Understanding Diverticular Disease and Diverticulitis

A Comprehensive Guide to Causes, Symptoms, and Treatment

Gastroenterology

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Last updated: Mar 24, 2025

What Are Diverticula?

Diverticula are small, bulging pouches that can form in the lining of your digestive system, most commonly in the lower part of the large intestine (colon).

Understanding the Conditions

Diverticulosis

  • The presence of diverticula without inflammation
  • Often causes no symptoms
  • Very common in people over 40
  • May be discovered during routine colonoscopy

Diverticulitis

  • Occurs when diverticula become inflamed or infected
  • Requires medical attention
  • Can lead to serious complications if untreated

Common Symptoms

Diverticulosis

  • Usually asymptomatic
  • Mild cramping
  • Bloating
  • Changes in bowel habits

Diverticulitis

  • Severe abdominal pain (usually left-sided)
  • Fever
  • Nausea and vomiting
  • Changes in bowel habits
  • Constipation or diarrhea
  • Rectal bleeding (in some cases)

Risk Factors

  • Age (more common over 40)
  • Low-fiber diet
  • Obesity
  • Lack of exercise
  • Smoking
  • Certain medications (NSAIDs)

Prevention and Management

Dietary Recommendations

  • High-fiber diet (25-35g daily)
  • Plenty of water
  • Regular exercise
  • Weight management

Treatment Options

For Diverticulosis:

  • Dietary modifications
  • Fiber supplements
  • Regular exercise

For Diverticulitis:

  • Antibiotics (if infected)
  • Clear liquid diet during flares
  • Rest
  • Pain management
  • Surgery in severe cases

When to Seek Medical Care

  • Severe abdominal pain
  • Fever above 100.4°F
  • Unable to keep liquids down
  • Severe constipation or diarrhea
  • Rectal bleeding

Long-term Outlook

With proper management and lifestyle changes, most people with diverticular disease lead normal, healthy lives. Regular medical follow-up is important for monitoring the condition.

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