- Diverticulitis vs Diverticulosis
Which is worse: diverticulitis or diverticulosis?
Diverticulosis is a condition in your gastrointestinal GI tract, usually located in your colon.
Understanding how one leads to the other is important to preventing either condition from taking hold.
Both conditions share the common presence of something called a diverticulum. These diverticula are pockets inside your colon walls that can weaken areas in your colon’s lining over time.
What happens to your diverticula determines whether you have diverticulitis or diverticulosis.
What is diverticulosis?
Diverticulosis simply means that you have the pockets in your colon walls called diverticula. You shouldn’t have any additional complications.
However, symptoms such as an infection can lead to more serious diverticular diseases.
What is diverticulitis?
Diverticulitis occurs if your diverticulosis worsens and you develop additional symptoms.
When the diverticula in your colon are inflamed or infected, then you have diverticulitis. This condition can range from mild to severe.
Serious cases of diverticulitis require much more intensive surgical procedures.
Symptoms of diverticulitis and diverticulosis
Diverticulosis doesn’t have any noticeable symptoms. In fact, most people with diverticulosis don’t even know they have it.
The symptoms of diverticulitis are more severe than diverticulosis. You may feel them suddenly. These include:
Causes of diverticulitis and diverticulosis
What causes diverticulosis?
Doctors don’t really know exactly what causes diverticula to develop and cause your diverticulosis.
The diverticular spots in your colon are caused by pressure in your colon wall. This is usually the result of straining or muscle spasms.
What causes diverticulitis?
When your diverticula are inflamed and/or infected, this causes diverticulitis.
The causes for infections like this are not well known. Doctors think that stool and bacteria get caught in the diverticula, leading to infection.
Certain people are more at risk of developing diverticulitis. Those people can be any of the following:
Diagnosing diverticulitis and diverticulosis
Only a licensed healthcare professional can diagnose diverticulosis or diverticulitis.
Diverticulitis has a genetic component. Your doctor will review your medical history and conduct a physical exam.
In addition to a colonoscopy, x-rays, MRI, or CT scan, your doctor may request the following tests:
Treatments for diverticulitis and diverticulosis
No treatment is required if you have diverticulosis without any symptoms.
Diverticulitis treatment will be different for everyone. Diverticulitis is usually either acute or chronic. Each requires a different type of treatment.
Acute diverticulitis treatment is for new and current attacks. Your doctor may prescribe antibiotics to reduce infection in your colon, as well as a change in diet.
Attacks that are more severe may require hospitalization. These include diverticulitis symptoms such as:
Severe attacks of diverticulitis can cause lasting damage to your colon.
Abscesses can form when the inflamed diverticula rupture. Mild abscesses can be treated using antibiotics. Severe abscesses require draining through a process called percutaneous drainage.
The types of surgical procedures vary between people and cases. But if acute diverticulitis requires surgery, it’s typically for the following reasons:
- Your colon becomes perforated, which brings on other severe symptoms.
- Abscesses that cannot be drained safely may require surgery.
- If other therapies and hospitalization do not work, surgery may be suggested.
- Surgery may be required for a person who has a damaged immune system.
Chronic diverticulitis generally requires surgery that involves taking out portions of your colon and reconnecting it. This is typically reserved for when complications occur during an acute attack or if attacks continue.
Changes in your diet and lifestyle can help prevent future attacks of diverticulitis. These include:
- Regular exercise promotes regular bowel function and reduces the stress on your colon.
- A fiber-rich diet helps soften stool, allowing it to pass more easily through your colon.
- Drinking an adequate amount of fluid replaces the fluid absorbed by your colon. This prevents constipation and stress on your colon.
- Not smoking, because it increases your risk of contracting diverticulitis.
Health Solutions From Our Sponsors
American Society of Colon & Rectal Surgeons: "Diverticular Disease Expanded Information."
American Society of Gastrointestinal Endoscopy: "Understanding Diverticulosis."
Cedars-Sinai: "Diverticula Disease."
Cleveland Clinic: "Diverticulosis and Diverticulitis of the Colon."
Johns Hopkins Medicine: "Diverticular Disease."
Mayo Clinic: "Diverticulitis: Symptoms and causes."
Mount Sinai: "Diverticulitis."
National Health Service: "Diverticular disease and diverticulitis."
University of Iowa Hospitals and Clinics: "Diverticular disease of the colon."
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What Foods Should You Avoid if You Have Diverticulitis?What is diverticulitis? Learn what foods to avoid if you have diverticulitis.
Is Diverticulitis Contagious?Diverticulitis is an inflammation of the diverticula or diverticulum. Diverticulitis causes are either infectious or noninfectious, however, it is not contagoius. Symptoms of diverticulitis include: nausea, vomiting, diarrhea, gas, constipation, changes in bowel habits, bloating, constipation, fever, abdominal tenderness, swollen abdomen, fistula formation, and lower left abdominal pain.
What Are the Symptoms of a Diverticulitis Flare-Up?Diverticula are small, bulging pouches that form in the lining of the digestive system in some people. They are usually formed in the lower part of the large intestine. The presence of diverticula is known as diverticulosis. They are usually seen in people over the age of 40 and rarely cause issues. When one diverticulum or diverticula becomes inflamed or infected due to the accumulation of waste products and bacteria, the condition is called diverticulitis.
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What Triggers Diverticulitis?The exact cause of diverticulitis is unknown.