Navigating diverticular disease: A patient's guide

Diverticular disease is a condition that often goes unrecognised despite its prevalence. Many people are familiar with the term but may not fully understand what it entails. Leading consultant general and colorectal surgeon Dr Anwar Hussain answers common questions and offers practical advice to empower you in maintaining your digestive health.

What is diverticular disease?

Diverticular disease is a condition that affects the digestive system, particularly the large intestine (colon). It occurs when small, bulging pouches, known as diverticula, form in the walls of the colon. These pouches can sometimes cause discomfort or other symptoms, leading to what we call diverticular disease. it.

What is diverticular disease?

Diverticular disease is a condition that affects the digestive system, particularly the large intestine (colon). It occurs when small, bulging pouches, known as diverticula, form in the walls of the colon. These pouches can sometimes cause discomfort or other symptoms, leading to what we call diverticular disease.

Who is at risk?

Diverticular disease occurs more commonly in people over the age of 50. As we age, the likelihood of developing these pouches increases. Other risk factors include a low-fibre diet, lack of physical activity, obesity, and smoking. A family history of diverticular disease can also make one more susceptible.

What are the symptoms?

Many people with diverticula do not experience any symptoms, a condition known as diverticulosis. However, when the pouches become inflamed or infected, it leads to diverticulitis. Symptoms of diverticulitis can include:

• Abdominal pain, often on the lower left side.
• Fever.
• Nausea and vomiting.
• Changes in bowel habits, such as constipation or diarrhoea.
• Bloating and gas.

How is diverticular disease diagnosed?

If you have symptoms of diverticular disease, your doctor may suggest a few tests to confirm the diagnosis. These can include:

• Colonoscopy: A procedure where a long, flexible tube with a camera is used to view the inside of your colon.
• CT scan: An imaging test that provides detailed pictures of your colon and can show inflamed or infected pouches.
• Blood tests: To check for signs of infection or inflammation.

What are the treatment options?

Treatment for diverticular disease depends on the severity of your symptoms.

• For mild symptoms: A high-fibre diet can help manage symptoms. Fibre helps keep your bowel movements regular and reduces pressure on the colon walls. Your doctor may also recommend fibre supplements.
• For diverticulitis: Mild cases can often be treated at home with rest, a clear liquid diet, and antibiotics to fight infection. Some patients may become hospitalised in severe cases. Treatments may include intravenous antibiotics and, in some instances, surgery to remove the affected part of the colon.

Can diverticular disease be prevented?

While you cannot entirely prevent diverticular disease, certain lifestyle changes can reduce your risk. A diet high in fibre from fruits, vegetables, and whole grains is beneficial. Regular exercise helps maintain bowel health. Staying hydrated and avoiding smoking are also important preventive measures.

When should you seek medical help?

If you experience persistent abdominal pain, fever, or changes in your bowel habits, it is crucial to seek medical advice. Early diagnosis and treatment can prevent complications such as abscesses, perforations, or blockages in the colon.

Diverticular disease is a common condition that can often be managed effectively with the right approach. By understanding the symptoms, seeking timely medical advice, and making healthy lifestyle choices, you can manage this condition and maintain your digestive health.

If you would like to book a consultation with Dr Hussain, do not hesitate to do so by visiting his Top Doctors profile today.