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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]
The prevalence of diverticulosis progressively increases with age. Approximately 50% of people over the age of 60 and 70% of people over the age of 80 have diverticulosis. [1] This disease is common in the U.S., Britain, Australia, Canada, and is uncommon in Asia and Africa. [5] Large-mouth diverticula are associated with scleroderma ...
This disease spectrum includes diverticulitis, symptomatic uncomplicated diverticular disease (SUDD), and segmental colitis associated with diverticulosis (SCAD). [2] The most common symptoms across the disease spectrum are abdominal pain and bowel habit changes such as diarrhea or constipation.
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While a low-fiber diet is generally used for acute diverticulitis, the NIH guidelines recommend a high-fiber diet for patients with diverticulosis (a condition that may lead to diverticulitis). [17] A Mayo Clinic review from 2011 showed that a high-fiber diet can prevent diverticular disease.
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However, the course appears to largely benign. In cases that require surgery, recurrence of disease is rare. [9] Long term medication therapy is rarely necessary. [6] Over a course of 7 years, about half of people with SCAD experience a recurrence of symptoms. [10] About a third of people have a mild recurrence. [10]
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