Pathophysiology: Diverticulosis is a condition of having uninflamed diverticula, found common with age. The causes are not yet conclusive, but appear to be associated with a low-fiber diet, constipation, and obesity. Diverticular disease includes several conditions ranging from asymptomatic diverticular disease, to symptomatic uncomplicated diverticular disease, to and complicated diverticular disease that includes acute and chronic diverticulitis. Diverticulitis is defined as an inflammation of one or more diverticula, which are small pouches created by herniation of mucosa into the wall of the colon.
Symptoms: The signs and symptoms of diverticulitis include: Pain, may be constant and continue for several days and is felt in the lower abdomen. Nausea Chills & Fever Vomiting Abdominal tenderness Constipation Diahrrea Treatment: Treatment for Diverticulitis depends on the severity of the condition. Antibiotics are used to treat infection. If there is a condition of bowels, liquid diet will be given. And to reduce the pain, over the counter pain relievers can be given.
Epidemiology: Prevalence is similar in men and women. Of patients with diverticulosis, 80-85% remain asymptomatic. Approximately 5% develop diverticulitis; 15-25% of those with diverticulitis develop complications leading to surgery. In one study of 252 patients, a recurrence rate of 50% was reported after 7 years. The rate of surgery in these patients was 8% at 7 years and rose to 14% by 13 years. Recurrence rates after surgical resection range from 1-3%. The mortality rate from complications in patients with recurrent disease in this small study was 1%. Diverticular disease increases in incidence with age, reaching a prevalence of greater than 65% in those older than 85 years. The mean age at presentation with diverticulitis appears to be about 60 years.