Diverticulitis

Diverticulitis is a painful condition in which a small pouch or sac in the wall of the digestive tract become inflamed or infected. Mostly these pouches are found in the large intestine. It is more common in the lower portion of the large intestine, called sigmoid colon.

diverticulitis

 

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It is presented as abdominal pain with cramping, nausea, vomiting, fever, chills or changes in the bowel habits. Mild cases of diverticulitis can be treated with rest, dietary changes and antibiotics, but serious cases of diverticulitis may be requiring surgery.
Who Are Affected?

The incidence of diverticulitis increases with age, mean age of diverticulitis appears to be about 60 years. Both men and women are equally affected.    Genetics and dietary factors are believed to play a role in diverticulitis. Asians and Americans have the predominance of right-sided diverticulitis.

What Are The Causes of Diverticulitis?

• Low fiber diet
• Inflammation or infection
• Aging
• Lack of exercise
• Obesity
• Smoking

Diverticulitis Signs and Symptoms

• Belly pain/cramping, usually on the lower left side
• Tenderness
• Fever
• Chills
• Bloating and gas
• Diarrhea/constipation
• Nausea/vomiting
• Loss of appetite
• Blood in stool

Investigations of diverticulitis

• Complete case history
• Physical examination
• Blood test
• X-ray
• CT scan
• Ultrasound
• Digital rectal examination
• Sigmoidoscopy
• colonoscopy

How To Treat Diverticulitis

• Analgesics
• Antibiotics
• Antibacterial drugs
• Well balanced diet
• Surgery

Prognosis of diverticulitis

Prognosis is good for mild to moderate diverticulitis. In severe conditions after surgery patient lives a normal life.

Complications of diverticulitis

• Peritonitis
• Rectal bleeding
• Abscess, fistula formation
• Blockage/obstruction of intestine

Differential diagnosis of diverticulitis

• Appendicitis
• Biliary colic
• Biliary disease
• Biliary obstruction
• Cholangitis
• Cholecystitis
• Constipation
• Duodenal ulcers
• Acute gastritis
• Gastric ulcers
• Viral gastroenteritis
• Gynecologic pain
• Inflammatory bowel disease
• Intestinal perforation
• Irritable bowel syndrome
• Liver abscess
• Nephrolithiasis
• Ovarian  cysts
• Acute pancreatitis
• Pelvic inflammatory disease
• Rectovaginal fistula
• Urinary tract infection
• Urinary tract obstruction

Dietary Changes May Help

• Eat high fiber diet
• Exercise regularly
• Drink plenty of fluids
• Quit smoking and alcohol
• Respond to bowel urges
• Eliminate caffeine from diet

Homeopathic treatment for diverticulitis

Belladonna:
• Used for abdominal pain with cramping
• Pains come suddenly, better with firm pressure
• Given in cases where constipation accompanies the pain

Bryonia Alba:
• Given in abdominal pain which is worse on movement
• Pains relieved by heat
• Peculiarly used if vomiting or constipation with dry stool accompanied by pain.

Colocynthis:
• Abdominal pains which are sharp and cramping
• Pains improved with pressure
• Pain accompanied by restlessness and diarrhea

Nux vomica:
• Abdominal pains and bowel problem accompanied by tension. Constricting sensations, chilliness, and irritability
• Soreness in the muscles of the abdominal wall, as well as painful gas and cramps
• Firm pressure on the abdominal brings some relief
• When constipated, person has an urge to move the bowel, but only small amount comes out

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