Signs of Diverticulosis

Description

Out-pouching of the large intestine (colon) called diverticulum. The complications of diverticulosis include infection (diverticultis) and bleeding. The disorder is more common with advancing age with over 50% of patients older than 60 having diverticula. Other risk factors for acquiring diverticulosis include constipation, a diet that is low in dietary fiber content or high in fat and high intake of meat and red meat. Many patients have diverticulosis without having any symptoms.

Symptoms

Most people with diverticulosis do not have any discomfort or symptoms. Symptoms may include: abdominal pain (usually in the lower left abdomen), bloating, constipation.

Tests

A history and physical exam will be done. The following tests can diagnose diverticulosis: abdominal CT scan, colonoscopy, barium enema, or abdominal MRI.

Standard Workup

CT Scan
MRI

Treatment

Therapy depends on the severity of the symptoms and whether or not diverticulitis is involved. A high-fiber diet and pain medications help relieve symptoms in most cases of diverticulosis. Mild diverticulitis can be treated with oral antibiotics (levofloxacin/Levaquin, metronidazole/Flagyl), and pain medications. More serious cases require intravenous antibiotics and possible surgery.