Sometimes small saclike pockets protrude from the wall of the colon. This is called diverticulosis. The pockets (called diverticuli) can fill with intestinal waste. Increased pressure within the intestines seems to be responsible. This may be caused by many years of a diet low in fiber.
When the intestinal pouches become inflamed, the condition is called diverticulitis.
Many older persons have diverticulosis. The digestive system becomes sluggish as a
person ages.
Other things that increase the risk for diverticulosis include:
Not eating enough dietary fiber
Overuse of laxatives or continual use of
medicines that slow bowel action, suck as strong pain killers
Having a family history of diverticulosis
Having gallbladder disease
Being obese
Signs and Symptoms
In most cases, there are no symptoms. When they occur, they are:
Tenderness, pain, mild cramping, or a
bloated feeling, usually on the lower left side of the abdomen
Constipation that alternates with diarrhea
With diverticulitis, you can have severe abdominal pain, blood in the stool, nausea, and a fever. The pain is made worse with a bowel movement. If these things occur, get immediate medical care.
Treatment and Care
Diverticulosis can’t be cured, but you can reduce the discomfort and
prevent complications. Follow these tips:
Eat a diet high in fiber
throughout life. Good food sources are whole-grain breads and cereals, fresh fruits and
vegetables, and legumes. Check with your doctor about adding wheat bran to your diet.
Avoid corn, nuts, seeds, and foods with
seeds, like raisins. These seeds are easily trapped in the troublesome pouches.
Drink 11/2 to 2 quarts of water every day.
Ask your doctor about taking a bulk-forming
laxative, such as Metamucil.
Avoid the regular use of laxatives that
make your bowel muscles contract, such as Ex-Lax.
Try not to strain when you have bowel
movements.
Get regular exercise
{Note: Diverticulitis needs medical treatment. This includes antibiotics, pain relievers, bed rest, and a stay in the hospital, if needed. Fluids and medicine may need to be given through an IV.}
HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 2000 by Don R. Powell. American Institute for Preventive Medicine.
Date updated 03/02/01