Understanding Diverticulitis and Its Symptoms
Diverticulitis is a digestive condition that affects the large intestine, specifically in areas known as diverticula. Diverticula are small pouches that can form in the wall of the intestine. When these pouches become inflamed or infected, it results in the condition known as diverticulitis.
Some common symptoms of diverticulitis include:
- Abdominal pain and tenderness, usually in the lower left quadrant
- Fever
- Chills
- Nausea or vomiting
- Bloating and gas
- Constipation or diarrhea
- Blood in the stool
What Causes Diverticulitis Flare Ups
Doctors aren't entirely sure what causes diverticula to form in the colon wall initially. Contributing factors likely include:
- A low fiber diet
- Obesity
- Lack of exercise
- Smoking
- Certain medications like steroids and painkillers
Flare ups of diverticulitis often happen when stool gets lodged in the diverticula sacs. This can lead to infection and inflammation.
When to See Your Doctor
If you experience any severe or persistent abdominal symptoms along with fever, chills, or rectal bleeding, see your doctor promptly. These can indicate a diverticulitis flare up or attack.
Conventional Medical Treatments for Diverticulitis
Traditional medical treatments for diverticulitis focus on clearing up infections with antibiotics and allowing the colon to rest by having the patient follow a liquid diet. Sometimes hospitalization is necessary for more severe cases.
Mild Diverticulitis Cases
For mild diverticulitis attacks, doctors often recommend:
- Oral antibiotics to fight infection
- Liquid diet to allow colon to rest
- Over-the-counter pain medications
Symptoms often clear up in a few days with antibiotics and an all-liquid diet. Then the patient can gradually add soft, low fiber foods back as symptoms improve.
Severe Diverticulitis Cases
For more severe cases, hospitalization may be required for treatment such as:
- IV antibiotics
- Pain medications
- Bowel rest
- Possible surgery
Surgery may be recommended for repeated attacks, or if there are signs of tears, blockages or abscesses in the colon.
Considering Natural and Alternative Medicine Approaches
For some diverticulitis patients who wish to avoid repeated antibiotic use or explore additional options, alternative and natural treatments may provide relief or preventative benefits.
Homeopathy uses very small doses of natural substances to stimulate the body's self-healing responses. There are several homeopathic remedies that may help with diverticulitis symptoms including:
- Colocynthis - for cramping abdominal pains
- Rhus toxicodendron - for joint pains associated with diverticulitis inflammation
- Nux vomica - for vomiting, cramping and bloating
- Arsenicum album - for diarrhea and abdominal burning sensations
It's best to consult a qualified homeopath to determine the right remedy and dosage schedule for your individual health profile.
Herbal Medicines
Certain herbal medicines may help prevent diverticulitis flare ups or ease related symptoms. These may include:
- Slippery elm to soothe intestinal inflammation
- Marshmallow root to coat and protect irritated intestinal tissues
- Peppermint oil to relax cramped muscles in the colon
- Oregano oil has natural antibiotic properties
- Probiotics to promote good gut bacteria
Always check with your doctor first before taking herbal supplements, especially if you take other medications which could potentially interact.
Lifestyle Changes
Making certain diet and lifestyle adjustments may help prevent future diverticulitis recurrences including:
- Eating more fiber with fruits, vegetables and whole grains
- Drinking plenty of fluids
- Exercising regularly
- Quitting smoking
- Maintaining a healthy body weight
When Surgery May Be Necessary
For most diverticulitis patients, symptoms can be managed with conservative treatments like diet changes, antibiotics or alternative remedies. But for an estimated 10-25% of patients, surgery eventually becomes necessary.
Reasons Surgery Gets Recommended
There are certain scenarios which typically prompt a doctor to advise surgical intervention for diverticulitis. These include:
- Experiencing multiple severe attacks requiring hospitalizations
- Diverticulitis complications like fistulas, abscesses, perforations or strictures
- Failure to improve with other conservative treatment methods
Types of Diverticulitis Surgeries
Common surgeries used for treating diverticulitis include:
- Colectomy – part or all of the colon is removed
- Bowel resection – infected part of intestine is removed and then reattached
- Colostomy - creating an opening from colon to abdominal wall to allow waste to exit body into a bag
- Drainage and washing of abscesses that form
Laparoscopic procedures are often used when possible for faster recovery times.
Living with Diverticulitis: Long Term Outlook
While painful attacks of diverticulitis can be extremely troublesome in the short term, most patients find relief of symptoms and avoidance of recurrence possible with appropriate management.
Paying close attention to dietary habits, maintaining a healthy lifestyle, and finding an effective management plan (whether conventional, alternative or combined approach) allows many diverticulitis patients to resume normal activities.
Even after surgery, many individuals go on to live healthy and active lives without significant intestinal issues. Staying vigilant of changes in symptoms and communicating promptly with one's health care providers makes living with diverticulitis quite manageable for most people.
FAQs
What foods should you avoid during a diverticulitis flare up?
During a flare up, it's best to follow a clear liquid diet to give your colon a rest. Avoid solid foods, especially anything high in fiber like nuts, seeds, raw veggies and whole grains. Stick to broths, gelatin, juices, water and clear sodas until symptoms improve.
How long do diverticulitis flare ups usually last?
With proper treatment, most flare ups start to improve within 3-7 days. Pain and other symptoms gradually get better over this time. It may take a few weeks until you can fully get back to normal activities and eat your regular diet.
When should you go to the ER for diverticulitis?
Seek emergency care if you have severe, constant abdominal pain, high fever, vomiting that prevents drinking liquids, or rectal bleeding. These can indicate serious complications like perforations or abscesses and require immediate medical care.
Can you prevent future diverticulitis flare ups?
While you can't always prevent new attacks 100%, making certain diet and lifestyle changes may help lower future recurrence risk. Eating more fiber, exercising, maintaining healthy weight, not smoking, and limiting red meat intake seem to be beneficial.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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