The great majority of people with diverticulosis never experience mild bleeding, let alone fistulas or peritonitis.
If you have diverticula, your doctor may want to minimize their number to avert the possibility of diverticulitis. Medications don't usually help, but a high-roughage diet and sometimes bran or psyllium seed preparations such as Metamucil® or Prodiem® can help.
Esophageal diverticula are normally left in place, as they pose no danger.
Giant diverticula need to be removed surgically. They tend to cause serious obstruction and are likely to become infected and rupture. Giant diverticula are removed along with a small section of the colon (large bowel), and the two loose ends of the colon are sutured (joined) back together. This is called segmental resection of the colon.
Bleeding from a diverticulum may stop after the administration of medications such as vasopressin.* Sometimes, a doctor can stop the bleeding during a colonoscopy. If the bleeding does not stop, you may need a segmental resection, which is a surgical procedure to remove part of an organ (in this case, part of the intestines).
Many times, surgery can be performed laparoscopically, which is a less invasive surgery performed through very small incisions in the abdomen using a very specialized surgical instrument.
Mild diverticulitis can be treated at home with rest, a liquid diet, and antibiotics. You'll often feel better within a week, though it's still important to follow your doctor's instructions regarding diet for a few weeks after that. People with severe diverticulitis are treated in hospital. They're fed by intravenous drip to keep the gastrointestinal tract rested and empty, and given intravenous antibiotics.
About 20% of people with diverticulitis need surgery. Again, the standard procedure is segmental resection. This operation doesn't cause incontinence or any loss of bowel function. If peritonitis or other complications of the rupture of the bowel wall occur, surgery is needed to close the hole and/or drain the infection.
To prevent or slow the development of diverticula and diverticulitis, do the following to help promote a healthy bowel:
- Increase the amount of fibre in your diet – eat high-fibre foods such as whole grains, fruits, and vegetables.
- Drink lots of water throughout the day.
- Exercise regularly.
*All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist.
All material copyright MediResource Inc. 1996 – 2017. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/condition/getcondition/Diverticulitis