Diverticulosis of the sigmoid colon: treatment and symptoms
Diverticulosis of the sigmoid colon is a pathological process that occurs in the large intestine, in which numerous diverticula arise in the colon wall. Diverticula look like saccate protrusions.
Diverticula can be the size of a pea or much more. They are formed due to increased pressure of gas or waste on weakened areas of the intestinal wall. Diverticulum of the sigmoid colon is usually formed when the tension occurs during defecation, for example, with constipation. Most often they are formed in the lower part of the colon, which is called sigmoid.
Diverticular disease of the sigmoid colon leads to complications in 20% of cases. To such complications it is possible to carry:
- a bleeding from a rectum. Chronic damage to small blood vessels adjacent to diverticula is the cause of its occurrence.
- diverticulitis. It is an inflammatory process that occurs against the background of an infection in the diverticulum( diverticula).Usually, this complication develops because of the accumulation of stool in the diverticulum - this contributes to the development of bacteria and the occurrence of infection.
Sigmoid colon diverticulosis is a common disease, about 10% of people after 40 years become ill with it. At the age of more than 60 years, the disease occurs in almost every second person.
Symptoms of the disease
Usually the disease is asymptomatic. In some cases, the patient may feel discomfort and abdominal cramps.
Diagnosis is difficult due to the absence of symptoms.
In most cases, the diagnosis of "sigmoid diverticulosis" is made by accident, when a person conducts a diagnostic examination for another reason.
Treatment of diverticulosis
If symptoms or complications are absent, treatment is not performed. In such cases, the patient is assigned only a diet for diverticulosis of the sigmoid colon. The products that underlie it, contain a large amount of fiber. It is not recommended to use laxatives and enemas during this period.
Painful spasms, pain in the lower abdomen, chills and fever can indicate diverticulitis, a complication of diverticular disease.
In some cases, you can do without the treatment of diverticulitis, but often you still need antibiotics. Sometimes the disease is so serious that you can not do without hospitalization. In this case, intravenous antibiotics and other maintenance therapy are used.
Very rarely required surgery, when the affected part of the intestine is removed. Usually such extreme measures are resorted to ineffectiveness of antibiotic therapy, as well as with abscess, perforation, peritonitis or continued bleeding from the rectum.
When exacerbating diverticulitis, you should eat foods that contain little fiber, and drink plenty of fluids. A month after the end of the exacerbation, you must return to the diet foods rich in fiber.
Prevention of
The most important condition for the prevention of this disease is normal intestinal peristalsis, that is, the absence of constipation.
To maintain regular stools it is necessary:
- perform physical exercises aimed at the abdominal muscles;
- use enough fiber. Recommended by American dieticians is 20-35 grams of fiber. That's what every person should strive for. Foods rich in fiber: whole grain bread, berries, vegetables, fruits, brown rice, bran, beans and peas. Thanks to such food it is possible to prevent constipation and improve health, lower blood pressure, reduce cholesterol in the blood and the likelihood of developing certain types of intestinal disorders;
- drink enough fluids. If there are no contraindications, the daily norm is at least 8 glasses of water;
- fully rest and sleep.