Diverticular disease is when problems occur due to
diverticulosis
Diverticulosis is the condition of having multiple pouches ( diverticula) in the colon that are not inflamed. These are outpockets of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall. Diverticula do not ...
, a condition defined by the presence of pouches in the wall of the
large intestine
The large intestine, also known as the large bowel, is the last part of the gastrointestinal tract and of the digestive system in tetrapods. Water is absorbed here and the remaining waste material is stored in the rectum as feces before bein ...
(diverticula).
This includes diverticula becoming inflamed (
diverticulitis
Diverticulitis, specifically colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches— diverticula—which can develop in the wall of the large intestine. Symptoms typically include lower abdomi ...
) or
bleeding
Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vag ...
.
Colonic perforation due to diverticular disease may be classified using the
Hinchey Classification.
Signs and symptoms
The signs and symptoms of diverticulitis are as follows:
*
Nausea
Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. While not painful, it can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of th ...
and vomiting.
*
Fever
Fever, also referred to as pyrexia, is defined as having a temperature above the normal range due to an increase in the body's temperature set point. There is not a single agreed-upon upper limit for normal temperature with sources using val ...
*
Abdominal tenderness
*
Constipation
Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel moveme ...
*
Diarrhea
Diarrhea, also spelled diarrhoea, is the condition of having at least three loose, liquid, or watery bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin w ...
*Pain, may be persistent for days. Pain is usually most felt at the right side of the abdomen, by people of Asian descent.
Causes
The causes of Diverticular disease can be classified into:
*Diverticula: This occurs when the weak tissues around the colon tear under pressure. Pouches of marble size protrude through the colon wall as a result of this breakaway.
*Diverticulitis: This is a direct result of the tear in diverticula, causing inflammation.
Risk Factors
Several factors contribute to the increased risk factor for diverticulitis:
A diet that is low in fibre and high in fat may increase the risk of developing diverticular disease
Other factors are obesity, lack of exercise or physical inactivity, smoking, genetic disorders.
Diagnosis
Tenderness can be noticed over the inflamed tissues and an elevation of white blood cell counts is also observed after an examination by a physician. This inflammation is typically in the lower left abdomen. CT scan is the most appropriate method used for diagnosis.
References
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Diseases of intestines