one may be directed to eat lighter, smaller, softer, low fiber foods. As the infection resolves, eventually a high fiber diet would then be recommended to help prevent recurrences. Corn bread by itself, in moderation, should have no affect on diverticulitis. Drink plenty water too.See 1 more doctor answer
Infection: Small out-pouches form on the outside of the colon, most often in the left lower abdomen. Infection of these pouches (diverticulitis) causes abdominal pain and fever, treated with antibiotics. Try to avoid by eating high fiber foods, avoid junk foods and fast foods, avoid constipation, drink plenty of liquids, take fiber supplements such as metamucil.
Colonic: Diverticulitis is very rare as diverticulosis (the out-pouching that become inflamed in diverticulitis) is an age dependent process. It takes times for these issues to form, usually decades. So unless a child has a predisposing condition like Marfan's syndrome or cystic fibrosis, it would be exceptionally rare to see.See 1 more doctor answer
See a doctor NOW: Classic presentation is fever, abdominal pain (usually left sided), and elevated white blood cell count. Some people don't have the classic presentation. Other things, like appendicitis, pelvic inflammatory disease can present similarly. Need to see a doc, get examined, maybe get a ct scan. Mild cases- rx antibiotics as outpt;more severe -inpt rx, and/or drainage of pus, or surgery.See 2 more doctor answers
Generally: For acute diverticulitis, I recommend low to no fiber for 4-6 weeks following diagnosis and treatment with antibiotics. Then if surgery not indicated, you may slowly add fiber back into your diet. If you buy the right groceries and order the right food in restaurants I generally do not find fiber supplements necessary.See 1 more doctor answer
Diverticulitis: Assuming you have diverticulosis in the first place, the symptoms of diverticulitis would include fever, chills, sweats, nausea, diarrhea and abdominal pains usually either in the lower left or lower right aspect. Diverticulitis comes from a ruptured diverticulum.See 2 more doctor answers
Inflamed pocket: Diverticulosis is thin walled pockets in wall of colon. Diverticulitis: inflammation of pockets. Not caused by something getting stuck in them, but from increased pressure in bowel: weakest link, so small perforation, with spasm, inflammation. Mild: outpt rx, oral antibiotics; more so: inpatient abs; severe: surgery for drainage, inpt abs. Hi fiber diet may help prevent. Itis: no fiber initially.See 1 more doctor answer
Most anything: There has been alot of misinformation as to how diet relates to diverticulitis. Limiting certain foods such as seeds, popcorn etc used to be common but no scientific evidence exists that these foods caues bouts of diverticulitis. Eat a high fiber diet, drink plenty of fluids and avoid constipation.See 1 more doctor answer