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SCAD is diagnosed via colonoscopy, often incidentally during examination for unrelated concerns. Colonoscopy shows erythema of the colonic mucosa, which may be characterized by friability and exudate. [1] The descending and sigmoid colon are typically involved. Biopsies of the affected area and the unaffected rectum confirm the diagnosis. [1]
Antibiotics should be used selectively in most cases of uncomplicated diverticulitis. However, antibiotic use is strongly advised in immunocompromised patients. [11] Colonoscopy is recommended 6–8 weeks after an episode of complicated diverticulitis or a first-ever episode of diverticulitis.
[1] [7] For mild diverticulitis, antibiotics by mouth and a liquid diet are recommended. [1] For severe cases, intravenous antibiotics, hospital admission, and complete bowel rest may be recommended. [1] Probiotics are of unclear value. [2] Complications such as abscess formation, fistula formation, and perforation of the colon may require ...
Traditionally, colonoscopy prep involves drinking a large amount of liquids (an oral laxative formula) to help you clean out your colon. Now, there are other options that help you achieve the same ...
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A colonoscopy should be performed 4–6 weeks after an acute episode. Contrast CT is the investigation of choice in acute episodes of diverticulitis and where complications exist. MRI provides a clear picture of the soft tissue of the abdomen, however, its expense often outweighs the benefits when compared to contrast CT or colonoscopy.
Orally administered sodium picosulfate is generally used for thorough evacuation of the bowel, usually for patients who are preparing to undergo a colonoscopy. It takes 12–24 hours to work, since it works in the colon. [3] Abdominal cramps and diarrhea are normal effects of picosulfate and should be expected.
Routine use of colonoscopy screening varies globally. In the US, colonoscopy is a commonly recommended and widely utilized screening method for colorectal cancer, often beginning at age 45 or 50, depending on risk factors and guidelines from organizations like the American Cancer Society. [9] However, screening practices differ worldwide.
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