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Diverticulitis, also called colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—that can develop in the wall of the large intestine. [1] Symptoms typically include lower abdominal pain of sudden onset, but the onset may also occur over a few days. [1]
Similar to the diverticulitis ischemia theory above, SUDD is thought to be caused by sustained colonic contraction leading to mucosal ischemia within the diverticulum. [2] However, SUDD occurs when only abdominal pain with bowel habit change is present, without any other systemic symptoms of diverticulitis like fever, elevated white blood cell ...
Diverticulitis is defined as diverticular disease with signs and symptoms of diverticular inflammation. Clinical features of acute diverticulitis include constant abdominal pain, localized abdominal tenderness in the left lower quadrant of the abdomen, nausea, vomiting, constipation or diarrhea, fever and leukocytosis. [12]
SCAD may lead to abdominal pain, especially in the left lower quadrant, intermittent rectal bleeding and chronic diarrhea. [1] The cause of SCAD is unknown, but may be related to local colonic ischemia, fecal stasis, or mucosal prolapse. The factors that cause SCAD likely overlap with inflammatory bowel disease. There are four types of SCAD ...
Erosion and inflammation most commonly causes pain in the left lower quadrant. Diverticulitis is usually not associated with hematochezia, or rectal bleeding, since the blood vessels become scarred from inflammation, and therefore rectal bleeding is more associated with diverticulosis.
After addressing pain, there may be a role for antimicrobial treatment in some cases of abdominal pain. [22] Butylscopolamine (Buscopan) is used to treat cramping abdominal pain with some success. [23] Surgical management for causes of abdominal pain includes but is not limited to cholecystectomy, appendectomy, and exploratory laparotomy.
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If caused by inflammation, it is treated with medicine. If caused by infection, it is treated with an antiprotozoal agent. If caused by lack of blood flow, it is treated with a liquid diet and antibiotics. Diverticulitis: If symptoms are minimal, treat by: Getting plenty of rest. Using a heat pad while sleeping. Taking pain medication.
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