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Diverticulitis: Symptoms
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Diverticulitis is the most common form of diverticular disease. Diverticulitis occurs when one or more diverticula (pockets) become inflamed. The symptoms experienced are usually pain in the lower left abdomen together with feelings of nausea and loss of appetite. Bowel habits may be disturbed. The symptoms of diverticulitis settle once the inflammation has been controlled.
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Diverticulitis symptoms are a piece of the puzzle in trying to identify a form of digestive disease that affects millions of people worldwide. More will be covered on this disorder in great detail.
Diverticulitis is more commonly found among the senior generation. Estimates are that 30 to 40 percent of Western countries populations over the age of 60 have this problem.This condition is usually symptom-free, and most people do not realize they even have it.
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In general, treatment depends on the severity of your signs and symptoms and whether this is your first attack of diverticulitis. If your symptoms are mild, a liquid or low-fiber diet and antibiotics may be all you need. But if you're at risk of complications or have recurrent attacks of diverticulitis, you may need more advanced care.
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Appendiceal diverticulitis can be classified into 1 of 4 subtypes. 4 Type 1 is the classic form in which a normal-appearing appendix is found with an acutely inflamed diverticulum (Figure -1 ). Type 2 involves an acutely inflamed diverticulum with surrounding appendicitis, and type 3 is conventional appendicitis with an incidental, uninvolved diverticulum. Type 4 is an incidental appendiceal diverticulum with no evidence of appendicitis or diverticulitis. Although there are incidental reports of congenital diverticula (with possible linkage to a group D chromosomal trisomy 13-15), 13 , 14 symptomatic diverticula are classically pulsion in nature. These acquired lesions occur on the mesenteric border of the appendix, often in association with an arteriolar blood vessel and thinning of the muscularis propria.
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More severe diverticulitis is often accompanied by anorexia, nausea, and vomiting. Typically, the pain is localized and severe and often present for several days prior to presentation. Altered bowel habits, especially constipation and less commonly diarrhea, are reported by most patients. A small percentage of patients may complain of urinary symptoms, such as dysuria, urgency, and frequency, due to inflammation adjacent to urinary tract structures.
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