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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.

Causes

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.

Investigations

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

Treatment

  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

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