What Are Diverticula?
Diverticula are little protruding holes that form the lining of the colon. Once there are more than two pouches formed, the situation is referred to diverticulosis. When one or more pouches inflame or get infected it is called diverticulitis.
Common Causes and Risk Factors
- Low-fiber diet
- Age-related weakening of the colon wall
- Chronic constipation (increased colon pressure)
- Sedentary lifestyle
- Obesity or overweight
- Smoking
- Frequent alcohol use
- Family history of diverticular disease
Signs and Symptoms
- Often none in early or mild diverticulosis
- Mild cramps or pain, usually in the lower left abdomen
- Bloating and gas
- Changes in bowel habits (constipation or diarrhea)
- Fever and chills (with diverticulitis)
- Increased tenderness in the abdomen
- Blood in the stool (if a pouch bleeds)
Expert Treatment for Diverticula by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He examines your symptoms-including lower abdominal or epigastric pain, bloating, bowel habits-and examines risk factors, including diet, age, family history.
Blood Tests
We test and examine indications of inflammation or infection: the count of white blood cells and C-reactive protein (CRP).
Imaging Studies
- CT scan of the abdomen and pelvis identifies inflamed or infected diverticula, abscesses, and bowel wall thickening.
- Abdominal ultrasound can detect localized inflammation or fluid collections.
Endoscopic Evaluation
A colonoscopy provides direct visualization of diverticula and rules out other causes of symptoms.
Advanced Testing (if needed)
In recurrent or complex occasions, Dr. Pothuri might refer to an MRI enterography or special endoscopic research to direct additional management.
Frequently Asked Questions
What are diverticula?
Diverticular formations are small outpouchings that develop in weak areas of the colon wall. When there is no inflammation, they are called diverticulosis.
Is diverticulosis serious?
Most cases are asymptomatic and people can live normally. However, if a pouch becomes infected or inflamed (diverticulitis), it can cause pain, fever, and complications.
Can diet help manage it?
Yes. A high-fiber diet consisting of fruits, vegetables, and whole grains, along with sufficient fluids, reduces colon pressure and helps prevent exacerbation.
What treatments are available?
Treatment includes fiber supplements and over-the-counter pain relievers. Antibiotics may be used for infections, and endoscopic evaluation or surgery may be necessary in severe or recurrent cases.
Can I prevent diverticula?
A balanced diet, regular exercise, maintaining a healthy weight, and avoiding smoking can help prevent the development and complications of diverticula.
Do I need a colonoscopy?
Yes. A colonoscopy allows Dr. Pothuri to visualize the pouches, assess their size, and rule out other diagnoses.
How soon will I feel better?
Mild cases are usually managed within a few days using diet and medications. More severe infections may require longer treatment and follow-up.