If there is no response from the clinical treatment or if the patient is having recurrent attacks a

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Let's start by explaining what are the diverticula before understanding dentista what is diverticular disease, which is a condition that affects the colon (large intestine). Diverticula are small saccular dilatation (shaped "bag") or pockets formed by externalization or herniation of mucosa and serosa of the colon. Such protrusion occurs in areas of weakness in the intestinal wall can be single or be present in large numbers, typically measuring 5 to 10 mm.
The presence of diverticula is known as diverticular disease and consists of: Diverticulosis (presence of diverticula in the colon, diverticulitis (inflammation of the diverticula), diverticular bleeding.
In many cases, the presence of diverticula is known by accident by not being associated with any symptoms. This situation is referred to as diverticulosis. Symptoms arise when diverticulosis complicated and possible dentista complications include inflammation of the diverticula (diverticulitis) hemorrhage and intestinal perforation. In 75% of cases diverticular disease have no complications, but 25% of fistula, abscess, peritonitis, obstruction or sepsis may occur.
Diverticular disease is common in older people. Even 50 years is more common in men, and after age 70, more common in women. Seems less than 10% for the population under 40 years, reaches a third of the population over 45 years and is estimated to be between 50 and 66% for individuals over 80 years and can reach up to 80% of this elderly population. In patients less than 40 years the main cause is obesity.
The current theory of dietary fiber as a protective agent against the formation of diverticula, dentista and hence it is diverticulitis dentista of insoluble fibers cause the formation of bulkier feces, leading to a reduced effectiveness of the movement of segmentation of the colon. The result is that the intraluminal pressure remains close to the normal peristalsis in the colon.
About 80% of cases are asymptomatic and therefore often discovered "by chance". When symptoms appear dentista are complaints of abdominal discomfort, especially on the left side, constipation (constipation) and changes in bowel habits. In case of diverticulitis and she already be exacerbating symptoms include abdominal pain (also more to the left side), constipation or diarrhea, bloody stools, dentista difficulty urinating, fever, nausea, vomiting, bleeding and fistulas.
On physical examination, pain on palpation of the left lower quadrant is characteristic, often with pain localized to the rebound. Because the symptoms of diverticulitis are much like the other diseases it is essential to make the differential diagnosis.
The differential diagnosis of acute diverticulitis is broad. Acute appendicitis is the erroneous diagnosis most often raised. In our case also must be careful because the symptoms can be confused with the activity of Crohn's disease or ulcerative colitis. Another important differential diagnosis is colon cancer.
The diagnosis of acute diverticulitis should therefore be conducted from well-conducted clinical history dentista and physical examination. dentista Imaging studies should also be performed, such as computed tomography. Barium enema and colonoscopy should be done carefully, as there may be risk of perforation of the diverticulum.
The treatment of uncomplicated acute diverticulitis is initially clinical by fasting or liquid diet without waste associated dentista with broad spectrum antibiotics. Patients with mild symptoms, no fever and poor general condition, with normal and able to feed traffic can be treated without hospitalization.
If there is no response from the clinical treatment or if the patient is having recurrent attacks and complications (fistulas, abscesses, obstruction) surgery may be indicated. For elective surgery, surgery of choice is sigmoidectomy or left colectomy with anastomosis anorectal. Surgery may be laparoscopic.
We've heard that those who have diverticular disease should not eat seeds and excess fiber. This is to prevent food particles accumulate in the bags, thus avoiding contamination by bacteria. However, their own feces can collect in these bags and cause inflammation of the diverticulum. But if they are