Diverticular disease is regarded as a chronic condition, which requires lifelong management.
What Is the Life Expectancy for Diverticulitis? Most people with diverticulitis can recover completely following prompt treatment.
Many people will not have a recurrence. In one study of 3,165 patients hospitalized for diverticulitis, only 13.3% had a recurrence after 9 years. If a patient has diverticulitis and high blood pressure, consider a calcium channel blocker to reduce intraluminal pressure (and lower blood pressure as well).
Most patients with diverticulitis are older than 50 years; the mean age at presentation appears to be about 60 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.
While early studies suggested that diverticulitis is a recurrent disease of a progressive nature, more recent studies in the era of improved medical treatment and more reliable diagnostic imaging suggest the natural history is more benign.
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.
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.
CAUSES. The most commonly accepted theory for the formation of diverticulosis is related to high pressure within the colon, which causes weak areas of the colon wall to bulge out and form the sacs. A diet low in fiber and high in red meat may also play a role.
You can have diverticulosis for years without any complications or problems. If one or more of the diverticula become inflamed, however, that condition is diverticulitis. While diverticulosis usually doesn't lead to any discomfort, diverticulitis can be quite painful.
Brock was one of the greats in UFC until it was discovered that he had diverticulitis, an illness that could have taken his life, had he waited much longer for treatment.
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. Treatment may include: no eating or drinking – intravenous fluids are given to rest the bowel.
When stress is added to the overall picture, the problem of diverticulitis becomes an issue. This is due to the body impulses that will immediately address stressful situations by shifting the oxygen and blood from the digestive tract to the brain and muscles.
Several drugs are associated with an increased risk of diverticulitis, including steroids, opioids and nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve).
“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.
Your colon is shortened and therefore stool may pass at a faster rate. Give it time, approximately 6-8 weeks, and your colon should start to function more normally.
Symptoms of diverticulitis are more severe and often start suddenly, but they may become worse over a few days. They include: Tenderness, usually in the left lower part of the abdomen.
Eating a high-fiber diet, rich in foods such as bran, whole-wheat pasta, apples, pears, raspberries, beans, sweet potatoes, avocados, and vegetables, can help prevent regular flare-ups.
Actually, no specific foods are known to trigger diverticulitis attacks. And no special diet has been proved to prevent attacks. In the past, people with small pouches (diverticula) in the lining of the colon were told to avoid nuts, seeds and popcorn.
Compared with reference individuals, patients with diverticular disease had statistically significantly increased overall cancer incidence (24.5 vs 18.1 per 1000 person-years), equivalent to 1 extra cancer case in 16 individuals with diverticular disease followed-up for 10 years.
If you've had two or three episodes of diverticulitis, your doctor may recommend an elective procedure called sigmoidectomy, in which the affected part of the colon—called the sigmoid colon—is removed to help prevent a recurrence. Before choosing elective surgery, you and your doctor discuss the benefits and risks.
Diverticulitis begins as an acute problem, which means that it comes on suddenly and goes away shortly with treatment. But some people have recurring (repeat) episodes of diverticulitis, and some people develop chronic inflammation.