It may take up to 3 months for you to recover fully. It is not unusual for your bowels to be more loose than they were before the operation and for you to need to go to the toilet more often each day. This is normal and should improve with time.
After you go home, you may have diarrhea on and off during the first month. It takes about three months for the bowels to learn their “new normal.” You'll need to avoid heavy lifting for six to eight weeks to prevent a hernia.
Rest, taking over-the-counter medications for pain and following a low-fiber diet or a liquid diet may be recommended until your symptoms improve. Once your symptoms improve, you can slowly return to soft foods, then a more normal diet, which should be one that includes many high-fiber foods.
Once treated, most people start feeling better within a few days. Approximately 20% of patients will have another flare-up, or recurrence. This usually happens within 5 years.
“Generally speaking, inflammation from diverticulitis can cause scar tissue formation and breakdown of the colon wall, and if the colon wall develops a hole, then an abscess will form,” warns Will Bulsiewicz, MD, a gastroenterologist and gut health expert in Mount Pleasant, South Carolina.
Once the sacs develop, they don't heal on their own, and they don't go away. We can cure diverticulosis by performing surgery to remove the sacs. But if you don't have symptoms and an infection doesn't develop, there's no reason to treat the condition at all, much less undergo surgery.
If you don't treat it, diverticulitis can lead to serious complications that require surgery: Abscesses, collections of pus from the infection, may form around the infected diverticula. If these go through the intestinal wall, you could get peritonitis. This infection can be fatal.
The signs and symptoms of diverticulitis include: Pain, which may be constant and persist for several days. The lower left side of the abdomen is the usual site of the pain. Sometimes, however, the right side of the abdomen is more painful, especially in people of Asian descent.
You may still tire easily for several months as your body finishes the healing process. You should be sure to rest whenever you feel fatigued. You may be able to resume normal activities after 4 weeks, but should expect to take time off from work for 4-6 weeks.
Diverticulitis is treated using diet modifications, antibiotics, and possibly surgery. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs.
After symptoms improve, usually within two to four days, you may add 5 to 15 grams of fiber a day back into your diet. Resume your high fiber diet when you no longer have symptoms.
The guidelines suggest performing a colonoscopy 4-6 weeks after the acute episode to exclude colorectal cancer (CRC). However, these recommendations are based on old studies, when computed tomography was not used to diagnose acute diverticulitis (AD).
If it moves to one side of your lower abdomen this will usually be in the lower left-hand side; but not always. Other long-term symptoms of diverticular disease include: a change in your normal bowel habits, such as constipation or diarrhoea, or episodes of constipation that are followed by diarrhoea. bloating.
Complications of diverticulitis
Intestinal inflammation from diverticulitis can lead to the development of fistulas that connect the large intestine with other organs. Fistulas usually form when an inflamed diverticulum in the large intestine is touching another organ (such as the bladder).
The most common symptom of diverticulitis is belly or abdominal pain. The most common sign that you have it is feeling sore or sensitive on the left side of your lower belly. If infection is the cause, then you may have fever, nausea, vomiting, chills, cramping, and constipation.
Also, the mean age of patients with the first episode of diverticulitis is approximately 65 years, and such patients have an average life expectancy of 14 years.
About 30 to 40 percent of people who have diverticulitis once will never develop it again. For those who have subsequent episodes, particularly two or more, surgery is often required to remove the affected portion of the colon.
The vast majority of patients would live their whole lives without having any sort of complication. The reason to be concerned is that there is a risk for complications, and there are ways that we reduce those complications: Increase your dietary fiber.
According to research, a low FODMAP diet may help prevent high pressure in the colon, thus preventing or correcting diverticulitis. You should avoid the following foods: certain fruits, such as pears, apples and plums. dairy foods, such as milk, yogurt, and ice cream.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better. Then you can return to regular foods and slowly increase the amount of fibre in your diet. Use a heating pad set on low on your belly to relieve mild cramps and pain.
Lactobacilli have demonstrated to reduce Symptomatic Uncomplicated Diverticular Disease, with a reduction of bloating and abdominal pain [71], while Lactobacillus salivarius, Lactobacillus acidophilus and Bifidobacterium lactis have proven effective in the treatment of acute diverticulitis [72].