{"id":154,"date":"2019-05-03T13:29:07","date_gmt":"2019-05-03T12:29:07","guid":{"rendered":"http:\/\/www.www.thebirminghamcolorectalclinic.com\/?page_id=154"},"modified":"2020-01-16T17:14:34","modified_gmt":"2020-01-16T17:14:34","slug":"diverticular-disease","status":"publish","type":"page","link":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/diverticular-disease\/","title":{"rendered":"Diverticular Disease"},"content":{"rendered":"<p><section class=\"ffb-id-2tf2geid fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#24949e&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #24949e;\"><\/span><\/span><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row fg-row-no-gutter   fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-2tf2geie fg-col col-xs-7 col-sm-5 col-sm-push-1 col-md-5 col-lg-6 col-lg-push-0 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><h1 class=\"ffb-id-2ts298qb fg-heading text-center    fg-text-light\">DIVERTICULAR DISEASE<\/h1><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-2tf2geid{ padding-top: 30px;padding-bottom: 30px;}@media (min-width:768px) { .ffb-id-2tf2geid{ padding-top: 40px;padding-bottom: 40px;}}@media (min-width:1200px) { .ffb-id-2tf2geid{ padding-top: 80px;padding-bottom: 80px;}}.ffb-id-2tf2geie{ padding-top: 0px;padding-bottom: 0px;}@media (min-width:768px) { .ffb-id-2tf2geie{ padding-top: 100px;padding-bottom: 100px;}}.ffb-id-2tf2geie{ text-transform: none !important;}.ffb-id-2tf2geie:before,.ffb-id-2tf2geie:after,.ffb-id-2tf2geie:hover,.ffb-id-2tf2geie:focus,.ffb-id-2tf2geie *,.ffb-id-2tf2geie *:before,.ffb-id-2tf2geie *:after,.ffb-id-2tf2geie *:hover,.ffb-id-2tf2geie *:focus{ text-transform: none !important;}.ffb-id-2tf2geie{ font-weight: 400 !important;text-align: left !important;}.ffb-id-2tf2geie ,.ffb-id-2tf2geie:before,.ffb-id-2tf2geie:after,.ffb-id-2tf2geie:hover,.ffb-id-2tf2geie:focus,.ffb-id-2tf2geie *,.ffb-id-2tf2geie *:before,.ffb-id-2tf2geie *:after,.ffb-id-2tf2geie *:hover,.ffb-id-2tf2geie *:focus{ font-weight: 400 !important;text-align: left !important;}.ffb-id-2ts298qb ,.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after{ color: #ffffff !important;}.ffb-id-2ts298qb{ text-transform: uppercase !important;}.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb:hover,.ffb-id-2ts298qb:focus,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after,.ffb-id-2ts298qb *:hover,.ffb-id-2ts298qb *:focus{ text-transform: uppercase !important;}.ffb-id-2ts298qb{ line-height: 1 !important;}.ffb-id-2ts298qb ,.ffb-id-2ts298qb:before,.ffb-id-2ts298qb:after,.ffb-id-2ts298qb:hover,.ffb-id-2ts298qb:focus,.ffb-id-2ts298qb *,.ffb-id-2ts298qb *:before,.ffb-id-2ts298qb *:after,.ffb-id-2ts298qb *:hover,.ffb-id-2ts298qb *:focus{ line-height: 1 !important;}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-32jt6jcl fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-32jt6jcm fg-col col-xs-12 col-sm-6 col-md-6 fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;image&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;url&quot;:&quot;http:\\\/\\\/www.thebirminghamcolorectalclinic.com\\\/wp-content\\\/uploads\\\/2019\\\/09\\\/Canva-Man-has-stomach-ache.jpg&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;repeat&quot;:&quot;no-repeat&quot;,&quot;attachment&quot;:&quot;scroll&quot;,&quot;position&quot;:&quot;Center Top&quot;}\" class=\"fg-bg-layer fg-bg-type-image \" style=\"opacity: 1; background-image: url(&quot;http:\/\/www.thebirminghamcolorectalclinic.com\/wp-content\/uploads\/2019\/09\/Canva-Man-has-stomach-ache.jpg&quot;); background-repeat: no-repeat; background-attachment: scroll; background-position: Center Top; background-size: cover;\"><\/span><span data-fg-bg=\"{&quot;type&quot;:&quot;slant&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;color&quot;:&quot;#ffffff&quot;,&quot;edge&quot;:&quot;right&quot;,&quot;direction&quot;:&quot;up&quot;,&quot;angle&quot;:&quot;15&quot;,&quot;hidden_xs&quot;:&quot;yes&quot;,&quot;hidden_sm&quot;:&quot;yes&quot;}\" class=\"fg-bg-layer fg-bg-type-slant hidden-xs hidden-sm\" style=\"opacity: 1\"><\/span><\/span><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><\/div><\/div><\/div><\/div><div class=\"ffb-id-32jt6jcn fg-col col-xs-12 col-sm-6 col-md-6 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><section class=\"ffb-id-32jt6jcq section-heading fg-text-dark\"><h2 style=\"font-weight:400;  text-transform:uppercase; \" class=\"fg-text-dark ffb-h2-1\">Diverticular Disease<\/h2><\/section><div class=\"ffb-id-32jt6jcr fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>What is diverticulosis of the colon?<\/strong><\/p>\n<p>Diverticular disease, also known as colonic diverticulosis, is the medical term given to small out-pouchings (diverticulae) through the large bowel wall. Diverticulae become more common with age, and it is estimated that the proportion of the population with diverticulosis of the colon is equivalent to age; so, approximately 70% of 70 year olds will have the condition. The majority of people with diverticular disease have no symptoms, and it is often discovered during investigations for other problems.<\/p>\n<p style=\"text-transform: uppercase\"><strong>What causes diverticular disease?<\/strong><\/p>\n<p>Diverticulae in the colon are thought to be caused over a period of years by high pressure within the colon as it contracts (peristalses) to propel bowel contents through the colon. This is exacerbated by a diet relatively lacking in dietary fibre. A high fibre diet, combined with adequate fluid intake, reduces the risk of diverticular disease; however, it cannot prevent it completely as the out-pouchings may also occur simply as part of the aging process.<\/p>\n<p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-2tf2geid{ \npadding-top: 30px;\npadding-bottom: 30px;\n\n}\n@media (min-width:768px) { \n.ffb-id-2tf2geid{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-2tf2geid{ \npadding-top: 80px;\npadding-bottom: 80px;\n\n}\n}.ffb-id-2tf2geie{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n@media (min-width:768px) { \n.ffb-id-2tf2geie{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n}.ffb-id-2tf2geie{ \ntext-transform: none !important;\n}\n.ffb-id-2tf2geie:before,\n.ffb-id-2tf2geie:after,\n.ffb-id-2tf2geie:hover,\n.ffb-id-2tf2geie:focus,\n.ffb-id-2tf2geie *,\n.ffb-id-2tf2geie *:before,\n.ffb-id-2tf2geie *:after,\n.ffb-id-2tf2geie *:hover,\n.ffb-id-2tf2geie *:focus{ \ntext-transform: none !important;\n}\n.ffb-id-2tf2geie{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-2tf2geie ,\n.ffb-id-2tf2geie:before,\n.ffb-id-2tf2geie:after,\n.ffb-id-2tf2geie:hover,\n.ffb-id-2tf2geie:focus,\n.ffb-id-2tf2geie *,\n.ffb-id-2tf2geie *:before,\n.ffb-id-2tf2geie *:after,\n.ffb-id-2tf2geie *:hover,\n.ffb-id-2tf2geie *:focus{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-2ts298qb ,\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after{ \ncolor: #ffffff !important;\n}\n.ffb-id-2ts298qb{ \ntext-transform: uppercase !important;\n}\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb:hover,\n.ffb-id-2ts298qb:focus,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after,\n.ffb-id-2ts298qb *:hover,\n.ffb-id-2ts298qb *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-2ts298qb{ \nline-height: 1 !important;\n}\n.ffb-id-2ts298qb ,\n.ffb-id-2ts298qb:before,\n.ffb-id-2ts298qb:after,\n.ffb-id-2ts298qb:hover,\n.ffb-id-2ts298qb:focus,\n.ffb-id-2ts298qb *,\n.ffb-id-2ts298qb *:before,\n.ffb-id-2ts298qb *:after,\n.ffb-id-2ts298qb *:hover,\n.ffb-id-2ts298qb *:focus{ \nline-height: 1 !important;\n}\n.ffb-id-32jt6jcn{ padding-top: 40px;padding-bottom: 40px;}@media (min-width:768px) { .ffb-id-32jt6jcn{ padding-left: 40px;}}@media (min-width:1200px) { .ffb-id-32jt6jcn{ padding-top: 80px;padding-bottom: 80px;padding-left: 80px;}}.ffb-id-32jt6jcq .ffb-h2-1 ,.ffb-id-32jt6jcq .ffb-h2-1:before,.ffb-id-32jt6jcq .ffb-h2-1:after,.ffb-id-32jt6jcq .ffb-h2-1 *,.ffb-id-32jt6jcq .ffb-h2-1 *:before,.ffb-id-32jt6jcq .ffb-h2-1 *:after{ color: #24949e !important;}.ffb-id-32jt6jcq{ margin-bottom: 0px;padding-top: 20px;padding-bottom: 20px;}@media (min-width:992px) { .ffb-id-32jt6jcq{ padding-top: 0px;}}.ffb-id-32jt6jcq{ text-transform: uppercase !important;}.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ text-transform: uppercase !important;}.ffb-id-32jt6jcq{ line-height: 1 !important;text-align: left !important;}.ffb-id-32jt6jcq ,.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ line-height: 1 !important;text-align: left !important;}@media (min-width:768px) { .ffb-id-32jt6jcq{ text-align: left !important;}}@media (min-width:768px) { .ffb-id-32jt6jcq ,.ffb-id-32jt6jcq:before,.ffb-id-32jt6jcq:after,.ffb-id-32jt6jcq:hover,.ffb-id-32jt6jcq:focus,.ffb-id-32jt6jcq *,.ffb-id-32jt6jcq *:before,.ffb-id-32jt6jcq *:after,.ffb-id-32jt6jcq *:hover,.ffb-id-32jt6jcq *:focus{ text-align: left !important;}}.ffb-id-32jt6jcm{ padding-top: 100px;padding-bottom: 100px;}@media (min-width:768px) { .ffb-id-32jt6jcm{ padding-top: 0px;padding-bottom: 0px;}}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-32jtis7p fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-32jtja5r fg-col col-xs-12 col-md-12 fg-text-dark\"><div class=\"fg-match-column-inside-wrapper\"><div class=\"ffb-id-32jtjnv6 fg-row row     fg-text-dark\"><div class=\"ffb-id-32jtis7q fg-col col-xs-12 col-sm-6 col-md-12 fg-text-dark\"><div class=\"ffb-id-32jtis7u fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>What are the symptoms of diverticular disease?<\/strong><\/p>\n<p>Most people with diverticular disease will not experience any symptoms and, indeed, it can be regarded as a &ldquo;normal&rdquo; finding in the Western population. However, a number of problems can arise due to diverticulae in the colon, which include:<\/p>\n<ul>\n<li>Abdominal discomfort, commonly in the lower left side.<\/li>\n<li>A change in bowel habit, either towards diarrhoea or constipation, or alternating between the two<\/li>\n<li>Abdominal bloating<\/li>\n<li>Rectal bleeding, which can either be dark red blood mixed in with the motion or brighter blood<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><\/div><\/div><div class=\"ffb-id-3d5rovoc fg-col col-xs-12 col-sm-6 col-md-12 fg-text-dark\"><div class=\"ffb-id-3d5rovod fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>what is diverticulitis?<\/strong><\/p>\n<p>Diverticulitis is the medical name given to inflammation of colonic diverticulae. Patients with diverticulitis will experience severe pain in the left lower abdomen, a fever, and nausea and vomiting. Diverticulitis can either resolve (often with the aid of antibiotics), or it can lead on to further problems; these include heavy bleeding or perforation of the bowel, the latter of which can either cause a localized abscess (fluid collection) or peritonitis.<\/p>\n<p>Most cases of diverticulitis settle with simple measures, such as antibiotics. However, the healing process can be accompanied by scarring of the bowel that leads to a narrowing. This can either result in complete bowel obstruction or, as is more common, a narrowing of the bowel that causes long-term problems with pain and constipation.<\/p>\n<p>&nbsp;<\/p>\n<p><\/div><\/div><div class=\"ffb-id-3d5sn5p4 fg-col col-xs-12 col-sm-6 col-md-12 fg-text-dark\"><div class=\"ffb-id-3d5sn5p5 fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>what investigations are used to detect diverticular disease?<\/strong><\/p>\n<p>Diverticulae of the colon are often detected on CT scans or during a camera examination of the bowel (flexible sigmoidoscopy or colonoscopy). Usually these tests are performed to exclude another, more serious underlying cause for the patient&rsquo;s symptoms.<\/p>\n<p><\/div><\/div><div class=\"ffb-id-3d5sqvjj fg-col col-xs-12 col-sm-6 col-md-12 fg-text-dark\"><div class=\"ffb-id-3d71p43q ffg-empty-space fg-text-dark\"><\/div><div class=\"ffb-id-3d5sqvjk fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>What treatment options are available?<\/strong><\/p>\n<p>No treatment is required for colonic diverticulosis without symptoms. In patients with symptoms of pain or bloating, a high fibre diet (including plenty of fruit, vegetables and whole grains) is recommended, combined with adequate fluid intake. Sometimes laxatives and \/ or antispasm medicines help reduce abdominal discomfort.<\/p>\n<p>Diverticulitis is treated with antibiotics, pain relief, extra fluids and rest. If the inflammation progresses onto bowel perforation, emergency surgery might be necessary; this is the case in about 5% people with diverticulitis. If there is a localized perforation and fluid collection, surgery might entail washing the pus out and leaving an abdominal drain in; occasionally this can be accomplished using scans to guide drain placement under local anaesthetic. If the perforation results in peritonitis, surgery generally involves removing the affected part of the bowel. An intestinal stoma may be required, usually on a temporary basis. Elective surgery may be undertaken to remove the affected part of the colon if symptoms become recurrent.<\/p>\n<p>&nbsp;<\/p>\n<p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-32jt6jcn{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcn{ \npadding-left: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-32jt6jcn{ \npadding-top: 80px;\npadding-bottom: 80px;\npadding-left: 80px;\n\n}\n}.ffb-id-32jt6jcq .ffb-h2-1 ,\n.ffb-id-32jt6jcq .ffb-h2-1:before,\n.ffb-id-32jt6jcq .ffb-h2-1:after,\n.ffb-id-32jt6jcq .ffb-h2-1 *,\n.ffb-id-32jt6jcq .ffb-h2-1 *:before,\n.ffb-id-32jt6jcq .ffb-h2-1 *:after{ \ncolor: #24949e !important;\n}\n.ffb-id-32jt6jcq{ \nmargin-bottom: 0px;\npadding-top: 20px;\npadding-bottom: 20px;\n\n}\n@media (min-width:992px) { \n.ffb-id-32jt6jcq{ \npadding-top: 0px;\n\n}\n}.ffb-id-32jt6jcq{ \ntext-transform: uppercase !important;\n}\n.ffb-id-32jt6jcq:before,\n.ffb-id-32jt6jcq:after,\n.ffb-id-32jt6jcq:hover,\n.ffb-id-32jt6jcq:focus,\n.ffb-id-32jt6jcq *,\n.ffb-id-32jt6jcq *:before,\n.ffb-id-32jt6jcq *:after,\n.ffb-id-32jt6jcq *:hover,\n.ffb-id-32jt6jcq *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-32jt6jcq{ \nline-height: 1 !important;\ntext-align: left !important;\n}\n.ffb-id-32jt6jcq ,\n.ffb-id-32jt6jcq:before,\n.ffb-id-32jt6jcq:after,\n.ffb-id-32jt6jcq:hover,\n.ffb-id-32jt6jcq:focus,\n.ffb-id-32jt6jcq *,\n.ffb-id-32jt6jcq *:before,\n.ffb-id-32jt6jcq *:after,\n.ffb-id-32jt6jcq *:hover,\n.ffb-id-32jt6jcq *:focus{ \nline-height: 1 !important;\ntext-align: left !important;\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcq{ \ntext-align: left !important;\n}\n}@media (min-width:768px) { \n.ffb-id-32jt6jcq ,\n.ffb-id-32jt6jcq:before,\n.ffb-id-32jt6jcq:after,\n.ffb-id-32jt6jcq:hover,\n.ffb-id-32jt6jcq:focus,\n.ffb-id-32jt6jcq *,\n.ffb-id-32jt6jcq *:before,\n.ffb-id-32jt6jcq *:after,\n.ffb-id-32jt6jcq *:hover,\n.ffb-id-32jt6jcq *:focus{ \ntext-align: left !important;\n}\n}.ffb-id-32jt6jcm{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n@media (min-width:768px) { \n.ffb-id-32jt6jcm{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n}.ffb-id-32jtis7p{ padding-top: 40px;padding-bottom: 40px;}@media (min-width:1200px) { .ffb-id-32jtis7p{ padding-top: 80px;padding-bottom: 80px;}}.ffb-id-3d71p43q{ height: 20px;}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-3d4ktcqj fg-section fg-text-dark\"><div class=\"fg-container container-fluid fg-container-fluid fg-container-lvl--1 \"><div class=\"fg-row row    \" ><section class=\"ffb-id-3d4ktt3g fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#f5f5f5&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #f5f5f5;\"><\/span><\/span><div 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