(Acute Diverticulitis; Acute Colonic Diverticulitis)
|Infected pouches along the colon.|
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- Abdominal pain
- Tenderness—usually in the lower left part of the abdomen
- Swollen and hard abdomen
- Poor appetite
- Nausea and vomiting
- Diarrhea and/or constipation
- Rectal bleeding
- Blood tests
- Stool sample analysis
- Resolve the infection and inflammation
- Rest the bowel
- Prevent complications
- Increase the amount of fiber you eat by eating more fruits, vegetables, and whole grains
- Supplement your diet with a fiber product, as advised by your doctor
- Avoid laxatives and enemas
- Avoid opioid medications—they can slow down bowel movement and can cause constipation
- You have had multiple attacks during a 2-year period
- A pouch breaks and the contents spread into the abdominal cavity, which requires that the cavity be cleaned out
- Abscess—occurs if the infected pouch fills with pus
- Blocked bowel—scar tissue that forms and blocks movement of stool through the intestine
- Fistula—occurs if the infection spreads and colon tissue attaches to another organ, such as the bladder, the uterus, or the vagina
- Eat a balanced, high-fiber diet with plenty of fruits, vegetables, and whole grains.
- Drink plenty of water each day.
- Exercise regularly.
American Society of Colon and Rectal Surgeons http://www.fascrs.org
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Dietitians of Canada http://www.dietitians.ca
Health Canada http://www.hc-sc.gc.ca
Diverticular disease. American Society of Colon and Rectal Surgeons website. Available at: https://www.fascrs.org/patients/disease-condition/diverticular-disease. Updated October 2012. Accessed September 23, 2014.
Diverticulitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 8, 2014. Accessed September 23, 2014.
Diverticulosis and diverticulitis. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/diverticular-disease/Pages/facts.aspx. Updated September 19, 2013. Accessed September 23, 2014.
2/9/2012 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Hjern F, Wolk A, Håkansson N. Smoking and the risk of diverticular disease in women. Br J Surg. 2011;98(7):997-1002.
- Reviewer: Daus Mahnke, MD
- Update Date: 09/23/2014 -