Monday, April 9, 2012

Bowel diverticulosis

What is diverticular disease?
Diverticular disease is a condition where the colon produces a small bag of intestinal mucosa as they emerge through the intestinal wall like little balloons. These pouches are called diverticula. If the bags of inflammation, this condition is known as diverticulitis.

What are the causes of disease?
Diverticular disease is probably caused by increased pressure within the colon, which makes the intestinal lining their pockets through the muscle that surrounds the outside of the intestine. This increased pressure is probably caused by constipation due to diet with little fiber.

Who gets?
People in the daily diet, take enough fiber and not enough vegetables and fruit are more likely to develop diverticular disease. As you get older the chance to develop the disease is increasing.

What are the symptoms?
The pain often occurs before a bowel movement in the left lower abdomen, and stops after a bowel movement.The pain may come and go. They are also frequent changes in bowel movement, with constipation or alternating constipation and diarrhea. The abdomen is often inflated, a sound digestion with a lot of gas. If the pain is stronger than usual, and also appears, and fever and changes in bowel movement probably a burst diverticula or diverticulitis. This means that some of the diverticula are inflamed or infected.

When to go to the doctor?
If you have persistent pain in lower abdomen, you should arrange an appointment with your GP. If you suddenly change the frequency of stools, especially if you also feel the pain and came up bleeding from the intestines back-need to arrange as soon as possible. If the pain is very strong and generally feel unwell and have fever, you will need urgent medical attention.

What tests will the doctor do?
The doctor will ask you some questions and examine you. You may want to examine the rectum. If your symptoms are very severe, your doctor may send to the hospital for further tests. One of them involves the introduction of a special instrument into the colon through the rectum and view the interior of the intestine (rektoskopija). The second type of review involves blowing air and a special fluid in the gut and take X-rays (X-ray contrast medium column - barium porridge)

How is diverticular disease treated?
If your symptoms are mild, your doctor will advise you to take more fiber in your diet. That means plenty of fruits and vegetables, whole grain bread and bran. The doctor may also prescribe drugs that stimulate digestion, or one that is slowing down, depending on the symptoms. If you have severe symptoms that indicate inflammation or infection, you'll probably have to go to the hospital and receive antibiotics and infusion. Rarely surgery is needed.

What are the complications?
It can happen to burst (perforate) the hose which is connected to the bowel contents leaking into the abdominal cavity and infection. After the inflammation can develop connective scar (stricture) that can narrow the passageway intestinal contents.

How to prevent diverticular disease?
The most important way of self-avoiding constipation. It involves taking a high fiber diet, plenty of fluids and exercise. 

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