Definition:
Diverticulitis is a digestive disorder that characterized by inflammation of the large intestine wall. It is a complication of diverticulosis, an out pouching intestine lining outside the colon.
Diagnosis:
Ct Scan is most liable diagnostic test used to diagnosed diverticulitis. Other test such as barium enema and colonoscopy are not advisable in acute phase due to the higher chance of perforation.
Treatment:
During acute stage the management should provide to the patient are bowel rest thru NPO or nothing by mouth, IV fluid replacement therapy, and broad spectrum antibiotics. After discharge the patient diet must be low residue diet to give enough time to the bowel to be totally heal, then later on high fiber diet is encourage. For severe cases surgery is needed.
Symptoms and Signs:
The initial manifestations are the symptoms of diverticulosis. Commonly Diverticulosis is asymptomatic, but some patient experience mild cramps, feeling of fullness, and constipation. If not diagnose early it well develop to diverticulitis, the patient experience abdominal pain and tenderness in left lower quadrant of the abdomen. If the disease is cause by infection the patient may manifest hyperthermia, nausea and vomiting, chills, abdominal cramping and constipation.
Causes:
The main cause of diverticulosis and diverticulitis is low fiber diet. The pressures of the intraluminal colon is raised due to mechanical blockage of the diverticulum, possibly it is caused by impacted feces or food particles that can also lead to infection.