conditions diverticulitis

RECMG7800

Diverticulitis

Condition:Diverticulitis
Other:Diverticulosis
ICD-10 Codes:K57

Naturopathic Treatments

Diverticulosis
• increase dietary fiber - conflicting research and may increase the risk as well
• probiotics (Lactobacillus paracasei)
• avoid the following foods - conflicting research
- meat and red meat
- popcorn
- whole nuts (almonds, walnuts)
- whole seeds (sunflower, pumpkin, caraway, flax)

Diverticulitits
• liquid diet (during acute phase)
• botanicals - not well researched but the following may be helpful:
- peppermint (Mentha piperita) - carminative, antispasmodic
- goldenseal (Hydrastis canadensis) -antimicrobial, astringent, antiinflammatory
- chamomile tea (Matricaria recutita) - antiinflammatory, carminative
- turmeric (Curcuma longa) - antiinflammatory, carminative, antimicrobial
- myrrh (Commiphora molmol) - antimicrobial, antiinflammatory

Conventional Treatments

Diverticulosis
• high fiber diet
• angiographic or endoscopic treatment (for bleeding)

Diverticulitis
• liquid diet
• antibiotics (amoxicillin, clavulanate, ciprofloxacin, metronidazole)
• surgery

Signs & Symptoms

Diverticulosis
• asymptomatic (70%)
• bleeding
• bloating

Diverticulitis
• pain or tenderness in the left lower quadrant of the abdomen
fever
• rebound or guarding (with serious peritoneal involement)

DDx

• appendicitis
• biliary Colic
• cholecystitis
• chronic mesenteric ischemia
• colonic obstruction
constipation
• duodenal ulcers
• fistula
gastric ulcers
• gastritis
• gastroenteritis
• inflammatory bowel disease
irritable bowel syndrome
nephrolithiasis
• ovarian cysts
pancreatitis
• pelvic inflammatory disease
• perforated bowel

Pathogenesis

Diverticulosis
• mechanism unclear
• low fiber diet likely increases intraluminal pressure
• bowel wall extrudes through the weakest point in muscular layer of the bowel causing "out-pouching"
• risk factors
- elderly
- low fiber diet
- constipation
- high intake of red meat
- connective tissue disorders

Possible complications
• diverticulitis
• abscess
• hemorrhage
• fistula formation

Diverticulitis
• diverticula becomes inflamed

Diagnostics

• colonoscopy after resolution
• abdominal CT

References

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