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DIVERTICULITIS

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viickey
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27 views4 pages

DIVERTICULITIS

Medical presentation

Uploaded by

viickey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DIVERTICULITIS

PART A
Diverticula are small, bulging pouches that can form in the
lining of your digestive system. They are found most often in the lower part of the
large intestine (colon). Diverticula are common, especially after age 40, and seldom
cause problems.
The presence of diverticula is known as diverticulosis (die-vur-tik-yoo-LOE-sis).
When one or more of the pouches become inflamed, and in some cases infected,
that condition is known as diverticulitis (die-vur-tik-yoo-LIE-tis). Diverticulitis can
cause severe abdominal pain, fever, nausea and a marked change in your bowel
habits.
The signs and symptoms of diverticulitis include:

Pain, which may be constant and persist for several days . The lower left side of the
abdomen is the usual site of the pain. Sometimes, however, the right side of the
abdomen is more painful, especially in people of Asian descent.

PART B

Diverticula usually develop when naturally weak places in your colon give way under
pressure. This causes marble-sized pouches to protrude through the colon wall.
Diverticulitis occurs when diverticula tear, resulting in inflammation, and in some
cases, infection.
Several factors may increase your risk of developing diverticulitis:

Aging: The incidence of diverticulitis increases with age.


Obesity: Being seriously overweight increases your odds of developing diverticulitis.
Smoking: People who smoke cigarettes are more likely than nonsmokers to
experience diverticulitis.
Lack of exercise: Vigorous exercise appears to lower your risk of diverticulitis.
Diet high in animal fat and low in fiber: A low-fiber diet in combination with a high
intake of animal fat seems to increase risk, although the role of low fiber alone isn't
clear.
Certain medications: Several drugs are associated with an increased risk of
diverticulitis, including steroids, opioids and nonsteroidal anti-inflammatory drugs,
such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve).

About 25% of people with acute diverticulitis develop complications, which may
include:

An abscess, which occurs when pus collects in the pouch.

A blockage in your bowel caused by scarring.


An abnormal passageway (fistula) between sections of bowel or the bowel and other
organs.

Peritonitis, which can occur if the infected or inflamed pouch ruptures, spilling
intestinal contents into your abdominal cavity. Peritonitis is a medical emergency and
requires immediate care.

PART C
Diverticulitis is usually diagnosed during an acute attack. Because abdominal pain
can indicate a number of problems, your doctor will need to rule out other causes for
your symptoms.
Your doctor will start with a physical examination, which will include checking your
abdomen for tenderness. Women generally have a pelvic examination as well to rule
out pelvic disease. Treatment depends on the severity of your signs and symptoms.

Uncomplicated diverticulitis: If your symptoms are mild, you may be treated at home.
Your doctor is likely to recommend:
Antibiotics to treat infection, although new guidelines state that in very mild cases,
they may not be needed .A liquid diet for a few days while your bowel heals . Once
your symptoms improve, you can gradually add solid food to your diet .This
treatment is successful in most people with uncomplicated diverticulitis.

Complicated diverticulitis: If you have a severe attack or have other health problems,
you'll likely need to be hospitalized. Treatment generally involves:

Intravenous antibiotics

Insertion of a tube to drain an abdominal abscess, if one has formed.

You'll likely need surgery to treat diverticulitis if:


You have a complication, such as a bowel abscess, fistula or obstruction, or a
puncture (perforation) in the bowel wall.

PART D
QUESTIONS

Questions 1-7 For each question, 1-7, decide which text (A,B,C or D) the
Information comes from. You may use any letter more than once. In which
text can you can find information about.

1. What is diverticulitis?
2. Triggering factor of diverticulitis?
3. About acute uncomplicated diverticulitis?
4. Signs and symptoms of diverticulitis?
5. When will need a surgery?
6. Where is the usual site of pain in abdomen?
7. In which age group diverticula occurs?

Answer the questions,8-14,with a word or short phrase from the texts. Each
answer may include words, numbers or both.

8. How many percentage of people develop complications with acute diverticulitis?


9. Why women generally have a pelvic examination?
10. Which type of exercise appears to lower the risk of diverticulitis?
11. Where may be treated diverticulitis ,if the symptoms are mild?
12. Which is the treatment option is recommended in mild cases with uncomplicated
diverticulitis?
13. Which consultation is needed in an inpatient treatment with acute uncomplicated
diverticulitis?
14. Who need to rule out other causes for diverticulitis symptoms?

Questions 15-20 .Complete each of the sentences, 15-20, with a word or short
phrase from one of the texts . Each answer may include words, numbers or
both.

15. The incidence of diverticulitis increases with...................................?


16. .......................................is a medical emergency and requires immediate care?
17. .......................depends on the severity of the signs and symptoms?
18. Treatment of complicated diverticulitis are drain an abscess and.......................?
19. Diverticulitis is usually diagnosed during an.....................?
20. ..................... are small bulging pouches that can form in the lining of the digestive
system?

ANSWERS
1. A
2. B
3. D
4. A
5. C
6. A
7. A
8. 25%
9. TO RULE OUT PELVIC DISEASE
10. VIGOROUS
11. AT HOME
12. A LIQUID DIET
13. SURGICAL
14. DOCTOR
15. AGE
16. PERITONITIS
17. TREATMENT
18. INTRAVENOUS ANTIBIOTIC
19. ACUTE ATTACK
20. DIVERTICULA

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