Diverticulitis

Update date : 30 Aug, 2024
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About Disease

Diverticulitis refers to inflammation that occurs within the diverticulum. Diverticulum is a sac like structure protruding outward from the intestinal wall, commonly found in the colon, especially the left colon. The occurrence of diverticulitis may be related to factors such as high intestinal pressure, abnormal intestinal microbiota, food allergies, and abnormal intestinal motility. The symptoms of diverticulitis are diverse and may include abdominal pain (usually located in the lower left abdomen, but may also occur in other areas with diverticula), constipation or diarrhea, bloody stools, fever or chills, nausea and vomiting, etc.


In the treatment of diverticulitis, doctors will develop personalized treatment plans based on the severity of the condition and the specific situation of the patient. Generally speaking, treatment principles include controlling inflammation, alleviating symptoms, and preventing the occurrence of complications.


General treatment: For mild or asymptomatic diverticulitis, conservative treatment may be adopted, such as fasting, gastrointestinal decompression, intravenous infusion to maintain water and electrolyte balance, etc.

Drug therapy: Commonly used drugs include antibiotics such as cephalosporins and penicillins, which are used to inhibit bacterial growth and control infections. In addition, for patients with obvious symptoms, prokinetic drugs (such as domperidone, mosapride) and antacids (such as H2 receptor blockers, proton pump inhibitors) may be used to alleviate symptoms.

Surgical treatment: For patients with recurrent diverticulitis, ineffective internal medicine treatment, or concurrent perforation, obstruction, and massive bleeding, surgical treatment is necessary. Surgical methods include laparoscopic surgery and open surgery, among which laparoscopic surgery has gradually become the preferred choice due to its minimal trauma and fast recovery.

The latest treatment methods are still based on these, but with the advancement of medical technology, surgical techniques and postoperative care are constantly being optimized and improved. In addition, studies have shown that excessive intake of red meat in daily diet is associated with an increased risk of diverticulitis. Therefore, adjusting dietary structure, reducing red meat intake, and increasing dietary fiber intake may also help prevent the occurrence of diverticulitis.


Please note that the above information is for reference only, and the specific treatment plan should be formulated by the doctor according to the patient's specific situation.

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