Diverticular+Disease

//Western Diagnosis// 1. sac-like mucosal projections through the muscular layer of the colorectum
 * diverticulosis**

1. inflammation of diverticuli
 * diverticulitis**

usually in sigmoid colon rare before 40 yrs old ---inc rapidly thereafter ---1% of people with diverticuli develop itis

Etiology
1. muscular spasm and inc intraluminal pressure 2. constipation 3. low fiber diet

Signs & Symptoms
1. asx 2. possibly bleeding 3. if itis - pain, local abd tenderness esp in LLQ, fever

Complications
1. obstruction 2. fistula 3. hemorrhage 4. perforation 5. abscess 6. peritonitis

Diagnosis
1. barium enema 2. sigmoidoscopy

Treatment
1. high fiber diet: if acute itis - liquid diet 2. psyllium seed 3. hydration