Zapalenie divertikul
Objawy

Zapalenie divertikul (diverticulitis) to zapalny lub zakaźny proces dotyczący uchyłków jelita grubego, najczęściej w esicy, manifestujący się nagłym, intensywnym bólem w lewym dolnym kwadrancie brzucha u pacjentów pochodzenia europejskiego, a po prawej stronie u osób azjatyckich. Towarzyszą mu objawy ogólne, takie jak gorączka, dreszcze, nudności, wymioty, zaburzenia rytmu wypróżnień (zaparcia do 50%, biegunka do 25%), tkliwość brzucha oraz objawy urologiczne u 10-15% pacjentów. Przebieg może być ostry lub przewlekły („smoldering”), a klasyfikacja dzieli zapalenie na niepowikłane (75-80% przypadków, ustępujące samoistnie w 95% w ciągu tygodnia) oraz powikłane (20-25%), z powikłaniami takimi jak ropień (15%), flegmona, przetoki, perforacja, niedrożność jelit, zapalenie otrzewnej i krwawienia. Leczenie zachowawcze, w tym antybiotykoterapia, jest skuteczne u około 80% pacjentów, natomiast powikłane przypadki mogą wymagać hospitalizacji i interwencji chirurgicznej.

Zapalenie divertikul – objawy

Zapalenie divertikul (łac. diverticulitis) to stan zapalny lub infekcja małych uwypukleń (divertikulów, uchyłków) w ścianie jelita grubego, najczęściej okrężnicy. Podczas gdy sama obecność tych uwypukleń (divertikuloza) jest zwykle bezobjawowa, zapalenie divertikul może powodować dotkliwe objawy oraz potencjalnie poważne powikłania, jeśli pozostanie nieleczone.12

Główne objawy zapalenia divertikul

Najbardziej charakterystycznym objawem zapalenia divertikul jest ból brzucha, który typowo występuje w lewym dolnym kwadrancie brzucha. To umiejscowienie wynika z faktu, że u osób pochodzenia europejskiego divertikuloza najczęściej rozwija się w końcowej części okrężnicy (esicy), która rozpoczyna się po lewej dolnej stronie i lekko skręca w prawo, by połączyć się z odbytnicą. Warto jednak zaznaczyć, że u osób pochodzenia azjatyckiego ból częściej występuje po prawej stronie.345

Ból przy zapaleniu divertikul charakteryzuje się następującymi cechami:

  • Jest zwykle nagły i intensywny12
  • Może zaczynać się jako łagodny i stopniowo nasilać w ciągu kilku dni34
  • Intensywność bólu może się zmieniać w czasie12
  • Może być stały i utrzymywać się przez kilka dni45
  • Często nasila się podczas ruchu56
  • Może promieniować do krocza, pleców lub boku36
  • Może mieć charakter ostry, przenikliwy lub palący27

Inne objawy towarzyszące

Oprócz bólu brzucha, zapalenie divertikul może powodować szereg innych objawów:123

  • Gorączka i dreszcze – typowe dla procesu zapalnego i infekcji45
  • Nudności i wymioty – częste objawy, szczególnie w cięższych przypadkach67
  • Zaburzenia rytmu wypróżnień – zarówno zaparcia (do 50% przypadków), jak i biegunka (do 25% przypadków)12
  • Wzdęcia i gazy – spowodowane zapaleniem okrężnicy34
  • Tkliwość brzucha – szczególnie w miejscu odpowiadającym zapalonym divertikułom12
  • Utrata apetytu – często związana z nudnościami i bólem34
  • Zmęczenie i ogólne złe samopoczucie – wynikające z reakcji immunologicznej organizmu56
  • Problemy z oddawaniem moczu – zwiększone parcie na mocz, częstotliwość lub dyskomfort (dotyczą około 10-15% pacjentów), spowodowane podrażnieniem pęcherza moczowego przez stan zapalny okrężnicy78
  • Krwawienie z odbytu – rzadziej występujący objaw, ale możliwy w przypadku pęknięcia naczynia krwionośnego w divertikulach910

Przebieg zapalenia divertikul

Zapalenie divertikul może przebiegać w sposób ostry lub przewlekły, a objawy mogą różnić się w zależności od ciężkości choroby i występowania powikłań.12

Ostry i przewlekły przebieg

W przypadku ostrego zapalenia divertikul, objawy pojawiają się nagle i są bardziej intensywne. Pacjent może doświadczać jednego lub kilku ciężkich ataków zapalenia i infekcji. Ostry atak zwykle charakteryzuje się nagłym, silnym bólem brzucha, gorączką i innymi objawami systemowymi.12

Natomiast przewlekłe zapalenie divertikul (tzw. tlące się zapalenie divertikul – „smoldering diverticulitis”) występuje, gdy stan zapalny i infekcja zmniejszają się, ale nigdy całkowicie nie ustępują. W tym przypadku objawy mogą narastać stopniowo w ciągu kilku dni i utrzymywać się przez dłuższy czas. Z czasem przewlekłe zapalenie może prowadzić do zwężenia i niedrożności jelit, co objawia się zaparciami, cienkimi stolcami, biegunką, wzdęciami i bólem brzucha.123

Niepowikłane i powikłane zapalenie divertikul

Zapalenie divertikul klasyfikuje się jako niepowikłane lub powikłane, w zależności od obecności dodatkowych komplikacji.12

Niepowikłane zapalenie divertikul (stanowi około 75-80% przypadków) obejmuje zapalenie divertikulów i otaczającej tkanki jelitowej bez rozprzestrzeniania się stanu zapalnego poza ścianę jelita. Objawy są zwykle łagodniejsze i odpowiadają na leczenie zachowawcze. W około 95% przypadków niepowikłane zapalenie divertikul ustępuje samoistnie w ciągu tygodnia.123

Powikłane zapalenie divertikul (około 20-25% przypadków) charakteryzuje się obecnością dodatkowych komplikacji, takich jak:123

  • Ropień – zbiornik ropy poza ścianą okrężnicy, najczęstsze powikłanie (około 15% pacjentów)45
  • Flegmona – zlokalizowany stan zapalny w tkankach miękkich67
  • Przetoka – nieprawidłowe połączenie między okrężnicą a innym narządem (np. pęcherzem moczowym, pochwą, jelitem cienkim)89
  • Perforacja jelita – przedziurawienie ściany okrężnicy z wyciekiem treści jelitowej do jamy otrzewnej1011
  • Niedrożność jelit – częściowa lub całkowita blokada uniemożliwiająca pasaż pokarmu, płynów i gazów1213
  • Zapalenie otrzewnej – infekcja błony wyściełającej jamę brzuszną, stan zagrażający życiu1415
  • Krwawienie z przewodu pokarmowego – może być poważne i prowadzić do niedokrwistości1617

Powikłane zapalenie divertikul zwykle wymaga hospitalizacji. Antybiotyki eliminują stan zapalny u około 80% pacjentów w ciągu kilku tygodni, natomiast pozostali mogą wymagać interwencji chirurgicznej.12

Czas trwania i nawroty

Czas trwania zapalenia divertikul może być różny. Łagodny epizod może trwać od kilku dni do tygodnia, podczas gdy cięższe przypadki mogą utrzymywać się dłużej.12

Większość pacjentów z zapaleniem divertikul zaczyna odczuwać poprawę w ciągu 2-4 dni od rozpoczęcia leczenia. Ponad 85% pacjentów wraca do zdrowia dzięki odpoczynkowi i diecie płynnej, z antybiotykami lub bez nich.12

Po pierwszym epizodzie zapalenia divertikul:12

  • Około jedna trzecia pacjentów pozostaje bez objawów
  • Jedna trzecia doświadcza okresowych skurczów bez zapalenia
  • Jedna trzecia przechodzi drugi atak zapalenia divertikul

Ryzyko wystąpienia drugiego epizodu w ciągu 10 lat wynosi około 20-22%. Jeśli pacjent doświadczył już drugiego epizodu, ryzyko trzeciego ataku w ciągu kolejnych 10 lat wzrasta do około 55%.123

W większości przypadków, nawet powikłane zapalenie divertikul ustępuje szybko i całkowicie pod wpływem leczenia. Zapalenie divertikul zwykle nie wpływa na ogólną długość życia pacjenta. Tylko w mało prawdopodobnym przypadku perforacji jelita lub pękniętego ropnia pacjent jest narażony na zagrażające życiu powikłania.12

Czynniki wpływające na objawy i przebieg zapalenia divertikul

Istnieje kilka czynników, które mogą wpływać na nasilenie objawów oraz ogólny przebieg zapalenia divertikul:12

Wiek pacjenta

Zapalenie divertikul może być szczególnie ciężkie u osób starszych, zwłaszcza tych przyjmujących kortykosteroidy lub inne leki immunosupresyjne, które zwiększają ryzyko infekcji.12

Paradoksalnie, młodsze osoby mogą mieć wyższą chorobowość, ponieważ zwykle nie podejrzewają u siebie tego schorzenia i często zgłaszają się późno do lekarza, gdy choroba jest już bardziej zaawansowana.1

Choroby współistniejące

Osoby z osłabionym układem odpornościowym lub innymi chorobami współistniejącymi mają tendencję do cięższego przebiegu zapalenia divertikul i wyższej śmiertelności.1

Jeśli pacjent ma inne schorzenia, które mogą skomplikować divertikulozę, takie jak zaparcia, zespół jelita drażliwego (IBS) lub nieswoiste zapalenie jelit (IBD), może być bardziej narażony na przewlekłe objawy.1

Ciężkość choroby

Pierwszy atak zapalenia divertikul jest zwykle najbardziej agresywny, z największym ryzykiem perforacji jelita. Kolejne ataki rzadziej wymagają pilnej interwencji chirurgicznej, ponieważ miejsce zapalenia jest częściej odgraniczone przez zrosty sieci i innych narządów trzewnych.1

Śmiertelność w niepowikłanym zapaleniu divertikul jest minimalna przy odpowiednim leczeniu zachowawczym. Powikłane zapalenie divertikul wymagające operacji może prowadzić do zgonu u około 5% pacjentów. Perforacja jelita z następowym zapaleniem otrzewnej zwiększa ryzyko zgonu do 20%.1

Czynniki ryzyka nasilenia objawów

Większe prawdopodobieństwo wystąpienia zaostrzenia zapalenia divertikul występuje u osób, które:123

  • Ukończyły 40 lat, szczególnie powyżej 60. roku życia
  • Mają nadwagę lub otyłość
  • Palą tytoń
  • Prowadzą siedzący tryb życia
  • Stosują dietę bogatą w produkty zwierzęce i ubogą w błonnik
  • Przyjmują niesteroidowe leki przeciwzapalne (NLPZ), steroidy lub opioidy

Objawy alarmowe wymagające pilnej pomocy medycznej

Niektóre objawy mogą wskazywać na ciężki przebieg zapalenia divertikul lub rozwój powikłań i wymagają natychmiastowej konsultacji lekarskiej:123

  • Intensywny ból brzucha, który nie ustępuje lub gwałtownie się nasila
  • Gorączka powyżej 38°C, szczególnie jeśli towarzyszy jej silny ból
  • Krwawienie z odbytu lub obecność krwi w stolcu
  • Wymioty, które uniemożliwiają przyjmowanie płynów
  • Sztywność i napięcie brzucha przy dotyku
  • Bladość skóry i uczucie osłabienia, mogące wskazywać na krwawienie
  • Częste oddawanie moczu lub dyskomfort przy oddawaniu moczu, co może wskazywać na przetokę
  • Silne wzdęcie brzucha z wymiotami, mogące wskazywać na niedrożność jelit
  • Dezorientacja lub inne zaburzenia świadomości, które mogą wskazywać na rozwijającą się sepsę

Wczesne rozpoznanie objawów zapalenia divertikul i szybkie wdrożenie odpowiedniego leczenia jest kluczowe dla zapobiegania poważnym powikłaniom. Łagodne przypadki można leczyć ambulatoryjnie, ale cięższe wymagają hospitalizacji, intensywnego leczenia antybiotykami, a w niektórych przypadkach interwencji chirurgicznej.123

Rozróżnianie zapalenia divertikul od innych schorzeń

Objawy zapalenia divertikul mogą przypominać inne choroby przewodu pokarmowego, co może utrudniać diagnostykę. Najczęściej zapalenie divertikul należy różnicować z:123

  • Zespołem jelita drażliwego (IBS) – jednak w IBS ból zwykle ustępuje po wypróżnieniu, podczas gdy w zapaleniu divertikul jest bardziej stały i intensywny
  • Zapaleniem wyrostka robaczkowego – szczególnie gdy zapalenie divertikul występuje po prawej stronie
  • Zapaleniem uchyłka Meckela – rzadziej występująca choroba, która może dawać podobne objawy
  • Chorobą Leśniowskiego-Crohna – która również może powodować ból brzucha i zmiany rytmu wypróżnień
  • Infekcją dróg moczowych – zwłaszcza gdy zapalenie divertikul wywołuje objawy urologiczne
  • Wrzodami żołądka – które mogą powodować podobny ból, ale zwykle w górnej części brzucha

Najbardziej specyficznym objawem wskazującym na zapalenie divertikul jest tkliwość przy dotyku, zlokalizowana wyłącznie w lewym dolnym kwadrancie brzucha (współczynnik wiarygodności LR = 10,4). Tkliwość w lewym dolnym kwadrancie oraz w innych lokalizacjach jest mniej specyficzna (LR = 3,4).1

Diagnostyka zapalenia divertikul opiera się głównie na obrazie klinicznym, a w przypadkach wątpliwych pomocne są badania obrazowe, szczególnie tomografia komputerowa (CT), która może uwidocznić zapalone divertikulia, ropnie, przetoki i inne powikłania.1

Po ustąpieniu objawów zapalenia divertikul, zaleca się wykonanie kolonoskopii (zwykle po upływie co najmniej 6 tygodni), aby wykluczyć inne schorzenia mogące naśladować zapalenie divertikul, takie jak nowotwory jelita grubego.12

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Diverticulitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758
    Diverticulitis occurs when small, bulging pouches (diverticula) develop in your digestive tract. When one or more of these pouches become inflamed or infected, the condition is called diverticulitis. […] Diverticulitis is inflammation of irregular bulging pouches in the wall of the large intestine. […] 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. […] Diverticulitis is inflammation of one or more diverticula. This may happen because of bacterial disease or damage to diverticula tissues.
  • #1 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery
    https://www.webmd.com/digestive-disorders/understanding-diverticulitis-basics
    Cramping on the left or right side of your abdomen may be a sign of diverticulitis. 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. 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.
  • #1 Diverticulitis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/diverticulitis/diagnosis-treatment/drc-20371764
    When symptoms are mild and there are no complications, the condition is called uncomplicated diverticulitis. If your symptoms are mild, you may be treated at home. […] If you have serious symptoms or signs of complications, you’ll likely need to be in the hospital. […] A computerized tomography (CT) scan can show inflamed diverticula, abscesses, fistulas or other complications. […] Your healthcare professional may recommend a colonoscopy six weeks or longer after you no longer have symptoms of diverticulitis.
  • #1 Patient education: Diverticular disease (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print
    Diverticulitis – Inflammation of a diverticulum (diverticulitis) occurs when there is thinning and breakdown of the diverticular wall. This may be caused by increased pressure within the colon or by hardened particles of stool, which can become lodged within the diverticulum. […] The symptoms of diverticulitis depend upon the degree of inflammation present. The most common symptom is pain in the left lower abdomen. Other symptoms can include nausea and vomiting, constipation, diarrhea, and urinary symptoms such as pain or burning when urinating or the frequent need to urinate. […] Diverticulitis is divided into simple and complicated forms. […] Simple diverticulitis, which accounts for 75 percent of cases, is not associated with complications and typically responds to medical treatment without surgery.
  • #1 Patient education: Diverticular disease (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print
    Complicated diverticulitis occurs in 25 percent of cases and usually requires surgery. […] 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.
  • #1 Complicated vs. uncomplicated diverticulitis: Symptoms and more
    https://www.medicalnewstoday.com/articles/complicated-vs-uncomplicated-diverticulitis
    In addition to the earlier symptoms, complicated diverticulitis may cause nausea and vomiting. […] However, people need to consider that symptoms may vary depending on what type of complications have developed. Complications may include: phlegmon, abscesses, tears in the intestinal wall, bleeding, fistulas, intestinal obstruction, peritonitis, low blood pressure, shock. […] Uncomplicated diverticulitis clears up by itself within 1 week in around 95% of cases. The other 5% may require additional treatment. […] Complicated diverticulitis generally requires hospitalization. Antibiotics clear complicated diverticulitis in a few weeks in around 80% of people with the condition, while the remaining individuals may require surgery. […] Diverticulitis is inflammation of diverticula and can be either complicated or uncomplicated. Uncomplicated diverticulitis is less severe than complicated diverticulitis.
  • #1 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.
  • #1 Diverticulosis and Diverticulitis – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/diverticulosis-and-diverticulitis-a-to-z
    Most people who have diverticulosis don’t have any symptoms, but some have mild cramps, constipation, or bloating. Diverticulitis causes more severe symptoms, including any of the following, but particularly the first two: steady abdominal pain […] tenderness to pressure in the lower abdomen, especially on the left side […] fever […] nausea […] vomiting […] chills […] cramping […] change in bowel habits (constipation or diarrhea) […] sharper pain with breathing or jarring movements such as walking. […] Symptoms of diverticulitis or bleeding from diverticulosis may subside within a few days after treatment, may continue, or may get worse in the case of severe illness or complications. […] 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.
  • #1 Diverticular Disease: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0800/diverticular-disease.html
    Diverticulitis should be suspected in patients with isolated left lower quadrant pain, abdominal distention or rigidity, fever, and leukocytosis. […] Tenderness to palpation located only in the left lower quadrant of the abdomen is the most specific finding for diverticulitis (likelihood ratio [LR] = 10.4). Tenderness in the left lower quadrant plus other locations is less useful (LR = 3.4). […] Other nonspecific signs and symptoms may include abdominal rigidity, anorexia, dysuria, hypoactive bowel sounds, rectal bleeding, or tenderness on rectal examination. […] 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. […] After an initial episode of diverticulitis, the risk of having a second flare-up is 22% at 10 years. If a patient has a second occurrence, they have a 55% chance of a third occurrence in the next 10 years.
  • #1 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-diverticulitis
    You mightve developed complications if you notice: Fresh blood in your poop. Paleness in your face or you feel weak. You feel like you need to pee often or irritation when you pee. Your abdomen is rigid and sensitive to touch. […] If you dont, you may end up with a more severe and complicated case. Certain infections may need to be treated with antibiotics or antivirals to go away. Inflammation that doesnt go away may begin to cause secondary problems. Pain may also worsen. […] 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.
  • #1 Acute Diverticulitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459316/
    The prognosis of patients with diverticulitis depends on age at presentation, the presence of comorbidity and severity of the disease. In general, younger people tend to have a higher morbidity as they never suspect they have the disorder and often present late. In addition, patients who are immunocompromised tend to have high morbidity and mortality. […] About 15% patients with acute diverticulitis develop an abscess, specifically pericolonic and intra-mesenteric. Clinically, abscess formation should be suspected if fever and leukocytosis do not subside despite adequate intravenous (IV) antibiotics. […] Fistula formation is another complication of acute diverticulitis. It is reported that less than 5% develops fistula; however, it has been found in about 20% of patients who undergo surgery for diverticulitis. […] The mortality rate in uncomplicated diverticulitis is negligible with appropriate conservative therapy. Complicated diverticulitis requiring surgery may lead to death in approximately 5% of patients. Perforation of the bowel with resulting peritonitis increases the risk of death to 20%.
  • #1 Diverticulitis – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/diverticular-disease/diverticulitis
    Diverticulitis usually affects the large intestine (colon). […] Left lower abdominal pain, tenderness, and fever are the typical symptoms. […] Symptoms of diverticulitis typically include pain and/or tenderness (usually in the left lower part of the abdomen), fever, and sometimes nausea and vomiting. Diverticulitis typically does not cause gastrointestinal bleeding. […] Diverticulitis can be severe in people of any age, although it is most serious in older adults, especially those taking corticosteroids or other medications that suppress the immune system and thus increase the risk of infection, including colon infection. […] Repeated bouts of diverticulitis can lead to narrowing (stricture) of the colon because the resulting scarring and muscle thickening can narrow the inside of the large intestine and prevent solid stool from passing through.
  • #1 Diverticulosis: What It Is, Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24883-diverticulosis
    Most people dont have symptoms from diverticulosis alone. Youre likely to never notice it. If you have symptoms of illness, such as lower abdominal pain or fever, you might have an infection (diverticulitis). […] About 10% of people with diverticulosis may have some diverticular bleeding. This can happen if hard stool passing through a diverticulum erodes or stretches a blood vessel until it breaks. Its usually temporary and painless, but if it happens, you might see fresh blood in your poop. If you have bleeding, persistent symptoms or complications from diverticulosis, its called diverticular disease. […] If you have another condition that makes diverticulosis more complicated, such as constipation, IBS or IBD, you may be more at risk of chronic symptoms. A small number of people have recurrent bleeding episodes. These people might need repeat treatments to stop the bleeding or manage blood loss.
  • #1 Colonic Diverticular Disease
    https://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/gastroenterology/colonic-diverticular-disease/
    A diverticulum is an abnormal pouch arising from an opening within the wall of the alimentary tract. The presence of acquired diverticula in the colon is known as colonic diverticular disease. Symptoms of diverticular disease include hemorrhage, inflammation (diverticulitis), stricture or obstruction, and fistulae. […] The majority of patients with diverticular disease remain asymptomatic with 25% developing symptoms in their lifetime. […] While the incidence of diverticulosis is high, the incidence of diverticulitis is low with less than a quarter of patients progressing to have symptoms over a lifetime. […] The progression of diverticulosis to diverticulitis is poorly understood. The traditional belief is that fecal stasis and obstruction of a diverticulum leads to ischemia, ulceration, bacterial overgrowth and micro perforation. This can lead to peri-diverticular or pelvic abscess, as well as free perforation. The first attack of diverticulitis is commonly the most aggressive with patients being most likely to develop free perforation. Follow-up attacks are less likely to require emergent surgery, as the site of inflammation is more likely to be have been walled off by adhesions of omentum, or other viscera.
  • #1 Signs Your Diverticulitis Could Be in a Flare-Up | Hackensack Meridian Health
    https://www.hackensackmeridianhealth.org/en/healthu/2021/07/21/signs-your-diverticulitis-could-be-in-a-flare-up
    More than half of people who experience diverticulitis once are likely to have another flare-up. […] Common symptoms of diverticulitis include: Constant abdominal pain that lasts for days, typically on the lower left side of the abdomen (although some people experience it on the lower right side), Nausea and/or vomiting, Fever and/or chills, Constipation or diarrhea, Abdominal tenderness or cramping, Rectal bleeding. […] Youre more likely to experience a diverticulitis flare-up if you are: Over age 40, Overweight or obese, A smoker, Physically inactive, Someone whose diet is high in animal products and low in fiber (most Americans), Someone who takes non-steroidal anti-inflammatory drugs (NSAIDs), steroids or opioids. […] If youre having a diverticulitis flare-up, your doctor can prescribe antibiotics to fight the infection. […] It may not be possible to guarantee that youll never have another diverticulitis flare-up, but you may lower your risk of a recurrence if you follow certain healthy lifestyle habits.
  • #1 Diverticulitis Flare Ups: Signs and Symptoms | Season
    https://www.seasonhealth.com/blog/symptoms-diverticulitis-flare-up
    During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days. […] Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. […] Since diverticulitis can be caused by an infection, fever and chills are a possible sign. […] The immune systems response to diverticulitis can cause nausea and even vomiting. […] Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. […] Diverticulitis may cause loss of appetite, especially if youre experiencing nausea or vomiting. […] Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if its moderate to severe. If you have an infection, the bodys immune response can cause weakness and fatigue. Lastly, if youre not eating enough due to loss of appetite or if youre vomiting, you may be undernourished. This can lead to fatigue and weakness. […] You should seek immediate medical attention if: You have blood in your stool, You have a fever over 100.4 F, You have excessive vomiting or severe nausea, You have sudden or severe abdominal or back pain that worsens quickly.
  • #1 Diverticulosis and Diverticulitis
    https://raleighendoscopy.com/condition/diverticulosis-and-diverticulitis
    Diverticulitis may be difficult to diagnose because its symptoms are similar to other intestinal disorders such as irritable bowel syndrome (IBS) and stomach ulcers. […] Symptoms of Diverticulitis include abdominal pain, fever, nausea, vomiting, chills, and cramping or constipation. […] Treatment depends on the severity of your condition. Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Adding more fiber to your diet can reduce the amount of pressure on your colon and reduce symptoms from diverticular disease. You may also be put on a liquid diet to try and give your colon a rest. Severe cases of diverticulitis may require hospitalization to receive antibiotics intravenously. Occasionally surgery is necessary.
  • #2 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-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. […] Whether youre having an acute diverticulitis attack or a flare-up of chronic diverticulitis, the pain will be similar. An acute attack may come on more suddenly, while a chronic flare-up may build up over a few days. You should be able to locate it in the precise spot where your diverticulum has become inflamed. It may feel sharp and penetrating or have a burning quality. The pain is usually moderate to severe.
  • #2 Symptoms & Causes of Diverticular Disease – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/diverticulosis-diverticulitis/symptoms-causes
    Symptoms of diverticular disease depend on whether diverticulapouches in the wall of the colonlead to chronic symptoms of diverticula, diverticular bleeding, or diverticulitis. Most people first notice symptoms when they develop complications, such as diverticular bleeding or diverticulitis. […] Diverticulitis may cause acute symptoms such as abdominal pain, most often in the lower left side of your abdomen, constipation or diarrhea, fevers and chills, nausea or vomiting. The pain caused by diverticulitis is typically severe and comes on suddenly, although the pain may also be mild and worsen over several days. The intensity of the pain may change over time.
  • #2 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, fever, distension (bloating) of the abdomen, nausea and vomiting. […] 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.
  • #2 Am I having a diverticulitis flare-up? Strategies for feeling better and living well
    https://www.bswhealth.com/blog/diverticulitis-flare-up-strategies
    Experiencing abdominal pain with fevers? Maybe loss of appetite, nausea or vomiting? It is possible you could be having a diverticulitis flare-up. […] The most reliable way to know if you’re having a diverticulitis flare-up is to be diagnosed by a healthcare provider, as symptoms can be similar to other digestive or non-digestive conditions. However, here are the key signs and symptoms to watch for: […] A diverticulitis flare-up can cause a low-grade fever. If you experience a persistent or high fever, seek medical attention. […] You may experience diarrhea (up to 25% of people) or constipation (up to half of all people) during a diverticulitis flare-up. […] Inflammation and infection in the colon can lead to queasiness and an inability to keep solids or liquids down. […] The discomfort and pain associated with a diverticulitis flare-up can result in a decreased appetite.
  • #2 Diverticulitis – Women’s Health – Associates for Women’s Medicine – Syracuse NY Gynecologist, Gynecology, Obstetrics, OBGYN, OB Physicians, Syracuse New York, Fayetteville, North Syracuse, LiverpoolDiverticulitis
    https://www.afwomensmed.com/health-library/hw-view.php?DOCHWID=hw251743
    Belly pain, often in the lower left side, is the most common symptom of diverticulitis. The pain is sometimes worse when you move. Other symptoms include fever, chills, bloating, and gas. You may also have diarrhea or constipation. Symptoms can last from a few hours to several days, or longer if not treated. […] Symptoms of diverticulitis include: Tenderness, cramps, or pain in the belly. This is often in the lower left side but may occur on the right. These symptoms are sometimes worse when you move. Pain is the most common symptom. Fever and chills. A bloated feeling, swelling in the belly, or gas. Diarrhea or constipation. Nausea and sometimes vomiting. Not feeling like eating. […] Symptoms may last from a few hours to several days. They may last longer if the problem isn’t treated. Complications also can cause symptoms. If an abnormal opening (fistula) develops between the colon and the vagina or the colon and the urethra, you may pass air or stool from the vagina or the urethra.
  • #2 Acute Diverticulitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459316/
    Acute diverticulitis is inflammation of a diverticulum, a sac-like protrusion from the colon wall, due to micro-perforation. Diverticulitis presents in 10% to 25% of patients with diverticulosis. […] Diverticulitis can be simple or uncomplicated and complicated. Uncomplicated diverticulitis is without any associated complications. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction, or frank perforation. […] Clinical manifestation of acute diverticulitis varies depending on the severity of the disease. Patients with uncomplicated diverticulitis typically present with left lower quadrant abdominal pain, reflecting that propensity of left-sided disease in Western nations. However, patients of Asian descent present with predominantly right-sided abdominal pain. The pain can be constant or intermittent. Change in bowel habits, either diarrhea (35%) or constipation (50%), can be associated with abdominal pain. Patients may also experience nausea and vomiting, possibly secondary to bowel obstruction. Fever is not uncommon in patients with abscesses and perforation.
  • #2 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.
  • #2 Diverticular disease – Wikipedia
    https://en.wikipedia.org/wiki/Diverticular_disease
    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.
  • #2 Complicated vs. uncomplicated diverticulitis: Symptoms and more
    https://www.medicalnewstoday.com/articles/complicated-vs-uncomplicated-diverticulitis
    Doctors classify diverticulitis as uncomplicated or complicated. Complicated diverticulitis includes additional health complications, such as abscesses, compared to uncomplicated diverticulitis. […] Uncomplicated diverticulitis causes inflammation of the diverticula and surrounding intestinal tissue. This inflammation does not spread, and there are no abscesses. […] Complicated diverticulitis results in additional complications developing. This may include: abscesses, tears in the intestinal wall, phlegmon, which involves localized inflammation in areas of soft tissue, fistulas, bleeding, intestinal obstruction. […] Symptoms of diverticulitis may vary depending on its severity. […] Generally, a person with uncomplicated diverticulitis may experience pain in the lower left abdomen. However, people of Asian descent usually experience pain in their lower right abdomen. They may have pain that is constant or comes and goes. They may also develop constipation or diarrhea.
  • #2 Patient education: Diverticular disease (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print
    Complicated diverticulitis occurs in 25 percent of cases and usually requires surgery. […] 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.
  • #2 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery
    https://www.healthline.com/health/diverticulitis
    Diverticulitis may cause symptoms ranging from mild to severe. They can appear suddenly or develop gradually over several days. […] Symptoms of diverticulitis may include: pain in your abdomen, bloating, fever and chills, nausea and vomiting, increased urinary urgency, diarrhea, constipation. […] Abdominal pain is the most common symptom of diverticulitis. It will most likely occur in the lower left side of your abdomen. It can also develop in the right side of your abdomen. […] If you develop any of the above symptoms, get immediate medical attention. They may be a sign of a serious complication. […] Its estimated that 1 in 4 people with diverticulitis will develop complications. These may include: abscess, phlegmon, fistula, intestinal perforation, intestinal obstruction. […] Up to 1 in 2 people may also experience recurring diverticulitis flare-ups. […] The most common symptom of diverticulitis is acute pain in the lower left quadrant of your abdomen.
  • #2 Living with diverticulitis: Get the full scope of symptoms, treatment, and prevention | Digestive | UT Southwestern Medical Center
    https://utswmed.org/medblog/diverticulitis-symptoms-treatment/
    If your flare-up presents severe symptoms, you might need to stay in the hospital to get IV fluids and antibiotics. Your care team will likely recommend a clear, liquid diet for several days before slowly reintroducing bland foods. […] For some patients, colorectal surgery is the most appropriate treatment to significantly reduce diverticulitis flare-ups. You may need surgery if your: Recurrences continue despite antibiotics or lifestyle changes, Symptoms are severe, including formation of a fistula, an abscess, or a perforation, Bowel is obstructed. […] A sigmoidectomy ends recurring flare-ups for more than 95% of patients. If another flare-up occurs, we can treat it with antibiotics such as Augmentin or a combination approach of Ciprofloxacin and Flagyl.
  • #2 Diverticulitis
    https://awog.org/womens-health/health-library/?DOCHWID=hw251743
    Belly pain, often in the lower left side, is the most common symptom of diverticulitis. The pain is sometimes worse when you move. Other symptoms include fever, chills, bloating, and gas. You may also have diarrhea or constipation. Symptoms can last from a few hours to several days, or longer if not treated. […] Symptoms of diverticulitis include: Tenderness, cramps, or pain in the belly. This is often in the lower left side but may occur on the right. These symptoms are sometimes worse when you move. Pain is the most common symptom. Fever and chills. A bloated feeling, swelling in the belly, or gas. Diarrhea or constipation. Nausea and sometimes vomiting. Not feeling like eating. […] Symptoms may last from a few hours to several days. They may last longer if the problem isn’t treated. Complications also can cause symptoms. If an abnormal opening (fistula) develops between the colon and the vagina or the colon and the urethra, you may pass air or stool from the vagina or the urethra.
  • #2 Living with diverticulitis: Get the full scope of symptoms, treatment, and prevention | Digestive | UT Southwestern Medical Center
    https://utswmed.org/medblog/diverticulitis-symptoms-treatment/
    Diverticulitis occurs when small, bulging pouches (diverticula) form inside weak areas of the colon, with the majority of cases occurring in the sigmoid colon the lower part of the large intestine. […] But in fewer than 5% of patients with diverticulosis, the diverticula become inflamed or infected, causing diverticulitis a condition that does typically cause symptoms such as: Pain in the lower left abdomen, Fever, Nausea and vomiting, Diarrhea, Lack of appetite. […] Many people who experience these symptoms delay seeking care because theyre embarrassed, or they fear that gastrointestinal surgery with a colostomy bag will be their only treatment option. However, most patients with diverticulitis can manage their symptoms with antibiotics and lifestyle changes. […] Patients typically start feeling better within weeks. A second flare-up can occur, but the timing is different for every patient. If suspicion of a recurrent diverticulitis flare-up is present, well confirm diverticulitis with a CT scan before prescribing the above recommendations.
  • #2 Diverticulosis and Diverticulitis – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/diverticulosis-and-diverticulitis-a-to-z
    Most people who have diverticulosis don’t have any symptoms, but some have mild cramps, constipation, or bloating. Diverticulitis causes more severe symptoms, including any of the following, but particularly the first two: steady abdominal pain […] tenderness to pressure in the lower abdomen, especially on the left side […] fever […] nausea […] vomiting […] chills […] cramping […] change in bowel habits (constipation or diarrhea) […] sharper pain with breathing or jarring movements such as walking. […] Symptoms of diverticulitis or bleeding from diverticulosis may subside within a few days after treatment, may continue, or may get worse in the case of severe illness or complications. […] 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.
  • #2 Diagnosis and Management of Acute Diverticulitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2013/0501/p612.html
    Uncomplicated diverticulitis is localized diverticular inflammation, whereas complicated diverticulitis is diverticular inflammation associated with an abscess, phlegmon, fistula, obstruction, bleeding, or perforation. Patients with acute diverticulitis may present with left lower quadrant pain, tenderness, abdominal distention, and fever. Other symptoms may include anorexia, constipation, nausea, diarrhea, and dysuria. […] Acute diverticulitis is inflammation of the colonic diverticulum, which may involve perforation or microperforation. […] Patients often present with acute, constant abdominal pain that is usually in the left lower quadrant. Other possible symptoms include anorexia, constipation, nausea, diarrhea, and dysuria. […] A retrospective study analyzing 954 consecutive patients with diverticulitis found the five-year recurrence rate was 36 percent, with 3.9 percent of patients having a complicated recurrence including abscesses, fistula, or free perforation.
  • #2 Acute Diverticulitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459316/
    The prognosis of patients with diverticulitis depends on age at presentation, the presence of comorbidity and severity of the disease. In general, younger people tend to have a higher morbidity as they never suspect they have the disorder and often present late. In addition, patients who are immunocompromised tend to have high morbidity and mortality. […] About 15% patients with acute diverticulitis develop an abscess, specifically pericolonic and intra-mesenteric. Clinically, abscess formation should be suspected if fever and leukocytosis do not subside despite adequate intravenous (IV) antibiotics. […] Fistula formation is another complication of acute diverticulitis. It is reported that less than 5% develops fistula; however, it has been found in about 20% of patients who undergo surgery for diverticulitis. […] The mortality rate in uncomplicated diverticulitis is negligible with appropriate conservative therapy. Complicated diverticulitis requiring surgery may lead to death in approximately 5% of patients. Perforation of the bowel with resulting peritonitis increases the risk of death to 20%.
  • #2 Diverticulitis – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/diverticular-disease/diverticulitis
    Diverticulitis usually affects the large intestine (colon). […] Left lower abdominal pain, tenderness, and fever are the typical symptoms. […] Symptoms of diverticulitis typically include pain and/or tenderness (usually in the left lower part of the abdomen), fever, and sometimes nausea and vomiting. Diverticulitis typically does not cause gastrointestinal bleeding. […] Diverticulitis can be severe in people of any age, although it is most serious in older adults, especially those taking corticosteroids or other medications that suppress the immune system and thus increase the risk of infection, including colon infection. […] Repeated bouts of diverticulitis can lead to narrowing (stricture) of the colon because the resulting scarring and muscle thickening can narrow the inside of the large intestine and prevent solid stool from passing through.
  • #2 Quick Facts:Diverticulitis – MSD Manual Consumer Version
    https://www.msdmanuals.com/home/quick-facts-digestive-disorders/diverticular-disease/diverticulitis
    Symptoms include pain in the lower left part of your belly, tenderness, and fever […] Diverticulitis causes: Pain in the lower left part of your belly, Tenderness, Fever […] Diverticulitis can cause problems such as: Abscess (a collection of pus), Infections in nearby organs or in the belly space between organs (peritonitis), Serious infection in your blood causing other organs not to work right (sepsis), Intestinal blockage from scarring in the intestine, Fistula (an abnormal connection between two organs that shouldn’t connect, such as the intestine and the bladder) […] Diverticulitis is usually in the lowermost part of your large intestine […] Diverticulitis tends to be more serious in older people and in people taking corticosteroids.
  • #2 Diverticulitis Treatment & Surgery | ACE Specialist Clinic
    https://acesurgery.sg/24-7-emergency/acute-diverticulitis/
    The patient may feel that the stomach is filled with gas. […] If left untreated, acute diverticulitis may result in a variety of complications. […] Diverticulitis results in small tears in the colon, which may eventually grow larger and cause content to be leaked into the abdominal cavity. […] Acute diverticulitis may cause a narrowing of the colon created by the scar tissue, the narrowing may impede stool from exiting the colon, therefore causing obstruction. […] While this condition can occur at any age beyond adulthood, the risk increases with advancing age. People over the age of 40, particularly those above 60, are more prone to developing acute diverticulitis. […] Insufficient dietary fibre can lead to constipation and hard stools, increasing the pressure in the colon, which may contribute to the formation of diverticula in the colon wall.
  • #2 Patient education: Diverticular disease (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print
    Diverticulitis – Inflammation of a diverticulum (diverticulitis) occurs when there is thinning and breakdown of the diverticular wall. This may be caused by increased pressure within the colon or by hardened particles of stool, which can become lodged within the diverticulum. […] The symptoms of diverticulitis depend upon the degree of inflammation present. The most common symptom is pain in the left lower abdomen. Other symptoms can include nausea and vomiting, constipation, diarrhea, and urinary symptoms such as pain or burning when urinating or the frequent need to urinate. […] Diverticulitis is divided into simple and complicated forms. […] Simple diverticulitis, which accounts for 75 percent of cases, is not associated with complications and typically responds to medical treatment without surgery.
  • #2 Diverticulitis Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/diverticulitis
    People with diverticulosis often have no symptoms, but they may have bloating and cramping in the lower part of the belly. […] Symptoms of diverticulitis are more severe and often start suddenly, but they may become worse over a few days. They include: Pain or discomfort, usually in the left lower part of the abdomen, Bloating or gas, Fever and chills, Nausea and vomiting, Not feeling hungry and not eating. […] Most often, this is a mild condition that responds well to treatment. Some people will have more than one attack of diverticulitis. Surgery may be needed in some cases. Many times, providers will recommend that you have a colonoscopy after diverticulitis has healed. This can help to rule out other conditions that could mimic diverticulitis symptoms.
  • #3 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-diverticulitis
    In people of European descent, diverticula most often occur in the last part of the colon, called the sigmoid colon. This segment begins on your lower left side and tilts slightly to the right to meet your rectum. For this reason, most people feel diverticulitis pain in the lower left quadrant of their abdomen. Occasionally, lower abdominal pain may also spread to your pelvis or radiate to your back. […] 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.
  • #3 Diverticulitis – Women’s Health – Associates for Women’s Medicine – Syracuse NY Gynecologist, Gynecology, Obstetrics, OBGYN, OB Physicians, Syracuse New York, Fayetteville, North Syracuse, LiverpoolDiverticulitis
    https://www.afwomensmed.com/health-library/hw-view.php?DOCHWID=hw251743
    Belly pain, often in the lower left side, is the most common symptom of diverticulitis. The pain is sometimes worse when you move. Other symptoms include fever, chills, bloating, and gas. You may also have diarrhea or constipation. Symptoms can last from a few hours to several days, or longer if not treated. […] Symptoms of diverticulitis include: Tenderness, cramps, or pain in the belly. This is often in the lower left side but may occur on the right. These symptoms are sometimes worse when you move. Pain is the most common symptom. Fever and chills. A bloated feeling, swelling in the belly, or gas. Diarrhea or constipation. Nausea and sometimes vomiting. Not feeling like eating. […] Symptoms may last from a few hours to several days. They may last longer if the problem isn’t treated. Complications also can cause symptoms. If an abnormal opening (fistula) develops between the colon and the vagina or the colon and the urethra, you may pass air or stool from the vagina or the urethra.
  • #3 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery
    https://www.healthline.com/health/diverticulitis
    Diverticulitis may cause symptoms ranging from mild to severe. They can appear suddenly or develop gradually over several days. […] Symptoms of diverticulitis may include: pain in your abdomen, bloating, fever and chills, nausea and vomiting, increased urinary urgency, diarrhea, constipation. […] Abdominal pain is the most common symptom of diverticulitis. It will most likely occur in the lower left side of your abdomen. It can also develop in the right side of your abdomen. […] If you develop any of the above symptoms, get immediate medical attention. They may be a sign of a serious complication. […] Its estimated that 1 in 4 people with diverticulitis will develop complications. These may include: abscess, phlegmon, fistula, intestinal perforation, intestinal obstruction. […] Up to 1 in 2 people may also experience recurring diverticulitis flare-ups. […] The most common symptom of diverticulitis is acute pain in the lower left quadrant of your abdomen.
  • #3 Diverticulitis Flare Ups: Signs and Symptoms | Season
    https://www.seasonhealth.com/blog/symptoms-diverticulitis-flare-up
    During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days. […] Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. […] Since diverticulitis can be caused by an infection, fever and chills are a possible sign. […] The immune systems response to diverticulitis can cause nausea and even vomiting. […] Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. […] Diverticulitis may cause loss of appetite, especially if youre experiencing nausea or vomiting. […] Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if its moderate to severe. If you have an infection, the bodys immune response can cause weakness and fatigue. Lastly, if youre not eating enough due to loss of appetite or if youre vomiting, you may be undernourished. This can lead to fatigue and weakness. […] You should seek immediate medical attention if: You have blood in your stool, You have a fever over 100.4 F, You have excessive vomiting or severe nausea, You have sudden or severe abdominal or back pain that worsens quickly.
  • #3 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.
  • #3 Complicated vs. uncomplicated diverticulitis: Symptoms and more
    https://www.medicalnewstoday.com/articles/complicated-vs-uncomplicated-diverticulitis
    In addition to the earlier symptoms, complicated diverticulitis may cause nausea and vomiting. […] However, people need to consider that symptoms may vary depending on what type of complications have developed. Complications may include: phlegmon, abscesses, tears in the intestinal wall, bleeding, fistulas, intestinal obstruction, peritonitis, low blood pressure, shock. […] Uncomplicated diverticulitis clears up by itself within 1 week in around 95% of cases. The other 5% may require additional treatment. […] Complicated diverticulitis generally requires hospitalization. Antibiotics clear complicated diverticulitis in a few weeks in around 80% of people with the condition, while the remaining individuals may require surgery. […] Diverticulitis is inflammation of diverticula and can be either complicated or uncomplicated. Uncomplicated diverticulitis is less severe than complicated diverticulitis.
  • #3 Patient education: Diverticular disease (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print
    Complicated diverticulitis occurs in 25 percent of cases and usually requires surgery. […] 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.
  • #3 Diverticulitis Treatment & Surgery | ACE Specialist Clinic
    https://acesurgery.sg/24-7-emergency/acute-diverticulitis/
    Heightened pressure in the colon, often associated with exertion during bowel movements, may contribute to diverticulosis. […] Exercise can stimulate bowel movement, thus conversely, a sedentary lifestyle can contribute to constipation and heighten the risk of diverticular disease. […] Being overweight or obese (Body Mass Index30) can increase the risk of developing acute diverticulitis. […] Studies have reported that smokers have a higher chance of developing acute diverticulitis.
  • #3 Diverticulitis Symptoms and Treatment Options | BASS Medical Group
    https://www.bassmedicalgroup.com/blog-post/what-to-expect-from-diverticulitis-disease
    Diverticulitis is a common digestive condition that can cause sharp abdominal pain, bloating, and serious complications if left untreated. […] Signs of diverticulitis usually begin with sudden or growing pain in the lower left side of the abdomen. Other symptoms can include persistent abdominal cramping or tenderness, nausea or vomiting, constipation or bloating, mild fever or chills, and loss of appetite. […] If your abdominal pain worsens or is paired with vomiting, confusion, or a high fever, seek medical care immediately. […] If you’ve had abdominal pain lasting more than a few daysespecially if you’re over 40 or have a low-fiber dietits time to speak to a doctor. […] Most mild cases improve within 2 to 3 days of rest and treatment. […] Surgical options may involve removing the affected portion of the colon or performing a bowel resection.
  • #3 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.
  • #4 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery
    https://www.webmd.com/digestive-disorders/understanding-diverticulitis-basics
    Cramping on the left or right side of your abdomen may be a sign of diverticulitis. 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. 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.
  • #4 Diverticular disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/
    Diverticulitis is when these pockets become inflamed or infected. […] 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; diarrhoea or frequent bowel movements. […] Symptoms of diverticular disease and diverticulitis include abdominal pain, bloating and a change in normal bowel habits. […] The most common symptom of diverticular disease is intermittent (stop-start) pain in your lower abdomen (stomach), usually in the lower left-hand side. […] 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; feeling sick (nausea) or being sick (vomiting).
  • #4 Diverticulitis – Women’s Health – Associates for Women’s Medicine – Syracuse NY Gynecologist, Gynecology, Obstetrics, OBGYN, OB Physicians, Syracuse New York, Fayetteville, North Syracuse, LiverpoolDiverticulitis
    https://www.afwomensmed.com/health-library/hw-view.php?DOCHWID=hw251743
    Belly pain, often in the lower left side, is the most common symptom of diverticulitis. The pain is sometimes worse when you move. Other symptoms include fever, chills, bloating, and gas. You may also have diarrhea or constipation. Symptoms can last from a few hours to several days, or longer if not treated. […] Symptoms of diverticulitis include: Tenderness, cramps, or pain in the belly. This is often in the lower left side but may occur on the right. These symptoms are sometimes worse when you move. Pain is the most common symptom. Fever and chills. A bloated feeling, swelling in the belly, or gas. Diarrhea or constipation. Nausea and sometimes vomiting. Not feeling like eating. […] Symptoms may last from a few hours to several days. They may last longer if the problem isn’t treated. Complications also can cause symptoms. If an abnormal opening (fistula) develops between the colon and the vagina or the colon and the urethra, you may pass air or stool from the vagina or the urethra.
  • #4 Acute Diverticulitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459316/
    The prognosis of patients with diverticulitis depends on age at presentation, the presence of comorbidity and severity of the disease. In general, younger people tend to have a higher morbidity as they never suspect they have the disorder and often present late. In addition, patients who are immunocompromised tend to have high morbidity and mortality. […] About 15% patients with acute diverticulitis develop an abscess, specifically pericolonic and intra-mesenteric. Clinically, abscess formation should be suspected if fever and leukocytosis do not subside despite adequate intravenous (IV) antibiotics. […] Fistula formation is another complication of acute diverticulitis. It is reported that less than 5% develops fistula; however, it has been found in about 20% of patients who undergo surgery for diverticulitis. […] The mortality rate in uncomplicated diverticulitis is negligible with appropriate conservative therapy. Complicated diverticulitis requiring surgery may lead to death in approximately 5% of patients. Perforation of the bowel with resulting peritonitis increases the risk of death to 20%.
  • #5 Diverticular disease – Wikipedia
    https://en.wikipedia.org/wiki/Diverticular_disease
    Diverticular disease is when problems occur due to diverticulosis, a benign condition defined by the formation of pouches (diverticula) from weak spots in the wall of the large intestine. The most common symptoms across the disease spectrum are abdominal pain and bowel habit changes such as diarrhea or constipation. Otherwise, diverticulitis presents with systemic symptoms such as fever and elevated white blood cell count whereas SUDD and SCAD do not. […] The signs and symptoms of diverticular disease stem from inflammation and irritation of the colonic tissues, which can manifest as: Abdominal pain that may be persistent for days. Pain is typically located in the left lower quadrant. However, in people of Asian descent, pain is reported more on the right side. […] Acute diverticulitis is thought to arise from either trauma or lack of blood flow to the existing diverticulum in the colon. Complicated acute diverticulitis is distinguished from uncomplicated diverticulitis by the presence of abscess or colonic perforation.
  • #5 Diverticulitis
    https://awog.org/womens-health/health-library/?DOCHWID=hw251743
    Belly pain, often in the lower left side, is the most common symptom of diverticulitis. The pain is sometimes worse when you move. Other symptoms include fever, chills, bloating, and gas. You may also have diarrhea or constipation. Symptoms can last from a few hours to several days, or longer if not treated. […] Symptoms of diverticulitis include: Tenderness, cramps, or pain in the belly. This is often in the lower left side but may occur on the right. These symptoms are sometimes worse when you move. Pain is the most common symptom. Fever and chills. A bloated feeling, swelling in the belly, or gas. Diarrhea or constipation. Nausea and sometimes vomiting. Not feeling like eating. […] Symptoms may last from a few hours to several days. They may last longer if the problem isn’t treated. Complications also can cause symptoms. If an abnormal opening (fistula) develops between the colon and the vagina or the colon and the urethra, you may pass air or stool from the vagina or the urethra.
  • #5 Diverticulitis Flare Ups: Signs and Symptoms | Season
    https://www.seasonhealth.com/blog/symptoms-diverticulitis-flare-up
    During an acute diverticulitis attack, the pain often comes on very suddenly and can be severe, whereas pain that occurs as a result of a chronic diverticulitis flare-up may gradually build over a few days. […] Constipation is a more common symptom during a diverticulitis flare because gut inflammation may slow down the movement of food through the digestive system. […] Since diverticulitis can be caused by an infection, fever and chills are a possible sign. […] The immune systems response to diverticulitis can cause nausea and even vomiting. […] Inflammation of the colon from diverticulitis can cause the feeling of bloating or trapped gas in the abdomen. […] Diverticulitis may cause loss of appetite, especially if youre experiencing nausea or vomiting. […] Diverticulitis can cause fatigue and weakness for a few reasons. Pain can make you feel tired, especially if its moderate to severe. If you have an infection, the bodys immune response can cause weakness and fatigue. Lastly, if youre not eating enough due to loss of appetite or if youre vomiting, you may be undernourished. This can lead to fatigue and weakness. […] You should seek immediate medical attention if: You have blood in your stool, You have a fever over 100.4 F, You have excessive vomiting or severe nausea, You have sudden or severe abdominal or back pain that worsens quickly.
  • #5 Diverticular disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/
    If you have symptoms of diverticular disease and the condition has previously been diagnosed, you do not usually need to contact your GP as the symptoms can be treated at home. […] Diverticular disease is caused by small bulges in the large intestine (diverticula) developing and becoming inflamed. If any of the diverticula become infected, this leads to symptoms of diverticulitis. […] Diverticulitis is caused by an infection of one or more of the diverticula. […] 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. […] Complications of diverticulitis affect 1 in 5 people with the condition. […] The most common complication of diverticulitis is an abscess outside the large intestine (colon).
  • #6 Diverticulosis and Diverticulitis – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/diverticulosis-and-diverticulitis-a-to-z
    Most people who have diverticulosis don’t have any symptoms, but some have mild cramps, constipation, or bloating. Diverticulitis causes more severe symptoms, including any of the following, but particularly the first two: steady abdominal pain […] tenderness to pressure in the lower abdomen, especially on the left side […] fever […] nausea […] vomiting […] chills […] cramping […] change in bowel habits (constipation or diarrhea) […] sharper pain with breathing or jarring movements such as walking. […] Symptoms of diverticulitis or bleeding from diverticulosis may subside within a few days after treatment, may continue, or may get worse in the case of severe illness or complications. […] 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.
  • #6
    https://fascrs.org/patients/diseases-and-conditions/a-z/diverticular-disease-expanded-version
    The most common symptoms of diverticulitis are abdominal pain and fever. The abdominal pain of diverticulitis is usually lower and/or left-sided abdominal pain. The pain is usually sharp and constant, and the pain may seem to travel, or radiate, to the leg, groin, back, and side. A change in bowel habits such as diarrhea or constipation may also be seen. Patients may also have urinary symptoms such as increased need to urinate and urinary urgency. […] 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.
  • #6 Diverticulitis Causes, Symptoms, and Treatments | UPMC
    https://www.upmc.com/services/digestive-disorders-center/conditions-we-treat/diverticulitis
    Diverticulitis occurs when these pouches become inflamed. It can cause bleeding, cramping, and pain. […] Diverticulitis often comes on fast. It can cause pain, bleeding, and other serious issues if not treated. […] Diverticulitis can be mild or severe. […] If not treated, it can lead to severe issues that could threaten your life. […] The symptoms of diverticulitis include: Bleeding from the rectum. Bloating. Chills. Constipation that alternates with diarrhea. Cramping in the abdomen. Fever. Nausea or vomiting. Pain in the lower abdomen, most often on the left side. […] Diverticulitis pain tends to be severe and come on fast. But it can also start out mild and get worse as the days go on. […] A diverticulitis attack often feels like a sharp pain or cramp on the left side of your belly. This pain may last for days. […] You may also have fever, chills, vomiting, constipation, or diarrhea.
  • #6 Diverticular disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/
    Diverticulitis is when these pockets become inflamed or infected. […] 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; diarrhoea or frequent bowel movements. […] Symptoms of diverticular disease and diverticulitis include abdominal pain, bloating and a change in normal bowel habits. […] The most common symptom of diverticular disease is intermittent (stop-start) pain in your lower abdomen (stomach), usually in the lower left-hand side. […] 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; feeling sick (nausea) or being sick (vomiting).
  • #6 Complicated vs. uncomplicated diverticulitis: Symptoms and more
    https://www.medicalnewstoday.com/articles/complicated-vs-uncomplicated-diverticulitis
    Doctors classify diverticulitis as uncomplicated or complicated. Complicated diverticulitis includes additional health complications, such as abscesses, compared to uncomplicated diverticulitis. […] Uncomplicated diverticulitis causes inflammation of the diverticula and surrounding intestinal tissue. This inflammation does not spread, and there are no abscesses. […] Complicated diverticulitis results in additional complications developing. This may include: abscesses, tears in the intestinal wall, phlegmon, which involves localized inflammation in areas of soft tissue, fistulas, bleeding, intestinal obstruction. […] Symptoms of diverticulitis may vary depending on its severity. […] Generally, a person with uncomplicated diverticulitis may experience pain in the lower left abdomen. However, people of Asian descent usually experience pain in their lower right abdomen. They may have pain that is constant or comes and goes. They may also develop constipation or diarrhea.
  • #7 Diverticulitis Flare-Up: Symptoms and Risks
    https://www.healthline.com/health/digestive-health/what-does-a-diverticulitis-attack-feel-like
    Sometimes, though, the little pockets in your colon can become inflamed or infected. When these pockets become infected, it can cause a flare-up or attack known as diverticulitis. […] Until its treated or the inflammation eases, diverticulitis can cause sharp pain, along with other symptoms. […] The most common symptom is sharp, cramp-like pain in your lower abdomen. The pain may come on suddenly and persist for days without letting up. […] Usually, the pain is on the left side of the lower abdomen. However, it can also occur on the lower right side of their abdomen. […] Other symptoms of diverticulitis can include: nausea, vomiting, chills, fever, constipation or diarrhea, bloating, tenderness over the affected area of your abdomen. […] As you get older, your colon wall can become weaker. This can cause small pockets or pouches to form in weakened areas of your colon. If these pouches get infected, it can cause a diverticulitis attack or flare-up.
  • #7 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-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. […] Whether youre having an acute diverticulitis attack or a flare-up of chronic diverticulitis, the pain will be similar. An acute attack may come on more suddenly, while a chronic flare-up may build up over a few days. You should be able to locate it in the precise spot where your diverticulum has become inflamed. It may feel sharp and penetrating or have a burning quality. The pain is usually moderate to severe.
  • #7 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.
  • #7 Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery
    https://www.healthline.com/health/diverticulitis
    Diverticulitis may cause symptoms ranging from mild to severe. They can appear suddenly or develop gradually over several days. […] Symptoms of diverticulitis may include: pain in your abdomen, bloating, fever and chills, nausea and vomiting, increased urinary urgency, diarrhea, constipation. […] Abdominal pain is the most common symptom of diverticulitis. It will most likely occur in the lower left side of your abdomen. It can also develop in the right side of your abdomen. […] If you develop any of the above symptoms, get immediate medical attention. They may be a sign of a serious complication. […] Its estimated that 1 in 4 people with diverticulitis will develop complications. These may include: abscess, phlegmon, fistula, intestinal perforation, intestinal obstruction. […] Up to 1 in 2 people may also experience recurring diverticulitis flare-ups. […] The most common symptom of diverticulitis is acute pain in the lower left quadrant of your abdomen.
  • #8
    https://fascrs.org/patients/diseases-and-conditions/a-z/diverticular-disease-expanded-version
    The most common symptoms of diverticulitis are abdominal pain and fever. The abdominal pain of diverticulitis is usually lower and/or left-sided abdominal pain. The pain is usually sharp and constant, and the pain may seem to travel, or radiate, to the leg, groin, back, and side. A change in bowel habits such as diarrhea or constipation may also be seen. Patients may also have urinary symptoms such as increased need to urinate and urinary urgency. […] 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.
  • #8 Diverticular disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/
    A fistula is another common complication of diverticulitis. […] In rare cases, an infected diverticulum (pouch in your colon) can split, spreading the infection into the lining of your abdomen (perforation). […] If the infection has badly scarred your large intestine, it may become partially or totally blocked.
  • #9 Diverticulosis: What It Is, Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24883-diverticulosis
    Most people dont have symptoms from diverticulosis alone. Youre likely to never notice it. If you have symptoms of illness, such as lower abdominal pain or fever, you might have an infection (diverticulitis). […] About 10% of people with diverticulosis may have some diverticular bleeding. This can happen if hard stool passing through a diverticulum erodes or stretches a blood vessel until it breaks. Its usually temporary and painless, but if it happens, you might see fresh blood in your poop. If you have bleeding, persistent symptoms or complications from diverticulosis, its called diverticular disease. […] If you have another condition that makes diverticulosis more complicated, such as constipation, IBS or IBD, you may be more at risk of chronic symptoms. A small number of people have recurrent bleeding episodes. These people might need repeat treatments to stop the bleeding or manage blood loss.
  • #9 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-diverticulitis
    In people of European descent, diverticula most often occur in the last part of the colon, called the sigmoid colon. This segment begins on your lower left side and tilts slightly to the right to meet your rectum. For this reason, most people feel diverticulitis pain in the lower left quadrant of their abdomen. Occasionally, lower abdominal pain may also spread to your pelvis or radiate to your back. […] 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.
  • #10 Patient education: Diverticular disease (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/diverticular-disease-beyond-the-basics/print
    Diverticulitis – Inflammation of a diverticulum (diverticulitis) occurs when there is thinning and breakdown of the diverticular wall. This may be caused by increased pressure within the colon or by hardened particles of stool, which can become lodged within the diverticulum. […] The symptoms of diverticulitis depend upon the degree of inflammation present. The most common symptom is pain in the left lower abdomen. Other symptoms can include nausea and vomiting, constipation, diarrhea, and urinary symptoms such as pain or burning when urinating or the frequent need to urinate. […] Diverticulitis is divided into simple and complicated forms. […] Simple diverticulitis, which accounts for 75 percent of cases, is not associated with complications and typically responds to medical treatment without surgery.
  • #10 Diverticular disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/
    A fistula is another common complication of diverticulitis. […] In rare cases, an infected diverticulum (pouch in your colon) can split, spreading the infection into the lining of your abdomen (perforation). […] If the infection has badly scarred your large intestine, it may become partially or totally blocked.
  • #11 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-diverticulitis
    In people of European descent, diverticula most often occur in the last part of the colon, called the sigmoid colon. This segment begins on your lower left side and tilts slightly to the right to meet your rectum. For this reason, most people feel diverticulitis pain in the lower left quadrant of their abdomen. Occasionally, lower abdominal pain may also spread to your pelvis or radiate to your back. […] 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.
  • #12 Diverticular disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diverticular-disease-and-diverticulitis/
    A fistula is another common complication of diverticulitis. […] In rare cases, an infected diverticulum (pouch in your colon) can split, spreading the infection into the lining of your abdomen (perforation). […] If the infection has badly scarred your large intestine, it may become partially or totally blocked.
  • #13 Diverticulosis | Diverticulitis | MedlinePlus
    https://medlineplus.gov/diverticulosisanddiverticulitis.html
    Diverticulitis is the name for the condition you have when one or more of the pouches get inflamed. Diverticulitis may come on suddenly. It can sometimes cause serious health problems. […] Diverticulitis may cause acute symptoms such as: Abdominal pain, most often in the lower left side of your abdomen, Constipation or diarrhea, Fevers and chills, Nausea or vomiting. […] The pain caused by diverticulitis is usually severe and comes on suddenly. Less often, the pain may be mild and worsen over several days. […] Some people with diverticulosis and diverticulitis may develop serious health problems (complications). Diverticular bleeding happens when a small blood vessel within the wall of a pouch bursts. The bleeding may be severe and sometimes even life-threatening. […] People with diverticulitis can also develop serious problems such as: Abscess, a painful, swollen, pus-filled area caused by infection, Fistula, an abnormal opening or passage between the colon and another part of the body, such as the bladder or vagina, Intestinal obstruction, a partial or total blockage that keeps food, fluids, air, or stool from moving through your intestines, Perforation, or a hole, in your colon, Peritonitis, an infection of the lining of the abdominal cavity.
  • #14 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-diverticulitis
    In people of European descent, diverticula most often occur in the last part of the colon, called the sigmoid colon. This segment begins on your lower left side and tilts slightly to the right to meet your rectum. For this reason, most people feel diverticulitis pain in the lower left quadrant of their abdomen. Occasionally, lower abdominal pain may also spread to your pelvis or radiate to your back. […] 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.
  • #15 Diverticulosis | Diverticulitis | MedlinePlus
    https://medlineplus.gov/diverticulosisanddiverticulitis.html
    Diverticulitis is the name for the condition you have when one or more of the pouches get inflamed. Diverticulitis may come on suddenly. It can sometimes cause serious health problems. […] Diverticulitis may cause acute symptoms such as: Abdominal pain, most often in the lower left side of your abdomen, Constipation or diarrhea, Fevers and chills, Nausea or vomiting. […] The pain caused by diverticulitis is usually severe and comes on suddenly. Less often, the pain may be mild and worsen over several days. […] Some people with diverticulosis and diverticulitis may develop serious health problems (complications). Diverticular bleeding happens when a small blood vessel within the wall of a pouch bursts. The bleeding may be severe and sometimes even life-threatening. […] People with diverticulitis can also develop serious problems such as: Abscess, a painful, swollen, pus-filled area caused by infection, Fistula, an abnormal opening or passage between the colon and another part of the body, such as the bladder or vagina, Intestinal obstruction, a partial or total blockage that keeps food, fluids, air, or stool from moving through your intestines, Perforation, or a hole, in your colon, Peritonitis, an infection of the lining of the abdominal cavity.
  • #16 Diverticulitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10352-diverticulitis
    In people of European descent, diverticula most often occur in the last part of the colon, called the sigmoid colon. This segment begins on your lower left side and tilts slightly to the right to meet your rectum. For this reason, most people feel diverticulitis pain in the lower left quadrant of their abdomen. Occasionally, lower abdominal pain may also spread to your pelvis or radiate to your back. […] 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.
  • #17 Diverticulosis | Diverticulitis | MedlinePlus
    https://medlineplus.gov/diverticulosisanddiverticulitis.html
    Diverticulitis is the name for the condition you have when one or more of the pouches get inflamed. Diverticulitis may come on suddenly. It can sometimes cause serious health problems. […] Diverticulitis may cause acute symptoms such as: Abdominal pain, most often in the lower left side of your abdomen, Constipation or diarrhea, Fevers and chills, Nausea or vomiting. […] The pain caused by diverticulitis is usually severe and comes on suddenly. Less often, the pain may be mild and worsen over several days. […] Some people with diverticulosis and diverticulitis may develop serious health problems (complications). Diverticular bleeding happens when a small blood vessel within the wall of a pouch bursts. The bleeding may be severe and sometimes even life-threatening. […] People with diverticulitis can also develop serious problems such as: Abscess, a painful, swollen, pus-filled area caused by infection, Fistula, an abnormal opening or passage between the colon and another part of the body, such as the bladder or vagina, Intestinal obstruction, a partial or total blockage that keeps food, fluids, air, or stool from moving through your intestines, Perforation, or a hole, in your colon, Peritonitis, an infection of the lining of the abdominal cavity.