All you wanted to know about Diverticulitis

Dr. Manish Joshi is a Consultant Surgical Gastroenterologist, GI Oncologist and Advanced Laparoscopic Surgeon at the BGS Global Hospitals, Bangalore. He had earlier served as Head of Surgical Gastroenterology services at St. John’s Medical College Hospital, Bangalore for almost 3 years. 

What is Diverticulitis?

Diverticular disease develops when pouches form along your digestive tract, typically in your colon (large intestine). These pouches are known as diverticula. They form when weak spots in your intestinal wall balloon outward. Diverticulitis happens when diverticula become inflamed and in some cases infected. This can occur when feces or partially digested food blocks the opening of the diverticula. There’s no single known cause of diverticular disease. Instead, experts believe that multiple genetic and environmental factors likely contribute to its development. 

Symptoms of Diverticulitis

Diverticulitis can cause symptoms ranging from mild to severe. These symptoms can appear suddenly or they can develop gradually over several days. If you develop diverticulitis, you might experience

Severe pain in your abdomen

Nausea and Vomiting

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Fever and Chills

Blood in your stool

Constipation or Diarrhea

Risk Factors

Aging

Obesity

Smoking

Lack of exercise

Less fiber

Medications

Complications

About 25 percent of people with acute diverticulitis develop complications, which may include: 

  • An abscess, which occurs when pus collects in the pouch. 
  • A blockage in your colon or small intestine caused by scarring. 
  • An abnormal passageway (fistula) between sections of bowel or the bowel and bladder. 
  • Peritonitis, which can occur if the infected or inflamed pouch ruptures, spilling intestinal contents into your abdominal cavity. Peritonitis is a medical emergency and requires immediate care. 

Treatment of Diverticulitis

Uncomplicated Diverticulitis

If your symptoms are mild, you may be treated at home. Your doctor is likely to recommend: Antibiotics to treat infection, although new guidelines state that in very mild cases, they may not be needed. A liquid diet for a few days while your bowel heals. Once your symptoms improve, you can gradually add solid food to your diet. An over-the-counter pain reliever, such as acetaminophen (Tylenol, others).

Complicated Diverticulitis

If you have a severe attack or have other health problems, you'll likely need to be hospitalized. Treatment generally involves: Intravenous antibiotics Insertion of a tube to drain an abdominal abscess, if one has formed

Surgery

You’ll likely need surgery to treat diverticulitis if: 

  • You have a complication, such as a bowel abscess, fistula or obstruction, or a puncture (perforation) in the bowel wall 
  • You have had multiple episodes of uncomplicated diverticulitis 
  • You have a weakened immune system 

There are two main types of surgery: 

  • Primary bowel resection.The surgeon removes diseased segments of your intestine and then reconnects the healthy segments (anastomosis). This allows you to have normal bowel movements. Depending on the amount of inflammation, you may have open surgery or a minimally invasive (laparoscopic) procedure. 
  • Bowel resection with colostomy.If you have so much inflammation that it’s not possible to rejoin your colon and rectum, the surgeon will perform a colostomy. An opening (stoma) in your abdominal wall is connected to the healthy part of your colon. Waste passes through the opening into a bag. Once the inflammation has eased, the colostomy may be reversed and the bowel reconnected. 

Diverticulitis FAQ's

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Ask the Doctor

PreOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

PostOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

Key Benefits of Laparoscopic / Robotics Surgery

Key Hole Surgery

No Bigger Cuts

Shorter Hospital Stay

Safe & Stress Free Surgery

Short Stay Surgery

Dedicated Doctors

Best-in-Class Process for Best-in-Class Patient Experience

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Consulting

Pre-Surgery Counselling

Surgery

Post-Surgery Counselling

Discharge & Follow-Up

With Dr. Manish Joshi - You Are In Trusted Hands

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Dr. Manish Joshi is the Best Gastrointestinal surgeon in Bangalore & India. He is an expert in Advanced Laparoscopic & Robotic Surgical Techniques. His motto is ‘Patient comes first” View Profile.

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Dr Manish Joshi conducts consultation at below locations

BGS Gleneagles Global Hospitals

Apollo Clinic

  • Consulting : 06:00 PM – 07:00 PM (Tues/Thur/Sat)
  • 673/A, Opp. Shriram Samruddhi , Varthur Road, Kundalahalli gate signal, Bengaluru, Karnataka 560066
  • www.apolloclinic.com

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