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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]
A low-fiber diet is not a no-fiber diet. A 2015 review article recommends less than 10 grams of fiber per day. [12] Other sources recommend that a patient on a low-fiber diet eat no more than 10–15 grams of fiber per day. [5] Some sources recommend serving sizes that contain no more than 2 grams per serving. [5] [6]
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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 .
Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery with segmental resection may be considered. The long term prognosis is likely benign, although data is lacking. The prevalence of SCAD ranges from 0.3 - 1.3 percent.
Complicated acute diverticulitis is distinguished from uncomplicated diverticulitis by the presence of abscess or colonic perforation. Chronic smoldering diverticulitis is caused by recurrent acute diverticulitis that does not respond to medical treatment but does not progress to complications such as abscess, peritonitis, enteric fistula, or ...
The CRAM diet has more protein and fat content than the BRAT diet. [10] According to John Snyder, M.D., professor of pediatrics at the University of California at San Francisco Medical Center and a member of the American Academy of Pediatrics subcommittee on treating acute diarrhea, the CRAM diet seems to ease the diarrhea symptoms faster.
Treatment for sigmoid volvulus may include sigmoidoscopy. If the mucosa of the sigmoid looks normal and pink, a rectal tube for decompression may be placed, and any fluid, electrolyte, cardiac, kidney or pulmonary abnormalities should be corrected. The affected person should then be taken to the operating room for surgical repair.
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