Attitudes about diverticular disease, part II

In the first part of this article titled **A Look at Diverticulitis, Part 1**, we examined diverticulitis and its symptoms.. Diverticulosis is often discovered accidentally during diagnostic tests to find other causes of problems....- **Barium enema:** The X-ray technique using an enema containing barium has been replaced by the CT method.. Tomography**...- **Flexible sigmoidoscopy:** Examination of the **colon...sigmoid** from the inside using a narrow tube equipped with a camera... - **Colonoscopy:** Examination of the entire colon from the inside... - **CT scan:** CT scan is often used to detect cases related to inflammation and diagnostic problems... (and not only diverticulosis), the use of the above three methods is not recommended (because The risk of creating **holes**).... **Treatment:** The treatment of this disease is as follows: ### Diverticulosis Diverticulosis that is not accompanied by symptoms does not need treatment, but most doctors recommend increasing fiber in the diet to prevent the accumulation of feces and the growth of new diverticula or the occurrence of diverticulitis or diverticula bleeding. The role of fiber in preventing the occurrence of these diseases has not yet been proven, but sometimes it helps to recover. Almonds:** In the past, patients with diverticulitis were advised to avoid consuming fiber in the form of coarse grains in order not to cause a recurrence of diverticulitis... ### Diverticulitis The treatment of diverticulitis depends on the severity and extent of the symptoms... #### **home treatment** In case of mild symptoms such as abdominal pain (mostly in the lower left side of the abdomen), home treatment by prescribing fluids and oral antibiotics is sufficient... But if you see any of the following symptoms, it is necessary to see a doctor immediately: - Fever of 38 degrees and above - Intensification of abdominal pain - Intolerance of liquids - Hospital treatment #### **hospital treatment** In case of acute and semi-acute symptoms, the need to be admitted to the hospital will not be far from expected.. If the symptoms are accompanied by a colon abscess, it is necessary to drain the abscess or open parts on the parts under surgery.. Immediately.... The surgical process is in most cases in two stages.... - **First stage:** Removing the infected part and creating a **Colostomy** A colostomy is a hole between the colon and the skin where a waste collection bag is placed inside the intestine.... The lower end of the colon is temporarily sutured to heal... ***seconds.. The surgical stage in this stage, in the second stage, the two ends of the intestine are connected and the opening created in the skin is blocked.. Depending on the severity of the disease, the second stage is sometimes postponed for a year.. Surgery to transfer the infected part of the large intestine is necessary when drug treatment is not effective.. It is very unlikely, especially in acute and complex cases that require surgery. deadly Be.... The final decision depends on the individual's medical history and surgical tolerance.... ### period after recovery from diverticulitis By excluding the first case of diverticulitis and if colonoscopy has not been performed, a comprehensive evaluation of the large intestine is necessary to ensure the disease state and the presence of abnormal lesions (such as **polyps** or cancer). Suggested tests include "colonoscopy", "flexible sigmoidoscopy".. From Dr. Daft's office, click on the photo below: ### Diverticular bleeding In most cases, the problem resolves by itself... Of course, there are those who need to be tested and cared for... In this regard, colonoscopy, **angiography** (to block the artery and stop bleeding), bleeding scan, or surgery are recommended.... **Predicting diverticulitis:** The prediction of this disease will also come in the future to increase your information... ### Diverticulosis In the best case, this situation does not cause any particular problem, and in the worst case, it leads to bleeding or diverticulitis.... In about 15 to 25 percent of patients, diverticulitis leads to diverticulitis.... About 5 to 15 percent suffer from diverticulitis.... ### Diverticulitis About 75% of patients with simple diverticulitis respond positively to treatment.... 15% need surgery... After successful treatment of the first diverticulitis, one-third of patients show no symptoms, one-third have temporary local pain without diverticulitis, and the remaining one-third have diverticulitis again. It is not different from the previous attack. > > Performing endoscopy and colonoscopy in the office without bleeding and pain and with the most advanced equipment available > > To schedule an appointment, you can call 38704066 (051) and 38704067 every day... > > Office address: Mashhad, Kausar Blvd., between Kausar 2 and 4 - Farabi Building - 2nd floor **Gastroenterologist in Mashhad** ==================================== **\*Gastroenterologist in Mashhad\***