Login      Sign Up

Diverticulitis: Causes, Clinical Features, Investigations, and Treatment

Author: Dr. Parth R Goswami - Gastro Health  

Inflammation of the outpouched part of the large intestinal wall, that is, inflammation of the diverticuli.


The exact cause is not clearly understood, but risk factors are as follows:

  1. Obesity.
  2. Smoking.
  3. Sedentary lifestyle.
  4. Less fiber in the diet.
  5. Fried non-vegetarian diet.

Clinical Features

  1. Few patients can be asymptomatic.
  2. Diarrhea.
  3. Abdominal pain.
  4. Blood in the stool.
  5. Fever.

These symptoms present according to the grade of severity.


  1. Barium enema X-ray.
  2. Colonoscopy.
  3. CT scan abdomen.


  1. High-fiber diet.
  2. Ispghula husk with milk.
  3. Treat diarrhea with an antidiarrheal drug if needed.
  4. Reduce stress and anxiety.
  5. Treat anemia by iron medication if hemoglobin is low.
  6. Take rest.
  7. Antibiotics like Metronidazole and Cefixime or Ofloxacin (broad-spectrum coverage) can be beneficial.
  8. More fluid intake.
  9. Avoid spicy food.
  10. In complicated cases, surgery is needed.

For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Last reviewed at: 07.Sep.2018



Do you have a question on Diverticulitis or Diverticula?
* guaranteed answer within 4 hours.

Related Questions & Answers

69-year old smoker diagnosed with colon cancer. Does she need chemotherapy?
Query: Hi doctor, My mom is 69 years old, smoker and she was diagnosed with colon cancer. She used to suffer from her stomach pain and we ended up doing a colonoscopy for it and the doctor found a tumor. We need to know what is the best way to help her and what is recommended in her case? Should the docto...  Read Full »
Dr. Arshad Hussain Shah
Medical Oncologist

Answer: Hi, Welcome to icliniq.com. I have gone through the reports of your mother (attachment removed to protect patient identity). As per reports she has a sigmoid colon cancer. There is no distant spread of cancer (not spread outside colon) as per CT scan reports. The report is also showing multiple re...  Read Full »
I have uneasiness in the left side of abdomen. What is the reason?
Query: Respected doctor, I am feeling that something is there in my left side abdomen until the left side back sometimes. It feels like heaviness or uneasiness. This problem is now from two years. There is no pain but there is a discomfort. It goes sometimes completely when I am at home but arises more whe...  Read Full »
Dr. Mashfika N Alam
General Practitioner

Answer: Hello, Welcome to icliniq.com. It could be gastric irritation as you say it feels worse after eating. Since your ultrasonography is normal, and you do not have any other symptoms, it could be gastric discomfort. You could get an upper GI endoscopy done to see if all is normal. Also get Barium en...  Read Full »
Why do I have blood in stool?
Query: Hi doctor, I am a 21-year-old male, and I was suffering from inflammatory bowel disease (IBD) before a year. After taking medications, my condition got better. So I stopped taking medicines, and I took Pantop-D (Pantoprazole) only for the gas relief. Before a month, I developed a fungal infection i...  Read Full »
Dr. Babu Lal Meena
Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. There are two causes for the blood in the stool. The reason can be due to infection and reactivation of inflammatory bowel disease. In such condition, we should treat the infection first. The common infection seen is bacterial, sometimes viral infection may also occur l...  Read Full »
I experience very severe pain. Is it due to diverticulitis?
Query: Hi doctor, I have been prescribed Mirtazapine 15 mg for reducing my depression associated with my condition. In most of my adult life, I suffered from IBS symptoms. I rarely drink alcohol. I eat fish and seafood. But no other meat is taken in my diet now. In the past five years, my problems have ma...  Read Full »
Dr. Anshul Varshney
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have gone through your attachment (attachment removed to protect patient identity). They are related to IBS (irritable bowel syndrome) Mixed type. IBS is of three types:1. Diarrhea-predominant.2. Constipation-predominant.3. Mixed variety. IBS is treated as follows: ...  Read Full »
My mother has diarrhea, and her stomach is bloated and paining. Please help.
Query: Hi doctor, My mom is not feeling well, and I am concerned about internal bleeding. This morning, she had a decreased appetite, foot swelling (right), and diarrhea. She has back pain along with pain and bloating in the abdomen. She just wants to go to bed. She also noticed some spotting in her underw...  Read Full »
Dr. Salah Saad Shoman
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Diarrhea, back pain, abdominal pain, and decreased appetite are most probably due to a colon cause, which could be an inflammatory bowel disease or diverticulosis. If these episodes keep coming, your mom will need a colonoscopy to confirm the diagnosis. As for the spot...  Read Full »
I am passing blood in stool. Am I suffering from piles or some other problem?
Query: Hi doctor, My query is that whether I am suffering from piles or it is some other problem. I have attached images for reference. For almost 10 days, I am passing blood in my stool. It is not much in quantity, but still, it is there. I was on Isotretinoin cycles for 10 to 12 weeks to cure my acne p...  Read Full »
Dr. Salah Saad Shoman
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. The images (attachment removed to protect patient identity) does not show the presence of piles, but this does not exclude piles as early stages of piles do not appear from outside the anus. The presence of red colored blood in stools indicate that the bleeding point is i...  Read Full »

Ask a Doctor Online

* guaranteed answer within 4 hours

Related Tags