Materiały źródłowe

• #1 Diverticular disease | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/

  Diverticular disease and diverticulitis are related digestive conditions that affect the large intestine (colon). […] In diverticular disease, small bulges or pockets (diverticula) develop in the lining of the intestine. Diverticulitis is when these pockets become inflamed or infected. […] Symptoms of diverticular disease include lower abdominal pain and feeling bloated. […] Symptoms of diverticulitis tend to be more serious and include more severe abdominal pain, especially on the left side, high temperature (fever) of 38C (100.4F) or above, and diarrhoea or frequent bowel movements. […] 1 in 4 people who develop diverticula will experience symptoms, such as abdominal pain. […] Having symptoms associated with diverticula is known as diverticular disease. […] Diverticulitis describes infection that occurs when bacteria becomes trapped inside one of the bulges, triggering more severe symptoms.

• #2 Diverticular disease and diverticulitis

  https://www.nhs.uk/conditions/diverticular-disease-and-diverticulitis/

  Diverticular disease and diverticulitis are conditions that affect the large intestine (bowel), causing tummy (abdominal) pain and other symptoms. They’re caused by small bulges or pouches in the walls of the intestine called diverticula. […] The symptoms of diverticular disease include: pain in the lower left side of your tummy (abdomen) a small number of people get pain on the right side, tummy pain that gets worse after you eat, and gets better after you poo or fart, constipation, diarrhoea, blood in your poo, bloating. […] If your intestine becomes infected or inflamed, it’s called diverticulitis. You may also have symptoms such as: severe, constant tummy pain, high temperature, bleeding or passing slime (mucus) from your bottom. […] The symptoms of diverticular disease and diverticulitis are similar to those of other conditions such as irritable bowel syndrome (IBS).

• #3 Diverticular Disease & Diverticulitis | Causes & Symptoms | Guts UK

  https://gutscharity.org.uk/advice-and-information/conditions/diverticular-disease/

  Diverticular disease is a diagnosis given in people who have symptoms and is extremely common in the developed world. Between 1 in 3, increasing to 1 in 2 people will be affected during their lifetime. Slightly more females are diagnosed than males in the UK. […] The most common symptoms include: Lower abdominal pain, Bloating (increase in abdominal size due to gas), Change in bowel habit (diarrhoea or constipation), Mucus or blood in the stool. […] The pattern of symptoms differs from one person to the next, but pain is often crampy, and it comes and goes. The pain is commonly focussed in the left side of the abdomen (belly) where the diverticula most often occur. […] Symptoms of diverticulitis: Worsening abdominal pain, High temperature, Nausea (feeling sick) or vomiting (being sick).

• #4 Diverticular disease and diverticulitis: causes, symptoms and treatment – The Pharmaceutical Journal

  https://pharmaceutical-journal.com/article/ld/diverticular-disease-and-diverticulitis-causes-symptoms-and-treatment

  Diverticulosis is a digestive condition that mainly affects the sigmoid colon. Diverticulosis develops when a section of the mucosa pushes out or herniates through a weak area of muscle in the wall of the colon. […] Once symptoms develop, the term ‘diverticular disease’ is used, and the inflammation that gives rise to symptoms is known as ‘diverticulitis’. […] Diverticular disease is a chronic condition, with symptoms remitting and relapsing; it is common in older people living in developed countries. […] Around 5–10% of people aged 45 years and over have diverticulosis, and this figure rises to 80% in people aged 85 years and over. […] However, if one or more of the sacs become inflamed and infected (i.e. diverticulitis), acute symptoms can include severe lower abdominal pain and tenderness, fever and general malaise. Some diverticulae may bleed, so patients may notice blood in their stools. Symptoms are particularly severe in acute complicated diverticulitis, which affects around 5% of those with diverticulosis.

• #5 Diverticular disease and diverticulitis | nidirect

  https://www.nidirect.gov.uk/conditions/diverticular-disease-and-diverticulitis

  Diverticular disease and diverticulitis are related conditions that affect the large intestine (colon). […] Diverticulosis occurs when diverticula (pouches) are present without symptoms. Most people with diverticula will not have any symptoms. […] Diverticular disease occurs when diverticula (pouches) cause intermittent lower abdominal (stomach) pain. […] Diverticulitis occurs when diverticula (pouches) become inflamed and infected causing significant lower abdominal pain. It is thought an infection develops when a hard piece of stool or undigested food gets trapped in one of the pouches. This gives bacteria in the stool the chance to multiply and spread, triggering an infection. […] One in four people who develop diverticula will experience symptoms. […] Symptoms of diverticular disease include intermittent (stop-start) pain in your lower abdomen below the umbilicus (belly button) and feeling bloated.

• #6

  https://fascrs.org/patients/diseases-and-conditions/a-z/diverticular-disease-expanded-version

  Diverticulosis is very common, and the proportion of the population with diverticulosis increases with age. […] The most common complication of diverticulosis is diverticulitis. Diverticulitis is an inflammatory condition of the colon that is thought to be caused by perforation of one of the individual sacs. It is estimated that 10-20% of people with diverticulosis will develop diverticulitis. The most common symptoms of simple diverticulitis are abdominal or pelvic pain, abdominal tenderness, and fevers. […] Once a person has an attack of diverticulitis, he or she is at risk for further episodes and for the development of complications. […] Patients with complications of their diverticulitis may have more chronic or long-term symptoms. Thin stools or constipation may indicate the formation of a stricture. Dark, cloudy urine or passing air with the urine may indicate the formation of a fistula to the bladder.

• #7 Diverticular disease | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/

  The most common symptom of diverticular disease is intermittent (stop-start) pain in your lower abdomen (stomach), usually in the lower left-hand side. […] The pain is often worse when you are eating, or shortly afterwards. […] Other long-term symptoms of diverticular disease include a change in your normal bowel habits, such as constipation or diarrhoea, or episodes of constipation that are followed by diarrhoea. […] Diverticulitis shares most of the symptoms of diverticular disease. However, the pain associated with diverticulitis is constant and severe, rather than intermittent. […] Other symptoms of diverticulitis can include a high temperature (fever) of 38C (100.4F) or above, a general feeling of being tired and unwell, and feeling sick (nausea) or being sick (vomiting). […] The pain usually starts below your belly button, before moving to the lower left-hand side of your abdomen.

• #8 Diverticular disease and diverticulitis | nidirect

  https://www.nidirect.gov.uk/conditions/diverticular-disease-and-diverticulitis

  The pain may be in the midline, but may be to one side, depending on the severity of the symptoms/ complications. If it moves to one side of your lower abdomen this will usually be in the lower left-hand side; but not always. […] Other long-term symptoms of diverticular disease include a change in your normal bowel habits, such as constipation or diarrhoea, or episodes of constipation that are followed by diarrhoea, and bloating. […] Diverticular disease does not cause weight loss, so if you are losing weight, seeing blood in your stools or experiencing frequent bowel changes, see your GP. […] Diverticulitis shares most of the symptoms of diverticular disease. However, the pain associated with diverticulitis is constant and severe, rather than intermittent. It is most likely to occur if you have previously had symptoms of diverticular disease, and develops over a day or two.

• #9 Diverticulitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758

  Diverticulitis is inflammation of irregular bulging pouches in the wall of the large intestine. […] When these pouches become inflamed, the condition is called diverticulitis. Inflammation of diverticula can cause severe pain, fever, nausea and changes in your stool habits. […] A common symptom of diverticulitis is pain in the area below the chest called the abdomen. Most often, pain is in the lower left abdomen. Pain from diverticulitis is usually sudden and intense. Pain may be mild and gradually worsen, or the intensity of the pain may vary over time. Other signs and symptoms of diverticulitis may include: Nausea. Fever. Tenderness in the abdomen when touched. Changes in stool, including sudden diarrhea or constipation. […] Get medical care anytime you have constant, unexplained abdominal pain, particularly if you also have a fever and notable changes in stools.

• #10 Diverticular disease and diverticulitis | nidirect

  https://www.nidirect.gov.uk/conditions/diverticular-disease-and-diverticulitis

  Other symptoms of diverticulitis can include a high temperature (fever) of 38C (100.4F) or above, a general feeling of being tired and unwell, constant abdominal pain, usually severe, diarrhoea, bleeding from your bottom, and discomfort passing urine, or passing urine more often than normal. […] The pain usually starts below your belly button, before moving to the lower left-hand side of your abdomen. […] In Asian people, the pain may move to the lower right-hand side of your abdomen. This is because East Asian people tend to develop diverticula in a different part of their colon for genetic reasons. […] Diverticular disease may be chronic low-level diverticulitis. The symptoms can be similar to irritable bowel syndrome (IBS) and may overlap.

• #11 Diverticulitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

  Diverticulitis is a complication that can affect people with diverticulosis, small pockets on the inside of their colon. If one of the pockets becomes injured or infected, it can cause inflammation inside. If you have a sharp pain in your lower left abdominal quadrant, it might be diverticulitis. […] Diverticulitis is inflammation in your diverticula, which are small pockets that can develop on the inside of your colon. Having diverticula is called diverticulosis. Its common as you get older, and most people never have any problems with it. But if one of your diverticula becomes inflamed, it can cause acute pain and other symptoms. It might mean that it has an infection, which needs medical attention. […] Symptoms may include: Abdominal pain, often severe. Distended abdomen or palpable colon (you can feel it with your hand). Fever. Nausea and vomiting. Rectal bleeding. Constipation or, less commonly, diarrhea.

• #12

  https://www2.hse.ie/conditions/diverticular-disease-and-diverticulitis/

  Diverticular disease is when you have diverticula and symptoms. […] Diverticulitis is when you have diverticula that become inflamed or infected and you have more severe symptoms. […] The symptoms of diverticular disease include: tummy pain that comes and goes – it is usually in your lower left side and gets worse when eating or shortly after, tummy pain that eases when you poo or fart, constipation, diarrhoea or both, blood in your poo. […] Diverticulitis shares most of the symptoms of diverticular disease (listed above). […] Other symptoms include: severe tummy pain that does not ease, a high temperature, feeling sick (nausea) or getting sick (vomiting), feeling unwell. […] If you have diverticulitis you can get these symptoms suddenly. […] The pain usually starts below your belly button and moves to the lower left-hand side of your tummy (abdomen).

• #13 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery

  https://www.webmd.com/digestive-disorders/understanding-diverticulitis-basics

  Diverticulitis is the infection or inflammation of pouches that can form in your intestines. These pouches are called diverticula. […] Sometimes, diverticulitis is minor. But it can also be severe, with a massive infection or perforation (your doctor will call it a rupture) of your bowel. […] Some signs you might have diverticulitis are: Pain that may be constant and last several days. This is most likely to be on the lower left side of your abdomen. But your pain may be located on the right side of your abdomen, especially if you’re of Asian descent. Nausea and vomiting. Fever. Abdominal tenderness. Constipation or diarrhea. […] Diverticulitis symptoms include severe abdominal pain and fever. Your pain might be sharp and penetrating, or you might have a burning sensation. The pain is usually moderate to severe.

• #14 Diverticular Disease – Clinical Features – Management – TeachMeSurgery

  https://teachmesurgery.com/general/large-bowel/diverticular-disease/

  A large proportion of individuals with diverticulosis remain asymptomatic and are only found incidentally, such as during routine colonoscopy or CT imaging. These are often of no clinical significance. However, patients can present with diverticular disease, diverticulitis, or a diverticular bleed […] Features of diverticular disease include an intermittent lower abdominal pain, typically colicky in nature and may be relieved by defecation. Other symptoms include an altered bowel habit, associated nausea, and flatulence. There will be no systemic features present. […] Acute diverticulitis however will present with acute abdominal pain, typically sharp in nature and normally localised in the left iliac fossa, worsened by movement. On examination, there will be localised tenderness, alongside features of systemic upset, such as decreased appetite, pyrexia, or nausea.

• #15 Diverticular disease and diverticulitis: Learn More – Treating acute diverticulitis – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK506996/

  Diverticulitis is a condition where bulging pouches arise in the lining of the large intestine and then become inflamed or infected. These pouches, known as diverticula, are often harmless and may go unnoticed. But diverticulitis causes symptoms such as pain in the lower left side of the abdomen (tummy), fever and digestive problems. There are two types of diverticulitis: […] Uncomplicated diverticulitis: Diverticula and the surrounding intestinal lining are inflamed but there are no signs of pus building up (abscesses) or the inflammation spreading. […] Complicated diverticulitis: Abscesses have formed. Sometimes the inflammation has already spread or the wall of the intestine has torn (intestinal perforation). The intestine may also become blocked or the inner lining of the belly may become inflamed (peritonitis).

• #16 Diverticular disease and diverticulitis: Learn More – Treating acute diverticulitis – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK506996/

  About 80% of people who have diverticulitis have the uncomplicated form, and about 20% have the complicated form. […] Acute diverticulitis that has been successfully treated may come back again after some time. The risk of this happening is greater after having the complicated form. […] Serious complications are rare in uncomplicated diverticulitis. But its still important to look out for warning signs, including severe abdominal pain, fever, a hard and tense tummy, and nausea. Symptoms like this should be checked out by a doctor as soon as possible. […] In about 80 out of 100 people, complicated diverticulitis clears up within a few weeks of having treatment with antibiotics. About 20 out of 100 people have surgery. […] If the symptoms dont improve within a few days, the risk of serious complications increases. Surgery is then recommended. People who already have an intestinal perforation or peritonitis need to have surgery immediately. Both of these conditions are medical emergencies. […] Research has shown that almost half of all people who have previously had successful treatment with antibiotics go on to develop diverticulitis again within a few years and new episodes sometimes lead to serious complications.

• #17 Diverticular Disease: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/diverticular-disease.html

  Diverticulitis is considered complicated in patients with abnormal vital signs, signs of perforation with or without abscess, fistula or obstruction, or the inability to maintain oral intake. […] Most cases of diverticulitis/diverticular disease will be uncomplicated (88%), and 12% will be complicated (abscess formation, fistula, obstruction).

• #18 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery

  https://www.webmd.com/digestive-disorders/understanding-diverticulitis-basics

  Your pain may be constant and persist for several days. The lower left side of your abdomen is the usual site of pain. Sometimes, however, the right side of your abdomen may be more painful, especially if you’re of Asian descent. […] Diverticulitis can be acute or chronic. With the acute form, you may have one or more severe attacks of infection and inflammation. In chronic diverticulitis, inflammation and infection may go down but never clear up completely. Over time, the inflammation can lead to a bowel obstruction, which may cause constipation, thin stools, diarrhea, bloating, and belly pain. If the obstruction continues, abdominal pain and tenderness will increase, and you may feel sick to your stomach or throw up. […] If you dont treat it, diverticulitis can lead to serious complications that require surgery: Abscesses, collections of pus from the infection, may form around the infected diverticula. If these go through the intestinal wall, you could get peritonitis. This infection can be fatal. Youll need treatment right away. […] Most cases are mild, but it can be severe and lead to serious medical conditions and surgery.

• #19 Diverticulosis and diverticulitis | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/diverticulosis-and-diverticulitis

  Diverticulitis is inflammation or infection of these abnormal pouches. […] Symptoms of diverticulitis include: sharp pain, often located at a specific point for example, in the lower left half of the abdomen. […] Diverticulitis is often a medical emergency, requiring immediate medical attention and, frequently, admission to hospital. […] Mild attacks can be treated at home, but should always be assessed promptly.

• #20 Diverticular disease – Wikipedia

  https://en.wikipedia.org/wiki/Diverticular_disease

  Complicated acute diverticulitis is distinguished from uncomplicated diverticulitis by the presence of abscess or colonic perforation. […] Chronic smoldering diverticulitis is caused by recurrent acute diverticulitis that does not respond to medical treatment but does not progress to complications such as abscess, peritonitis, enteric fistula, or bowel obstruction. […] SUDD clinically presents with left lower abdominal pain and bowel habit changes (predominantly diarrhea). The pain is chronic and does not improve with bowel movement, which distinguishes SUDD from irritable bowel syndrome. There is no systemic inflammation in SUDD, evident by lack of fever, normal white blood count and inflammatory markers. […] SCAD typically presents with rectal bleeding with or without bowel habit changes. Fever is usually absent. Unlike other diverticular diseases, SCAD symptoms spontaneously resolve on its own without or with very limited pharmaceutical intervention.

• #21

  https://fascrs.org/patients/diseases-and-conditions/a-z/diverticular-disease-expanded-version

  The risk of a repeat attack after an initial attack of uncomplicated diverticulitis is low, with rates ranging widely from 1.4% to 18%. The risk of a repeat attack increases with each subsequent attack. […] The indications for surgery are more definite when a stricture or fistula forms as a result of diverticular disease. A stricture is a narrowing of the colon that may partially block passage of stool. In rare cases, the stricture may become so severe that it causes complete obstruction (blockage) of the bowel. A fistula is an abnormal connection from the colon to another organ.

• #22 What is Acute Diverticulitis? The Symptoms and Treatment Options in TN

  https://thesurgicalclinics.com/treatment-acute-diverticulitis/

  The most common symptoms of diverticulitis are left lower quadrant abdominal pain, fevers, chills, rectal bleeding, urinary urgency, and altered bowel habits. Acute diverticulitis can present in various ways, from mild intermittent pain to chronic severe unrelenting abdominal pains. […] Fever and a change in bowel movements are common, along with constipation and diarrhea. […] Acute diverticulitis can look like a bladder infection or appendicitis. In some cases, diverticulitis can be mistaken for irritable bowel syndrome or Crohn’s colitis disease. This is why it’s essential to see a doctor and rule out other intestinal diseases to ensure you are getting proper treatment. […] Diverticulitis can become a chronic condition, with inflammation and scarring leading to bowel blockages. The chance of recurrent attacks after a second episode of diverticulitis is greater than 50% and increases with each episode. […] It is vital to get a prompt diagnosis and treatment, or else the disease can lead to complications. The most common complication is a localized abscess, which can usually be treated successfully with percutaneous drainage and antibiotics.

• #23 Patient education: Diverticular disease (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics

  Diverticular bleeding usually causes painless bleeding from the rectum. In approximately 50 percent of cases, the person will see maroon or bright red blood with bowel movements. […] Approximately 15 to 25 percent of people with diverticulosis will develop diverticulitis, while 5 to 15 percent will develop diverticular bleeding. […] Approximately 85 percent of people with uncomplicated diverticulitis will respond to medical treatment, while approximately 15 percent of patients will need an operation. After successful treatment for a first attack of diverticulitis, one-third of patients will remain asymptomatic, one-third will have episodic cramps without diverticulitis, and one-third will go on to have a second attack of diverticulitis. […] The prognosis tends to remain similar following a second attack of diverticulitis. Only 10 percent of people remain symptom-free after a second attack. Subsequent attacks tend to be of similar severity, not increasing in severity as previously believed.

• #24 Patient education: Diverticular disease (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print

  Diverticulitis — Approximately 85 percent of people with uncomplicated diverticulitis will respond to medical treatment, while approximately 15 percent of patients will need an operation. After successful treatment for a first attack of diverticulitis, one-third of patients will remain asymptomatic, one-third will have episodic cramps without diverticulitis, and one-third will go on to have a second attack of diverticulitis. […] The prognosis tends to remain similar following a second attack of diverticulitis. Only 10 percent of people remain symptom-free after a second attack. Subsequent attacks tend to be of similar severity, not increasing in severity as previously believed.

• #25 Diverticulitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

  Diverticulitis is uncomplicated 80% of the time. But severe or persistent diverticulitis can lead to complications such as: Gastrointestinal bleeding: Bleeding from diverticula can be severe and lead to anemia. Intestinal obstruction: Severe swelling might cause your colon to temporarily narrow. Chronic swelling might cause scarring (stricture), which can cause more permanent narrowing. Fistulas. An inflamed and eroded colon wall might fuse to another body canal (such as your small intestine, bladder or vagina), creating an inappropriate tunnel between the two. Bladder inflammation: Diverticulitis thats close to your bladder may irritate it. A fistula to your bladder may also spread an infection there. Abscess: An abscess is a pocket of infected pus that may need to be drained. If it ruptures, it can infect your peritoneal cavity (peritonitis). This is an emergency. Gastrointestinal perforation: If a diverticulum becomes swollen enough to rupture (tear), it could allow intestinal bacteria to leak into your peritoneal cavity. Peritonitis can lead to sepsis.

• #26 Diverticula (Diverticulosis, Diverticular Disease, Diverticulitis)

  https://patient.info/digestive-health/diverticula-diverticulosis-diverticular-disease-diverticulitis

  An infected diverticulum (diverticulitis) sometimes gets worse and causes complications. Possible complications include: A blockage (obstruction) of the colon. A collection of pus (abscess) that may form in the abdomen. A channel (fistula) that may form to other organs such as the bladder. A hole (perforation) in the wall of the bowel that can lead to infection inside the abdomen (peritonitis). […] A diverticulum may occasionally bleed and some blood may be passed via the back passage (anus). The bleeding is usually abrupt and painless. The bleeding is due to a burst blood vessel that sometimes occurs in the wall of a diverticulum and so the amount of blood loss can be heavy. […] If symptoms are severe or prolonged then admission to hospital may be needed. Fluids may be given directly into a vein via a drip (intravenous fluids). Antibiotics may be required, either in tablet form or intravenously.

• #27 Diverticular Disease & Diverticulitis | Causes & Symptoms | Guts UK

  https://gutscharity.org.uk/advice-and-information/conditions/diverticular-disease/

  If these complications arise, an operation to remove part of the large bowel, or a needle placed into the collection of pus to drain it may be needed. […] Sometimes an inflamed pouch (diverticulum) can burst, causing a hole in the wall of the bowel. A perforation can lead to peritonitis, a serious condition with widespread inflammation in the whole of the abdomen. […] A blood vessel in the wall of a diverticulum can rupture leading to bleeding into the large bowel. 1 in 3 people with bleeding as a symptom can have a severe episode of bleeding requiring hospital admission.

• #28 Diverticular disease and diverticulitis | informedhealth.org

  https://www.informedhealth.org/diverticular-disease-and-diverticulitis.html

  Diverticulitis can usually be treated effectively and then goes away after a few weeks. But about 20% of those affected get diverticulitis again within a few years. […] Diverticulitis can lead to complications if the inflammation spreads to the wall of the intestine, surrounding tissue or nearby organs. […] One rare but serious complication may arise if the wall of the intestine tears (intestinal perforation). If the contents of the intestine then leak out into the abdominal cavity, the inner lining of the tummy (peritoneum) may become inflamed, leading to a life-threatening condition known as peritonitis. […] In some people, diverticula keep becoming inflamed despite having been treated successfully in the past. This can lead to scarring that causes the intestine to become narrow (stenosis), making it difficult for stool to pass through it. […] The main consequences of recurring diverticulitis are chronic symptoms such as irregular bowel movements, bloating and abdominal pain.

• #29 Diverticulosis vs. Diverticulitis: Key Differences

  https://www.templehealth.org/about/blog/diverticulosis-vs-diverticulitis-what-is-the-difference

  Among those who do develop diverticulitis, about a quarter will experience serious complications. These can include: An abscess, where the infected pouch becomes swollen and filled with pus; A fistula, where an abnormal passageway forms between the bowel and other organs; Intestinal obstruction, or a blockage that prevents food, fluid, air, and stool from moving through the intestines; A perforation, or hole in the colon; Peritonitis, a life-threatening emergency that can occur if an infected pouch ruptures, causing the infection to spread to the abdominal cavity. […] Diverticulitis typically requires treatment. Patients with mild symptoms often take antibiotics to clear the infection. […] Diverticulitis that causes severe pain or complications may require hospitalization. […] Diverticular bleeding needs immediate medical attention. […] Finally, I always encourage my patients with diverticulosis to be aware of the symptoms of diverticulitis or diverticular bleeding. Knowing what to look for means you’ll be able to get the treatment you need more quickly and reduce the chance of serious complications.

• #30 Am I having a diverticulitis flare-up? Strategies for feeling better and living well

  https://www.bswhealth.com/blog/diverticulitis-flare-up-strategies

  Approximately 10 to 15 percent of people with acute diverticulitis have urinary urgency, frequency or discomfort (known as dysuria) due to irritation of the bladder from an inflamed left lower part of the colon. […] The duration of a diverticulitis flare-up can vary. A mild flare-up can last from a few days to a week, while more severe cases may take longer to subside. […] Some people may experience recurrent acute (short-term) flare-ups, while others may have longer periods of symptoms resulting in chronic diverticulitis, known as smoldering diverticulitis. […] While flare-ups can be uncomfortable and disruptive, they are typically manageable with the right treatment and lifestyle adjustments.

• #31 Diverticulosis and Diverticulitis – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/diverticulosis-and-diverticulitis-a-to-z

  People who have diverticulitis usually improve within two to four days after treatment begins. Over 85% of patients recover with bed rest and liquid diet, with or without antibiotics. Most never have a second episode of diverticulitis. […] The prognosis varies if complications develop and is particularly serious in the case of peritonitis.

• #32 Diverticular Disease – Clinical Features – Management – TeachMeSurgery

  https://teachmesurgery.com/general/large-bowel/diverticular-disease/

  A perforated diverticulum will present with signs of localised peritonism or generalised peritonitis. These patients are frequently extremely unwell and the condition can be fatal. […] In uncomplicated cases, symptoms typically begin to improve within 2-3 days after the initiation of treatment for uncomplicated cases. Clinical deterioration (or a lack of improvement) should prompt repeat imaging to check for disease progression / complication. Oral intake should be encouraged where possible.

• #33 Diverticulitis: When to Go to the Hospital

  https://www.verywellhealth.com/diverticulitis-when-to-go-to-the-hospital-7097819

  Nausea may lead to decreased appetite during severe diverticulitis. In some cases, you might also experience vomiting. […] A change in bowel habits often occurs during a diverticulitis flare-up. Constipation is more common in someone with diverticulitis. However, sometimes you may experience loose stools and diarrhea. In severe cases, stool may have mucus or blood in it. […] If your diverticulum has perforated (burst), it may cause an increase in the severity of your symptoms, as well as rapid heart rate, dizziness, light-headedness, or weakness. […] Diverticulitis may lead to complications, such as perforation (hole) in your colon, peritonitis, abscess (when pus collects in a diverticulum), fistula (an abnormal connection between the colon and another organ or cavity), and bowel (intestine) obstruction (either a partial or total blockage of the movement of food, fluids, air, or stool through your gastrointestinal tract). […] Severe diverticulitis symptoms include persistent abdominal pain, nausea, vomiting, fever, and constipation. Severe diverticulitis may lead to complications that require immediate medical attention.

• #34 Diverticulitis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/10352-diverticulitis

  Only a small percentage of people will have complicated diverticulitis, and only a small percentage of those will need surgery. In most cases, even complicated diverticulitis resolves quickly and completely with treatment. Diverticulitis shouldnt affect your overall life expectancy. Only in the unlikely event of a bowel perforation or a ruptured abscess would you be at risk of life-threatening complications.

• #35 Diverticular Disease & Diverticulitis | Causes & Symptoms | Guts UK

  https://gutscharity.org.uk/advice-and-information/conditions/diverticular-disease/

  In people over the age of 50, acute diverticulitis happens more frequently in females. In those under 50 years of age, it occurs more commonly in males. The current theory is that the inflammation and/or infection occurs because of an overgrowth of bacteria in the diverticula. […] If any of these symptoms are experienced, medical help should be sought immediately. Complicated diverticulitis requiring hospitalisation is normally treated with antibiotics (germ killing medicine) and fluids. […] Relatively few patients ever get complications severe enough for them to be admitted to hospital and very few people die of this very common disease. However, in some cases, complications can occur, and these include: Inflammation (Diverticulitis). […] Sometimes, when infection is severe, it can cause further complications such as: A collection of pus (abscess), An obstruction (blockage of the bowel), Or a perforation.

• #36 Overview: Diverticular disease and diverticulitis – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK507004/

  Diverticular disease is typically associated with pain in the lower left side of the abdomen (tummy) or less commonly the right side. […] Diverticulitis can usually be treated effectively, but may have serious consequences if the inflammation spreads. […] If they become inflamed (diverticulitis), they cause sudden dull pain in the abdomen, accompanied by a mild fever. Other symptoms include constipation, diarrhea, bloating, nausea and sometimes cramping too. […] Diverticulitis can lead to complications if the inflammation spreads to the wall of the intestine, surrounding tissue or nearby organs. […] One rare but serious complication may arise if the wall of the intestine tears (intestinal perforation). […] The main consequences of recurring diverticulitis are chronic symptoms such as irregular bowel movements, bloating and abdominal pain.

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