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Doctor insights on: Sigmoid Diverticulosis Without Diverticulitis

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Dr. Jan Rakinic
207 Doctors shared insights

Diverticulosis (Definition)

Diverticulosis is the presence of small outpouching's of the wall of the digestive tract, usually the colon. If one of them becomes infected it is known as diverticulitis. Diverticula also can ...Read more


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I need to have sigmoid resection due to stricture from diverticulitis, I would like to know the chances of stricture coming back after operation?

I need to have sigmoid resection due to stricture from diverticulitis, I would like to know the chances of stricture coming back after operation?

If the stricture-: -is not from a prior surgery, it should not come back. Also an interesting fact about diverticulitis is that the whole area that has diverticulosis does not have 2 B excised, & the problem goes away. ...Read more

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I have history of sigmoid diverticulitis, and lately Ihave been experiencing some tenderness on the right, is it possible it's coming from the sigmoid?

I have history of sigmoid diverticulitis, and lately Ihave been experiencing some tenderness on the right, is it possible it's coming from the sigmoid?

Diverticulitis: Diverticula can also occur on the right, although it is less common. Also, the pain from diverticulitis is sometimes shifted to the opposite side. ...Read more

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I have been diagnosed with severe diverticulosis of the sigmoid colon. Is pain in area normal?

I have been diagnosed with severe diverticulosis of the sigmoid colon. Is pain in area normal?

Maybe: Most people with diverticulosis don't hurt. When you have pain, fever, or change in your bowel habits, you are dealing with diverticulitis and you should check in with your doctor. ...Read more

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Severe sigmoid diverticulosis + strictures re section advised what should I expect complications will I get normal bowel functions back?

Severe sigmoid diverticulosis + strictures re section advised what should I expect complications will I get normal bowel functions back?

Resection.: The surgery for diverticulosis of the colon is to remove said portion of the colon. This is not to be taken lightly. There are specific indications in regards to the number of infections and bleeding episodes before a resection would be indicated. After surgery, normalcy of your bowel functions would depend on how much of your colon needs to be removed. ...Read more

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I have large diverticuli in the sigmoid, I don't have diverticulitis but I experience tenderness in lower part is that possible from large diverticuli?

I have large diverticuli in the sigmoid, I don't have diverticulitis but I experience tenderness in lower part is that possible from large diverticuli?

Yes: Diverticulosis, can hurt, not from inflammation like diverticulitis, but from bowel spasms. A lot of people would see changes in their bowel habits and sigmoid anatomy before actual diverticuli appear. You may also have diverticulitis with minimal infection, that did not cause abscess but still causing inflammation and pain. ...Read more

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Having surgery to remove severe digestive tract narrowing caused by severe sigmoid diverticulosis what will they do & is there after effects?

Having surgery to remove severe digestive tract narrowing caused by severe sigmoid diverticulosis what will they do & is there after effects?

Significant: Resect - remove the damaged obstructed segment and hook the bowel back together.

Hopefully no problems, but ask risks, benefits and complications of the surgeon and team. ...Read more

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I have severe narrowing of digestive tract plus severe sigmoid diverticulosis in different parts of colon. Constant niggling pain in low left side.

I have severe narrowing of digestive tract plus severe sigmoid diverticulosis in different parts of colon. Constant niggling pain in low left side.

Sounds: Like you are having low grade diverticulitis or intermittent intestinal obstruction. Depending on why you developed your narrowing, it could mean that an operation is necessary to relieve the obstruction. Ask your GI specialist for recommendation. ...Read more

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Can you have a lot of sigmoid lymph nodes swell up if diagnosed with diverticulitis with a ct scan?

Can you have a lot of sigmoid lymph nodes swell up if diagnosed with diverticulitis with a ct scan?

Absolutely: Often diverticulitis has a chronic element, which allows adenopathy.
Earlier (acute) signs are the "misty mesentery" &/or smudged pericolonic fat which is inflammatory change in the fatty tissue that suspends the sigmoid. Also we look for free fluid and esp. Free air (perforation).
Care must be taken to exclude inflammatory change near a cancer so F/U scan/colonoscopy is often done after a while. ...Read more

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What are hepatic cysts located on my liver & should I worry, I have diagnoised with sigmoid colon diverticulosis?

What are hepatic cysts located on my liver & should I worry, I have diagnoised with sigmoid colon diverticulosis?

No worries...: As a 47 year old american citizen, it is almost guaranteed you'll have sigmoid diverticulosis. Hepatic cysts means liver cysts, and there's a high probability you were born with them. Unless they are verified as new, or are symptomatic, there's nothing to worry about. Good luck. ...Read more

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Had 4 CT scans spread over 3 years, diverticulosis dx, rigid sigmoid to 35 cm, no evidence of cancer, but sympotomatic 3 years, cancer??

Had 4 CT scans spread over 3 years, diverticulosis dx, rigid sigmoid to 35 cm, no evidence of cancer, but sympotomatic 3 years, cancer??

Unlikely to be Cancer: Cancer in the Colon is uncommon under 40 years of age. So you should not worry about it. You have already had too much done to you. CT scan is not a good test for Colon Cancer. So I would not have done it one time, yet you have had it 4 times!
What symptoms do you have? We can help you to control your symptoms now that you have had all this testing. ...Read more

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I have pan diverticulosis. Doctor removed sigmoid 2 years ago. Had 3 more attacks since. Dr wants to remove colon. Is that large & small intestines? He said I shouldn't need a bag. What are the statistics for a full recovery after that?

I have pan diverticulosis. Doctor removed sigmoid 2 years ago. Had 3 more attacks since. Dr wants to remove colon. Is that large & small intestines? He said I shouldn't need a bag. What are the statistics for a full recovery after that?

Diverticulosis: Diverticulitis or inflammation of the diverticula that you have can lead to rupture or leaking and abscess formation. So a lot of times removing the colon becomes necessary. This is fairly common and leads to having only the intestine. Unfortunately this condition is due to high protein diet and not enough vegetables. You will benefit from changing diet and healing will be fine in 6 weeks. ...Read more

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

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

Yes & no: A colonoscopy could certainly detect moderate diverticulosis in the sigmoid colon however diverticulosis almost never a cause of obscure GI bleeding. It is usually overt & very obvious especially when coming from the sigmoid colon. ...Read more

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I'm still in a lot of pain after having laproscopic sigmoid colon surgery, then a hematoma. Why, and how long could this go on? I had the surgery for diverticulitis, it's been 2 weeks after surgery and 4 days ago he drained the hematoma, I am in a lot of

Standard: Standard recommendations for the performance of laparoscopic sigmoidectomy in patients with diverticulitis include patients who have complications of the disease or have had numerous, severe disease episodes. Laparoscopic sigmoid colectomy for diverticulitis has demonstrated benefits with regard to operative blood loss, postoperative pain, length of hospital stay, morbidity and mortality compared with open surgical techniques. In either open or laparoscopic sigmoidectomy, the major complications include: leakage and/or stricture at the anastomosis (connecting the two ends of the colon), abscess, and bleeding (hematoma).

The symptoms associated with the hematoma depend on its size and location. It is possible that the hematoma is compressing surrounding tissues or organs causing pressure symptoms, or if pressing on a nerve, can also cause neuralgias or pain. If you are still having symptoms after drainage of the hematoma, you may want to see your surgeon again to have a ct scan done to make sure that the hematoma has been drained and that there are not other reasons (such as infection) for presistent pain or gastrointestinal symptoms. ...Read more

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A CT scan found that I have moderate diverticulosis in the sigmoid colon. What does this mean?

A CT scan found that I have moderate diverticulosis in the sigmoid colon. What does this mean?

Diverticulosis: Diverticulosis is essentially caused by pressure. Straining at stool causes pressure within the colon, and that pressure seeks to escape through weak points in the intestinal wall. When escaping, the pressure takes some of the intestinal lining along for the ride causing pouches (diverticuli). Low fiber diet leads to straining at stool, hence the recommendation of high fiber diet. ...Read more

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I'm recovering from diverticulitis started on miralax (polyethylene glycol) & fiber. I am pooping 3-4 times a day & hurts sigmoid sometimes is this natural?

I'm recovering from diverticulitis started on miralax (polyethylene glycol) & fiber. I am pooping 3-4 times a day & hurts sigmoid sometimes is this natural?

Yes: The multiple stools are likely from the fiber and miralax (polyethylene glycol). The pain from the initial occurance may linger for several days. As long as it continues to improve, I would not worry. If any fever, vomiting, or worsening pain, I would consult with you physician. ...Read more

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Had a colonoscopy 6 months ago pain in transcending and sigmoid and anal and rectum. Ct showed Diverticulosis. I also have a high ch50. Infection?

Had a colonoscopy 6 months ago pain in transcending and sigmoid and anal and rectum. Ct showed Diverticulosis. I also have a high ch50. Infection?

Can't be sure: Diverticulosis does not cause pain, but diverticulitis would (leaking of intestinal content internally). High CH50 means that the "classic and terminal" features of the complement system (innate arm of the immune system) are working beautifully. Low CH50 might be noteworthy, but usually this only occurs when the system needs to be replenished after an illness. Need much more info to address pain. ...Read more

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Ct colonography report states diverticulosis particularly in the sigmoid with associated smooth muscle hypertrophy. What is smooth muscle hypertrophy?

Ct colonography report states diverticulosis particularly in the sigmoid with associated smooth muscle hypertrophy. What is smooth muscle hypertrophy?

Intestinal muscle is: The muscle in the intestinal wall is smooth muscle as distinguished from striated muscle such as the big muscles in your arms and legs. Often with diverticulosis, the muscle/wall of the bowel hypertrophies or thickens as part of the condition. ...Read more

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I have diverticulosis in the sigmoid colon, and atranal gastritis, I also have severe constant right upper quadrant pain but CT scan showed nothing?

I have diverticulosis in the sigmoid colon, and atranal gastritis, I also have severe constant right upper quadrant pain but CT scan showed nothing?

Gallbladder?: Might be worth checking out your gallbladder-- ultrasound is a better study for gallstones, and if there aren't any, then you may need a cck-hida scan to evaluate gallbladder function. Even without stones, if the function is abnormal you can have similar symptoms- right upper quadrant pain, radiation to shoulder, fatty food intolerance, flatulence etc. ...Read more

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Ct scan showed diverticulitis and sigmoid colon iflamation I'm freaking out the discharge paper said diverticulitis posible colitis and ibd?

Unusual: At your age, and common with aging.
You must be symptomatic if you are getting studied.
Diverticula, diverticulosis, then irritation called diverticulitis.
Your doctor will make dietary recommendations, and you may need colonoscopy to be sure no other issues. ...Read more

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First ct scan diverticulitis thought he had fistula. Second Ct scan radiologist said no fistula bowel thickening maybe sigmoid abscess ct be wrong?

First ct scan diverticulitis thought he had fistula. Second Ct scan radiologist said no fistula bowel thickening maybe sigmoid abscess ct be wrong?

Not necessarily: The interpretation of the same ct scan can be changed according to the clinical picture. The clinical picture has support the ct scan and until it would the reading of the ct scan can change. So, it is a fluid situation, it is not rigid. Reading of the ct has to match the clinical condition of the person. I hope this helps. ...Read more

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Sigmoid removed in 2012 for diverticulitis. Constant pain in lower abdomen since. Ct and colonoscopy normal. Gi says IBS but had for years. Not IBS pain?

Sigmoid removed in 2012 for diverticulitis. Constant pain in lower abdomen since. Ct and colonoscopy normal. Gi says IBS but had for years. Not IBS pain?

Discuss with GI MD: We can not answer without knowing more details of the cause of your sigmoid colon to be removed, the pain may be related to the underlying condition and even with normal cat scan you may need further testing like colonoscopy?
So I will suggest you consult your gastroenterologist for your stabbing/dull pain. ...Read more

Dr. Eric Kaplan
197 Doctors shared insights

Diverticular Diseases (Definition)

Diverticular disease is a condition where pouches protrude outward from weakened areas in the colon and result in abdominal ...Read more


Dr. Eric Kaplan
575 Doctors shared insights

Diverticulitis (Definition)

An inflammation or infection in one or more small pouches ...Read more