medical question?

Question

i have several sigmoid colonic diverticuli, is this why my sides hurt or am i just imaging that.?

Answer 1

Hi,
I am a doctor..
Well, this may be possible..for how long do you feel the pain?

Here is some information about the sympptoms of the disease you may need to look at-

Most people with uncomplicated colonic diverticulosis are asymptomatic. A small proportion of these patients may have troublesome symptoms such as colicky abdominal pain, bloating, flatulence, or altered bowel habit. Their symptoms characteristically disappear after defecation or passage of flatus. On clinical examination, they may have tenderness in the left iliac fossa with no signs or symptoms of peritonitis or systemic illness, and all laboratory values may be within normal limits. The clinical picture of symptomatic, uncomplicated diverticulosis often overlaps with that of irritable bowel syndrome (IBS), since these two clinical entities are mostly diagnosed after other pathologies are excluded. IBS-type symptoms are independent of the presence or absence of diverticulosis on double-contrast barium enema. Bleeding alone can sometimes be the one and only sign of diverticulosis.

Signs and symptoms of acute diverticulitis may vary from local findings and manifestations to a wide variety of clinical pictures with signs and symptoms of intra-abdominal sepsis, depending on the stage of disease . Patients with acute uncomplicated diverticulitis classically present with left-sided lower abdominal pain, fever, and leukocytosis.7 The site of pain often depends on the segment of colon affected. Right-sided symptoms may occur in the presence of right-sided diverticulosis as well as in redundant sigmoid colon lying on the right side of the abdomen. Patients with left-sided pain may also have right-sided symptoms. Other common manifestations are frequently related to GI disturbance with alteration of bowel habits: constipation, either alone or alternating with bouts of diarrhea; anorexia; or nausea and vomiting. Urinary symptoms such as dysuria, frequency, and urgency may develop in a minority of patients, probably caused by the proximity of the bladder to the inflamed sigmoid colon. In acute presentations, fever is almost always present, but high fever must suggest the possibility of advanced disease and sepsis from generalized peritonitis due to perforation and spreading of inflammation in the peritoneum. The abdominal findings reflect the severity and localization of the disease. In cases of diffuse peritonitis, generalized tenderness, involuntary guarding, or decreased or absent bowel sounds are noted.

Presentation
Acute left lower quadrant pain (93% to 100%)
Fever, chills (57% to 100%)
Leukocytosis (69% to 83%)
Nausea, vomiting
Mass
Constipation
Diarrhea
Urinary symptoms




Severe abdominal distention with nausea and vomiting suggests bowel obstruction. The presence of pneumaturia and fecaluria signifies the presence of a colovesical fistula.
Immunocompromised and immunosuppressed patients constitute the most important group needing special attention in diagnosis and treatment. This patient group may lack a normal inflammatory response and present with minimal classic signs and symptoms, which may delay the diagnosis and treatment. This may result in sepsis and death. It is preferable to operate semielectively on these patients during the first episode of their initial hospitalization.


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Answer 2

1

Answer 3

Yes. But double check with your doctor just to be safe. Make sure you have elimated all seeds from your diet. No hamburger buns with seasame seeds, no poppy seed muffins, no corn or popcorn, no strawberries, etc Because these get caught in the diverticuli pouches, cause infection and pain. Good luck

Answer 4

Yes. This can be controlled with medication and dietary changes. Hopefully, you are taking some sort of pain medication when you are having these episodes. Talk with your doctor about this.

Answer 5

Consult your doctor.