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Diverticular Disease
What are diverticulosis?
It is a condition in which out pouchings form in the walls of the intestines. They form in weakened areas of the bowel, most often in the lower part of the colon. (See illustration.)
What is the cause?
No one knows for sure why the pouches form. They may be caused by increased pressure inside the colon due to muscle spasms or straining due to inadequate fiber in the diet. The pockets or pouches form when increased pressure acts on soft spots along the bowel wall. The pockets or pouches that are formed are called diverticula. You may have many diverticula along the length of the large bowel.
What are the symptoms?
Diverticulosis rarely causes symptoms. Occasionally you may experience mild pain or cramping.
What is the treatment?
Your physician will advise you on any specific dietary changes pertaining to your specific needs. You physician may advise eating a high fiber diet and avoid eating certain foods. The gradual introduction of fiber with plenty of fluids (especially water) will improve any symptoms you may have. Fiber can make you feel uncomfortable for the first few weeks, but the bowel soon settles to the change in diet.
Are there any potential problems of diverticulosis?
For most people, diverticulosis is not a problem. However, in a small percentage of patients, a condition called diverticulitus can occur when the diverticula become infected or inflamed. When the diverticula become infected or inflamed, symptoms of diverticulitis often include abdominal pain (severe at times), fever, chills, cramping, bloating, constipation, or diarrhea). You should notify your physician if you experience any of these symptoms. Also, occasionally diverticulosis can cause significant painless bleeding.
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