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How to Treat Perforated Diverticulitis

 Perforated diverticulitis can be considered as a very serious gastrointestinal condition, which is characterized by the perforation of intestinal walls. It can lead to peritonitis, which can be described as an inflammation of peritoneal cavity. If not treated properly, peritonitis can be a life-threatening condition. The patients with perforated diverticulitis generally require emergency surgical treatment.

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The condition begins with diverticulosis, the formation of small pouches, called diverticula, along the intestinal walls. When the hard stool passes through the bowels weakened due to aging, the pressure inside the colon increases, leading to the formation of diverticula. The condition is also associated with consumption of low-fiber diet. When the pouches become infected and inflamed, it gives rise to the painful symptoms like pain and tenderness in the lower left side of the abdomen, nausea, vomiting, loss of appetite, bloating, constipation or diarrhea. In chronic and severe cases of diverticulitis, there is a possibility of rupturing of infected diverticulum, leading to perforated diverticulitis. In perforated diverticulitis, single or more diverticula may break open to leak pus and other materials in the abdomen, which may result in inflammation and infection. In case of perforated diverticulitis, the patient experiences extreme pain and tenderness. There may also be high fever and malaise.

How to Cure Perforated Diverticulitis

Perforated diverticulitis is a life-threatening condition and should be considered as a medical emergency. Surgery is the recommended option for treating perforated diverticulitis. The surgical treatment involves cleaning up the abdomen and resecting the damaged area in the bowel. The perforated area of the colon is cut out and then two ends are connected together by the procedure called anastomosis.

During the emergency surgery for perforated diverticulitis, the ruptured section of the colon is removed and colostomy is performed. In colostomy, an opening is created between the large intestine and the surface of the abdominal skin. The upper part of intestine is connected to the opening. The fecal matter passes out of the body through the opening into the disposable bag. The cut ends of the large intestine are rejoined in a subsequent surgery, which is carried out within 10-12 weeks.

The surgery for perforated diverticulitis can be done in two ways, such as a primary bowel resection or bowel resection with colostomy. Both types of surgeries can be done in the traditional way or by the laparoscopic surgery. The traditional bowel resection is done by open surgical approach, called colectomy. In colectomy, the affected portion of the colon is removed and two healthy ends are sewn together. Most surgeons prefer laparoscopy surgery, due to less post-operative pain and fast recovery.

Diverticulitis diet is also an important part of diverticulitis treatment. When the symptoms are severe, you are advised to take only a liquid diet in order to relax the bowels. The clear liquid diet includes plain water, clear soda, ice chips, ice pops without addition of fruits bits or pulp, fruit juices like apple or grape juice and tea or coffee without cream. Once the symptoms are reduced, you may start with low-fiber foods like canned or cooked fruits without skin or seeds, canned or cooked vegetables like peas, potatoes, fruit juice without pulp, poultry, eggs, fish and low-fiber cereals. Once you are completely recovered, you can switch to the normal diet.

Acute Sigmoid Diverticulitis Treatment

The formation of diverticula along the walls of sigmoid colon is identified as sigmoid diverticulitis. The large intestine or colon is divided into various parts such as ascending colon, transverse colon, descending colon, sigmoid colon and rectum. The major function of colon is to store and eliminate the fecal matter. With advanced age, the intestinal walls become weak. When the stool passes through the bowels, the pressure inside the colon is increased. This leads to the formation of small, bulging pouches, known as diverticula, along the lining of intestinal walls. Although diverticula may be formed anywhere in the colon, diverticula on sigmoid colon are more common. Sigmoid colon tends to contract strongly, when the waste material is pushed out through the rectum, which increases the chances of formation of diverticula on the sigmoid colon. This condition is identified as sigmoid diverticulitis.

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Causes and Symptoms of Sigmoid Diverticulitis

Diverticula may grow gradually, causing several problems. Those, who suffer from constipation, are at the increased risk of developing diverticula. The weakened intestine due to aging is also more likely to develop diverticula. Infection or inflammation of one or more diverticula is referred to as diverticulitis. Outwardly bulging sacs formed along the intestinal walls may cause the blockage of waste material, resulting in bacterial growth and infection. The infection can cause perforation in the colon, leading to spread of infection to the surrounding tissues in the abdominal cavity. Intake of low-fiber diet, obesity, lack of exercise and smoking are some of the contributory factors for diverticulosis.

The person with diverticulosis may not experience any noticeable symptoms. But, acute sigmoid diverticulitis may exhibit severe and painful symptoms like abdominal pain and tenderness, nausea, vomiting and bloating. The sufferer usually experiences extreme pain in the lower left side of the abdomen. There may also be changes in the bowel movements like constipation or diarrhea. The patient may experience high fever and malaise.

Acute Sigmoid Diverticulitis Treatment

Mild sigmoid diverticulitis can be managed with dietary changes and home remedies. You should include high-fiber foods in your regular diet. You need to consume lots of fruits along with skin and edible seeds, fresh vegetables, whole wheat, whole grain cereals, bran, legumes like beans, peas and lentils. High-fiber foods absorb water from the colon and help to make the stool bulky and smooth, so that it can easily pass through the colon. Thus, fiber prevents constipation and minimizes the chances of developing diverticula. When taking fiber-rich foods, you should drink plenty of water and fluids to prevent constipation. Also, you should include foods high in omega-3 fatty acids, as they help combat inflammation. You need to avoid processed foods and high-fat dairy products. Stay away from unhealthy habits like smoking and alcoholism.

When the symptoms of sigmoid diverticulitis are severe, oral antibiotics like metronidazole, ciprofloxacin, cephalexin and doxycycline as well as anti-spasmodic drugs like dicyclomine, chlordiazepoxide, hyoscyamine, scopolamine, atropine and Phenobarbital are administered. If the sufferer does not respond to medications and/or if complications like formation of fistula, abscess or perforation are developed, then hospitalization is recommended to give intravenous antibiotics. The surgery is advised in very serious cases.

How to Treat Acute Diverticulitis Naturally

Acute DiverticulitisDiverticulitis can be explained as infection or inflammation of small sacs or pouches developed along the lining of intestinal walls. These pouches are known as diverticula and their formation is referred to as diverticulosis. Diverticulosis is relatively a harmless condition, which causes no symptoms or mild symptoms.

 

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On the other hand, diverticulitis is a painful condition that gives rise to the symptoms like abdominal pain and tenderness, nausea and sometimes vomiting, bloating, changes in bowel movements like diarrhea or constipation and high fever. The formation of diverticula is mainly associated with aging. With aging, the intestinal walls become weak. When the hard stool passes through the colon, it increases the pressure inside the colon, resulting in the formation of diverticula. It is also considered to be linked to the consumption of low-fiber diet.

People having the diet with poor fiber and more of processed foods are at the increased risk of developing diverticulosis. Some other possible causative factors are obesity, lack of exercise and smoking.

Acute Diverticulitis

Acute diverticulitis is the severe swelling or inflammation of diverticula. This medical condition was first recognized during early 1880’s. Acute diverticulitis is commonly found to be affecting most of the Americans over the age of 40. When the harmful bacteria are produced by the indigested food or when the fecal matter gets trapped in one or more diverticula, it causes infection, leading to inflammation. This may further worsen to form abscesses, causing perforated colon. The infection may spread to the abdominal cavity, leading to life-threatening peritonitis. Acute diverticulitis can give rise to other serious problems like development of fistulas and the constriction of colon, which may stop bowel movements.

The symptoms of acute diverticulitis include acute (sudden and severe) abdominal pain due to formation of fistulas between the colon and the bladder, causing urinary tract infections and scars in the colon. It is accompanied by nausea, vomiting, cramping, constipation, fever, chills and weight loss. These symptoms may resemble with the symptoms of other health conditions. Hence, early diagnosis of acute diverticulitis is very essential, as the symptoms may become severe within a short period of time, causing life-threatening complications. The investigations done for the diagnosis of acute diverticulitis are CT scan, abdominal palpation and white blood cell count. The conventional treatment option includes antibiotics like metronidazole, ciproflaxin and cephalexin. Besides, acute diverticulitis can be treated with natural remedies.

How to Cure Acute Diverticulitis Naturally

Natural remedies for acute diverticulitis include bringing out certain changes in lifestyle and diet. You can try some simple, yet effective home remedies to reduce pain from acute diverticulitis. Apply heating pad to the abdomen to reduce pain and cramps. You can also try relaxation techniques like deep breathing or meditation to relieve pain. Take enough rest to keep your bowels relaxed.

Dietary changes play a significant role in healing of acute diverticulitis. When you experience the symptoms of acute attacks of diverticulitis, then you are recommended to take only clear liquid diet. This is meant for relaxing the bowels for some time. This type of liquid diet includes plain water, clear soda, broth, ice chips, ice pops without fruit pulp, fruit juices like apple or grape juice without pulp or skin as well as tea or coffee without cream. When the symptoms start to reduce, you can gradually start with low-fiber foods, which include canned or cooked fruits without seeds or skin, canned or cooked vegetables like potatoes, peas and green beans as well as eggs, poultry, fish, milk, cheese, low-fat yogurt, low-fiber cereals and white rice. After following this diet for 2-3 days, the symptoms will be reduced. When the symptoms are completely gone, you can slowly start with regular diet. After complete recovery, you may start with high-fiber diet to prevent recurrent attacks of diverticulitis. Your daily diet should include fiber-rich foods like whole grain breads, pastas, cereals, fresh fruits like pears, apples and prunes, vegetables like potatoes, peas, squash and spinach as well as beans like kidney beans and black beans.

Along with dietary changes, you need to exercise regularly, which helps promote normal bowel function. Also stay away from unhealthy habits like smoking.

Bladder Diverticulitis Treatment

Bladder Diverticulitis Urinary bladder is a muscular sac, located in the pelvis. The main function of this organ is to collect urine excreted by the kidneys before disposing off through urination. Many people may have small pouches, called diverticula. Bladder diverticulitis is the condition that is caused by the formation of small pouches in the bladder wall. These pouches are known as diverticula. In most cases, people don’t notice the existence of diverticula in the bladder, unless the symptoms appear. Intestinal diverticulosis and bladder diverticulitis are almost the same conditions, as both are characterized by the formation of pouches. Diverticulosis is limited to the intestines and it doesn’t affect the bladder. Hence, both the conditions are unrelated.

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Bladder diverticulum may be congenital or acquired.  Congenital bladder diverticulitis is present from birth and it is characterized by the presence of a single pouch. Due to the weakened bladder wall, protrusions occur, which is usually found during childhood or prenatal ultrasound. If it doesn’t create any problems, no treatment is required.

Acquired bladder diverticulitis results from some kind of obstruction, such as urethra scarring, urethral stricture or enlarged prostate. It may also be caused due to bladder dysfunction or bladder surgery. Patient with bladder dysfunction or bladder surgery has multiple diverticula formed in the bladder wall. Acquired diverticula are usually multiple. Acquired bladder diverticulitis is typically found in elderly men and usually associated with benign prostatic hyperplasia (BPH).

Bladder diverticulitis usually does not exhibit any symptoms. However, it can cause the symptoms like urinary tract infection, urinary retention (urination inability), or hematuria (blood in urine).

Diagnosis and Treatment for Bladder Diverticulitis

Diverticula in bladder can be found incidentally when performing the imaging tests for other conditions. Various tests can be performed to detect the presence of bladder diverticulitis. An ultrasound is the initial test for early diagnosis to find out the basic abnormalities in the bladder.  Other tests like cystogram, cytoscopy and urodynamics are also helpful in the confirmation of diagnosis.

Bladder diverticulitis usually doesn’t need any treatment, unless any problems arise due to the formation of pouches. The treatment can help to resolve the problems like bladder stones, tumors, recurrent infection or reflux that are associated with diverticulitis. The condition can be controlled by managing the symptoms. There may require a long-term medication treatment. In case of recurring infection, antibiotic therapy is recommended. To resolve urinary obstruction, the treatment aims at relief of obstruction and possible removal diverticulum. In some cases, surgery may be needed to remove the pouches. Both open and laparoscopic options are available for bladder diverticulitis surgery. The surgery may be difficult due to inflammation of chronic infection of diverticula. In patients who cannot undergo an open surgery, the diverticulum should be treated by enlarging its opening into the bladder.

The treatment generally gives excellent results and can give complete resolution of urinary symptoms. Most people find easy urination after surgery. Regular follow-up after surgery is necessary to ensure proper functioning of bladder. People, who undergo open surgery, may require catheter for 1-2 weeks. Some people may have poorly functioning bladder due to long-term obstruction. Such patients may require intermittent catheterization to empty the bladder.

Diverticulitis with Abscess Treatment

diverticulitis3 Diverticulitis is a painful condition of digestive system that results from the inflammation of diverticula. Diverticula can be described as the small, bulging pouches or sacs that are developed along the lining of intestinal walls. The formation of diverticula is known as diverticulosis. Usually, this condition is harmless and doesn’t exhibit any symptoms. Diverticula may be formed anywhere in the digestive system. However, large intestine or colon is the most common site.

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Diverticulosis is associated with aging. With advanced age, the intestinal walls become weak, due to which, the pressure inside the colon increases while the stool passes through the bowel. As a result, there is formation of diverticula along the lining of intestinal wall. When diverticula protrude through the colonic wall, they may get infected and inflamed, leading to diverticulitis. Diverticulitis may exhibit the symptoms like abdominal pain and tenderness, loss of appetite, nausea and sometimes vomiting, alteration in bowel movements like diarrhea or constipation. Intake of less amount of fiber is also another cause for developing diverticulosis. Fiber is essential to soften the stool, so that it can easily pass through the intestines. Being overweight, lack of exercise and unhealthy habits like smoking and alcoholism are some other causative factors.

Diverticulitis Abscess

In chronic and severe cases of diverticulitis, there may develop certain complications like abscess, formation of fistula, perforation, infection and peritonitis. If not treated promptly, these complications may be proved to be life-threatening.

An abscess formed in the colon is the most common complication of diverticulitis. The formation of diverticular abscess depends upon the ability of pericolic tissues to localize the spread of inflammatory process. An abscess can be described as a cavity or lump filled with pus in the tissue. When the abscess is formed, it may exhibit the symptoms like fever with or without leukocytosis.

Diverticulitis Abscess Treatment

Abscess from diverticulitis can be treated in various ways depending upon the size and type of abscess. If the abscess is small-sized, it can be treated using antibiotics. Abscesses are treated with the help of a technique called percutaneous abscess drainage (PAD). The radiologist makes use of ultrasound or CT scanner to locate the site of abscess. A small tube, to which a fine needle is connected, is passed through the abdominal skin into the abscess. The pus is drained from the abscess with the help of the tube. Since PAD is performed under local anesthesia, it is usually not much painful. Depending upon the size of abscess, the procedure may need to be repeated many times to drain all the pus. Additionally, antibiotics are used alongside drainage in order to eliminate infection and prevent its spreading.

If the abscess is too large in the size to be drained, or if needle drainage has not successfully removed all the pus, then the surgery may be needed to remove the pus. Sometimes, a plastic drain is placed in the abdomen to drain the abscess. Once the pus is drained completely, it can be removed.

The complications developed from diverticulitis are quite painful and serious. So, the condition needs to be diagnosed and treated promptly. You should maintain healthy lifestyle with strict diet and regular exercises to avoid the condition becoming worse.

Diverticulitis in Children Treatment

Diverticulitis in Children Diverticulitis in children is identified as Meckel’s diverticulitis. It can be described as a small pouch developed along the intestinal wall, near the junction of small and large intestine. The pouch is made from the remnant of tissue from the prenatal development of digestive system. Meckel’s diverticulum generally develops between the 5th and 7th weeks of fetal development. It is not made from the tissue same like the small intestine; instead, the tissue present in diverticula are found in the stomach or pancreas.

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Since the condition is present at birth, it comes under congenital health issue. Meckel’s diverticulitis is one of the most common birth defects of digestive system found in about 2% of infants. 1-3% of infants have the symptoms of Meckel’s diverticulum. Children of 2 years of age are most likely to exhibit the symptoms. The symptoms of Meckel’s diverticulitis can be rarely seen in children over age 10. Boys are three times more prone to develop diverticulitis than girls.

Causes and Symptoms of Meckel’s diverticulitis

Meckel’s diverticulitis occurs in fetus during the early stage of pregnancy. The vitelline duct, a connection between the growing fetus and yolk sac, is absorbed into the fetus during the seventh week of pregnancy. Meckel’s diverticulum develops, if the vitelline duct is not completely absorbed. It contains the cells from pancreas and stomach. The cells from the stomach may secret acid, which may cause ulceration and bleeding.

The symptoms are usually seen during the first year of child’s life. However, the symptoms may occur into adulthood too. Some of the common symptoms of diverticulitis in children are abdominal pain and cramping, tenderness near the umbilical region, obstruction of the bowels, which can cause pain, vomiting, bloating, constipation or diarrhea. There may also be gastrointestinal bleeding, which can be seen in the stool. Bleeding is the most common symptom that can be found in children under five. Bleeding is caused by the ulcers, which are developed in the small intestine when stomach acid is secreted by the diverticulum. The most common symptom seen in diverticulitis in children is the passage of a large amount of dark red blood from the rectum, due to which, the stool may appear jelly-like and brick red in color. Passing the stool is generally painless; however, some children may experience abdominal pain. Bowel obstruction is more common in older children and adults. Formation of tumors is the rare symptom of Meckel’s diverticulitis, which may occur in adults.

Diagnosis and Treatment of Meckel’s Diverticulitis

Since many of the diverticulitis symptoms like abdominal pain, tenderness and vomiting can resemble other health conditions, correct diagnosis of Meckel’s diverticulitis is very important. Certain tests like technetium scan, colonoscopy and wireless capsule endoscopy are performed to diagnose Meckel’s diverticulitis. Also, laboratory investigations like blood test to detect infection or anemia as well as stool analysis for the presence of occult blood are carried out.

The treatment for Meckel’s diverticulum is decided depending upon the extent of problem, age, overall health and medical history of the child and child’s tolerance for specific medications, therapies and procedures. If the diverticulum is causing problems like bleeding, then the physician recommends the surgical removal of diverticulum. The surgery involves an incision made in the abdomen and removal of abnormal tissue under general anesthesia. When the operation is complete, the incision is closed with stitches or a special tape called steri-strips. The surgery can be done as open abdominal surgery or laparascopically.

Mild Diverticulitis Home Treatment without Antibiotics

 Diverticulitis is one of the digestive system problems, which results from the formation of diverticula. With advanced age, certain changes take place in the body; weakening of intestinal walls is one of them. When the fecal matter passes through the weakened intestines, it causes increased pressure inside the colon. It results in the formation of small pouches or sacs along the lining of intestinal walls, which are known as diverticula. Although diverticula can be developed anywhere in the digestive system, colon or large intestine is the common site. The formation of diverticula is referred to as diverticulosis. When diverticula get infected or inflamed, it leads to a painful condition, called diverticulitis.

Causes and Symptoms of Diverticulitis

Other than aging, consumption of low-fiber diet is another important reason for developing diverticula. Those, who eat foods less in fiber and high amount of processed and high-fat foods, are at the increased risk of getting diverticulitis. Also, obesity, inactive lifestyle and smoking can increase the risk of diverticulitis.

Abdominal pain is the most significant symptom of diverticulitis. Pain is often experienced in the lower left side of the abdomen. The sufferer may feel relief after bowel movements. It is accompanied by loss of appetite, nausea, sometimes vomiting, alteration in bowel habits like constipation or diarrhea and fever. In mild cases of diverticulitis, the sufferer may experience abdominal pain as well as bloating and flatulence.

Mild Diverticulitis Home Treatment

Mild diverticulitis is usually treated with oral antibiotics and antispasmodics. However, these medications can cause certain adverse effects. Home treatment can effectively help you to manage the symptoms of mild diverticulitis. Home remedies are also effective in reducing the chances of recurrent attacks of diverticulitis. What you have to do is to simply follow certain changes in lifestyle and dietary habits.

Mild pain and cramps can be relieved by applying a heating pad to your abdomen. You can also try relaxation techniques like meditation, which can help reduce mild pain. A nonprescription pain reliever like acetaminophen can be used. When you are suffering from diverticulitis attack, you are advised to remain on clear liquid diet. This kind of diet includes plain water, clear broth, plain gelatin, ice pops, gelatin and fruit juices without pulp. The purpose is to relax the bowels for some time. When the symptoms are reduced, you can gradually start with low-fiber diet, which includes low-fiber cereals, white rice, cooked or canned vegetables, cooked or canned fruits without pulp or seeds, eggs, poultry, fish, low-fat milk and milk products like yogurt and cheese. Once the symptoms fade away, you can slowly switch to regular high fiber diet.

In order to prevent recurrent attacks of diverticulitis, your daily diet should contain adequate amount of fiber. Daily requirement of fiber is about 25-30 grams. Some of the excellent sources of fiber include fruits, vegetables, breakfast cereals, nuts and starchy foods like rice, bread and pasta. The fruits like pear, apple, orange, avocado, raspberries and banana, dried fruits like apricots and prunes, vegetables like beans, peas, French beans, Brussels sprouts, potatoes, spinach, broccoli and carrots as well as nuts like almonds, peanuts, Brazil nuts and mixed are the excellent sources of fiber. Breakfast cereals like bran, oats, muesli and brown bread can also provide good amount of fiber.

When you are taking fiber-rich diet, you need to drink plenty of water and other fluids to prevent constipation. When you feel bowel urge, don’t fail to respond it. Delaying bowel movements can make the stool harder, which may require more force to pass through the colon. It causes increased pressure inside the colon, resulting in development of diverticula.

Along with dietary changes, you should follow regular exercise regimen. It not only helps to improve bowel functioning, but also helps to maintain healthy body weight. Also, stay away from unhealthy habits like smoking and alcoholism.

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Right-sided Diverticulitis Treatment

diverticulitis2 Diverticulitis is one of the common irritable bowel diseases. It is characterized by the formation of diverticula along the lining of intestinal wall. Diverticula can be described as the small pouches or sacs that may protrude through the intestinal walls. Development of diverticula is referred to as diverticulosis. When diverticula get infected or inflamed, it causes the symptoms like abdominal pain, tenderness, nausea, vomiting and high fever. This condition is known as diverticulitis.

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How common is Right-sided Diverticulitis

Diverticula may be formed anywhere in the digestive system, including stomach, small intestine or esophagus. However, the large intestine or colon is the most common site to develop diverticula. In the Western countries, diverticulitis in the left side of the colon is more common. Right-sided diverticulitis is relatively uncommon. It is more prevalent in the Asian countries. About 45-50% cases of diverticulitis are of right-sided diverticulitis in the Asian countries. Also, right-sided diverticulosis is more commonly seen in younger patients. The right colon including cecum and ascending colon is affected.

Causes and Symptoms

Diverticulitis is more prevalent in the well-developed countries. The reason behind this may be their lifestyle and dietary habits. Dietary habits remarkably contribute in the development of this disease. Consumption of foods with less amount of fiber and high amount of processed foods is one of the major causes of diverticulitis. Fiber is an essential part of our regular diet. It helps to make the stool smooth and bulky, so that it can easily pass through the bowels. It helps to prevent constipation. The frequency of disease increases with advanced age. People after the age of 40 are more likely to develop this disease. With aging, the intestine becomes weak. The pressure inside the colon increases, when the stool passes through the weakened intestine. Obesity, lack of exercise and smoking can also increase the possibility of diverticulitis.

Pain in the lower right side of the abdomen is the most significant symptom of right-sided diverticulitis. The pain is usually relieved after passing flatulence or having bowel movements. Patients with diverticulitis may suffer from constipation or diarrhea. Other symptoms may include loss of appetite, nausea, vomiting as well as high fever and malaise. In the complicated cases of diverticulitis, there may be formation of fistula, abscess, infection, bleeding, obstruction, perforation and peritonitis.

Treatment for Right-sided Diverticulitis

The pain from right-sided diverticulitis may be misdiagnosed with appendicitis. Therefore, correct diagnosis is very important to give proper treatment. The diagnosis is done with the help of imaging tests like CT scan and laboratory investigations like blood count. The mild cases of diverticulitis can be treated with antibiotics like ciprofloxacin, cephalexin, metronidazole and doxycycline. The anti-spasmodic drugs like dicyclomine, chlordiazepoxide, hyoscyamine, scopolamine and atropine are prescribed to relieve pain and muscular spasm. The antimicrobial therapy includes anaerobic microorganisms like Bacteroides fragilis, Clostridium and Peptostreptococcus as well as aerobic bacteria like Klebsiella, Escherichia coli, Streptococcus, Proteus and Enterobacter. Along with medications, the patient is recommended to take only clear liquid diet that includes water, plain soda, clear gelatin, fruit juices without pulp and ice chips for 3-4 days in order to relax the bowels. Once the symptoms are reduced, low-fiber foods like cooked vegetables or fruits, low-fat milk and milk products like cheese and yogurt, fish, eggs and poultry can be taken. The symptoms are generally relieved within 3-4 days. Then, the sufferer can gradually switch to normal diet.

The patients, who don’t respond to oral antibiotics or have developed complications, need to be hospitalized to give oral antibiotics. Hospitalization is also recommended if the patient has highly elevated blood cell count, high fever, uncontrolled pain, abscess, fistula, partial bowel obstruction or perforation. Hospitalized patient should be given nothing by mouth. The patient is kept on IV fluids and IV antibiotics. Usually, the symptoms are improved within 48-72 hours. After that, the patient can be given oral antibiotics for 7-10 days. After complete recovery, high-fiber diet is recommended to prevent recurrent attacks of diverticulitis. Surgery is needed in case of serious complications like abscess, fistula, obstruction or perforation.

Ruptured Diverticulitis Treatment

Ruptured DiverticulitisDiverticulitis arises, when the pouches formed in the intestinal wall get inflamed. These pouches or sacs are known as diverticula and their formation is called as diverticulosis. These pouches are bulging and pushed outward through the weak spots in the intestinal wall. Although, diverticula may be formed anywhere in the digestive system, large intestine or colon is the most common site to develop diverticulosis. Generally, diverticulosis doesn’t cause any symptoms or very mild symptoms like mild abdominal pain. When diverticula get infected and inflamed, it causes the painful symptoms, which need to be attended immediately.

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Causes and Symptoms of Diverticulitis

Although exact causes are not confirmed yet, diverticulitis is mainly linked with aging. With aging, intestinal wall becomes weak. When the stool passes through the weakened intestine, it causes increased pressure inside the colon, resulting in the formation of diverticula. When fecal matter gets trapped in the pouches, diverticula get infected, causing inflammation. Intake of low-fiber foods is another important cause of diverticulitis. Fiber helps to make the stool soft and bulky, which can easily pass through the bowels without causing pressure. It helps to prevent constipation and in turn, diverticulosis. Some other factors that can make the person prone to develop diverticulitis are obesity, inactive lifestyle, lack of exercise and unhealthy habits like smoking and alcoholism.

Diverticulitis can cause the symptoms like pain and tenderness in the lower left side of the abdomen, bloating, flatulence, loss of appetite, nausea, sometimes vomiting and altered bowel movements like constipation or diarrhea. The patient may also experience high fever and malaise. In chronic cases of diverticulitis, there may develop some complications like formation of fistula, abscess, perforation and peritonitis. Ruptured intestine is a serious complication of diverticulitis, which should be taken as medical emergency. It often results in infection of the abdominal cavity.

Ruptured Diverticulitis Treatment

The only option to treat ruptured diverticulitis is surgery. Emergency surgery is needed to remove ruptured intestine. During the surgery, the ruptured section is removed and then colostomy is performed. The first stage of surgery involves resection and primary anastomosis. For the surgery, the patient should have a well-vascularized, nonedematous and tension-free bowel. The diverticulitis surgery can be done in two ways, either through a primary bowel resection or through a bowel resection with colostomy. Both the types of surgeries can be done in the traditional way or by laparoscopic surgery. The traditional bowel resection is done by using open surgical approach, known as colectomy. When performing colectomy, the patient needs to be given general anesthesia. An incision is made in the lower midline or a lateral lower transverse line of the abdomen. The affected portion of the intestine is removed and two healthy ends are stapled together. The bowel needs to be relived of its normal digestive function, when it is healing. For this purpose, a colostomy is performed. The colostomy involves creating a temporary opening of the colon on the surface of abdominal skin. The end of the colon is passed through the abdominal wall, to which a removable bag is attached. The fecal matter is collected in this bag. This bag is temporary and can be removed, when the intestine completely heals and comes back to its normal functioning.

Now a day, most of the surgeons prefer laparoscopic surgery for bowel resection. The major advantage of laparascopic surgery over an open surgery is reduced post-operative pain and less recovery time. The laparascopic surgery is less invasive procedure, which involves three to four small incisions made in the abdomen.

How to Treat Recurrent Diverticulitis

Recurrent Diverticulitis Diverticulitis is a relatively common condition of the digestive system, which is characterized by inflammation of diverticula. Diverticula can be described as the small sacs or pouches that are developed along the intestinal wall. The condition is known as diverticulosis. The most common site to develop diverticula is large intestine or colon.

Diverticulitis is more prevalent in people of the age more than 40. The reason behind this is the intestinal wall becomes weak with aging. The pressure inside the colon increases, when the stool passes through the bowels, which leads to the formation of diverticula. The formation of diverticula is also associated with consumption of low-fiber diet. Fiber helps to soften the stool, so that it can easily pass through the intestine.

A lack of fiber can cause constipation. Long-term constipation can increase the pressure inside the colon, when passing the stool, causing diverticulosis. Some other factors that can contribute to diverticulosis are obesity, lack of exercise and smoking.

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Symptoms of Diverticulitis

The symptoms of diverticulitis typically develop very rapidly, within several hours. The most significant symptom is persistent pain in the lower left side of the abdomen. The pain is usually so severe that people with diverticulitis need to seek emergency medical treatment. Abdominal tenderness, loss of appetite, nausea, vomiting, changes in bowel habits and fever may also accompany diverticulitis.

How to Treat Recurrent Diverticulitis

The first bout of diverticulitis can be treated with medications like antibiotics and anti-spasmodic drugs. Medications should be accompanied with dietary changes such as increased fluid intake and enough rest. If the pain is severe, or if complications are developed, then hospitalization is necessary for giving intravenous antibiotics.

About 30-40% of people with diverticulitis may not develop the disease again. However, some people may have subsequent episodes, particularly 2 or more recurrent attacks of diverticulitis. In such cases, surgery is often required to remove the damaged portion of the colon. If you have first attack of diverticulitis at the age of 50 or younger, then you are at the increased risk of having the second or third episode of diverticulitis.

Most patients with recurrent diverticulitis can be managed with non-operative treatment. Uncomplicated cases of diverticulitis can be treated with medications and simple changes in lifestyle and diet. The doctor usually recommends broad-spectrum antibiotics like ciprofloxacin, cephalexin, metronidazole and doxycycline. The medications should be accompanied with clear liquid diet, which may include plain water, clear soda, plain gelatin, ice chips and pulp-less fruit juices. The purpose of liquid diet is to keep the bowels resting for some period. When the symptoms are reduced, slow progression to high-fiber diet is advisable. Once you are completely recovered, you are recommended to have fiber-rich foods like whole grain breads, cereals, pastas, fresh fruits like pears, apples and prunes, vegetables like peas, squash and spinach as well as beans like kidney beans and black beans to prevent recurrent diverticulitis attacks. When taking high-fiber diet, you should drink plenty of water and fluids in order to prevent constipation.

Diverticulitis surgery is recommended for those with recurrent episodes of diverticulitis. The purpose of surgery is to remove the affected bowel segment, control sepsis and restore bowel function. The surgical treatment involves removal of diseased segment of the colon and then reconnecting the remaining parts.

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