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- $Unique_ID{BRK03667}
- $Pretitle{}
- $Title{Diverticulitis}
- $Subject{Diverticulitis Colon, Diverticulitis Diverticulosis Carcinoma of the
- Colon Familial Polyposis of the Colon}
- $Volume{}
- $Log{}
-
- Copyright (C) 1988, 1989 National Organization for Rare Disorders, Inc.
-
- 471:
- Diverticulitis
-
- ** IMPORTANT **
- It is possible the main title of the article (Diverticulitis) is not the
- name you expected. Please check the SYNONYMS listing on the next page to
- find alternate names, disorder subdivisions, and related disorders covered by
- this article.
-
- Synonyms
-
- Colon, Diverticulitis
-
- Information on the following disorders can be found in the Related
- Disorders section of this report:
-
- Diverticulosis
- Carcinoma of the Colon
- Familial Polyposis of the Colon
-
- General Discussion
-
- ** REMINDER **
- The information contained in the Rare Disease Database is provided for
- educational purposes only. It should not be used for diagnostic or treatment
- purposes. If you wish to obtain more information about this disorder, please
- contact your personal physician and/or the agencies listed in the "Resources"
- section of this report.
-
- Diverticulitis is a common digestive disorder characterized by
- inflammation of one or more of the sacs (diverticula) that can form due to
- protrusion of the inner lining of the colon through its intestinal wall.
- Diverticulosis is characterized by small sac-like hernias of mucous tissue
- protruding through the wall of the large intestine (colon). These so-called
- diverticula may occur in any part of the colon, but most often in the lowest
- part (sigmoid). Diverticulosis is a related condition that is characterized
- by small sac-like hernias of mucous tissue protruding through the wall of the
- large intestine (colon). These so-called diverticula may occur in any part
- of the colon, but most often in the lowest part (sigmoid). Perforation of a
- diverticulum may lead to inflammation or contamination of the surrounding
- tissues in the abdominal cavity. The inflamed bowel segment often adheres to
- other parts of the bowel or (in females) the vagina, and an artificial
- connection with those organs (fistula) may develop. With repeated
- inflammation, the colon wall thickens, its cavity narrows, and acute
- obstruction or perforation may occur.
-
- Symptoms
-
- Diverticulitis is characterized by pain near the groin in the lower part of
- the abdomen. Other symptoms may include pain when urinating, constipation,
- diarrhea or other changes in bowel movements, fever or rectal bleeding.
-
- Causes
-
- Lack of sufficient fiber or bulk in the diet may cause Diverticulosis and
- Diverticulitis due to the increased pressure in the colon required to have a
- bowel movement. Other causes have not yet been identified.
-
- Affected Population
-
- Diverticulosis and Diverticulitis usually affect people over 40 years of age.
- More than half the United States population is may be affected by these
- disorders by age 60. Males and females are affected in equal numbers.
- However, only one in five persons who have Diverticulosis will develop
- symptoms.
-
- Related Disorders
-
- There are many digestive diseases that are characterized by symptoms similar
- to Diverticulitis and Diverticulosis. For more information, choose
- "digestive" as your search term in the Rare Disease Database.
-
- Carcinoma (Adenocarcinoma) of the Colon is characterized by pain in the
- lower abdomen, constipation or diarrhea, excessive gas (flatulence), liquid
- narrow feces streaked with blood, and nausea. Patients with this disorder
- lose weight excessively. The cause of this type of cancer is unknown. It
- may be associated with polyps or ulcerative colitis. This cancer tends to
- run in families and has a peak incidence between the ages of 50 and 60.
-
- Familial Polyposis of the Colon is a genetic disorder of the colon.
- Symptoms may not be noticeable for years. A polyp is a mass of tissue that
- arises from the mucous membrane of the colon and protrudes into its cavity.
- Familial Polyposis is characterized by rectal bleeding, possibly diarrhea or
- constipation, intermittent abdominal pain and weight loss. The polyps
- usually develop during puberty or early adulthood. Untreated patients with
- Familial Polyposis may later develop colon cancer. (For more information on
- this disorder, choose "Polyposis" as your search term in the Rare Disease
- Database.)
-
- Therapies: Standard
-
- Diverticulosis and Diverticulitis may be treated by a diet high in fiber;
- e.g., whole wheat bread, bran cereal, etc. Harsh laxatives and straining
- during bowel movements should be avoided to decrease discomfort. Antibiotics
- such as ampicillin and pain-killing drugs may be prescribed in some cases of
- Diverticulitis. In most cases an appropriate diet can reduce or eliminate
- symptoms so that further treatment may not be required.
-
- If severe bleeding occurs, immediate hospitalization and close
- observation are necessary. Blood transfusions may be required as well as
- intravenous fluids. With recurrent Diverticulitis or with an increasing
- degree of bladder obstruction, surgery may be necessary to remove the
- affected part of the colon. This procedure can be performed in steps during
- an inactive phase of the disorder.
-
- Therapies: Investigational
-
- This disease entry is based upon medical information available through
- December 1988. Since NORD's resources are limited, it is not possible to
- keep every entry in the Rare Disease Database completely current and
- accurate. Please check with the agencies listed in the Resources section for
- the most current information about this disorder.
-
- Resources
-
- For more information on Diverticulitis, please contact:
-
- National Organization for Rare Disorders (NORD)
- P.O. Box 8923
- New Fairfield, CT 06812-1783
- (203) 746-6518
-
- National Digestive Diseases Information Clearinghouse
- Box NDIC
- Bethesda, MD 20892
- (301) 468-2162
-
- References
-
- INTERNAL MEDICINE, 2nd ed.: Jay H. Stein, et al., eds.; Little Brown, 1987.
- Pp. 168-171.
-
- AN IDEAL OPERATION FOR DIVERTICULITIS OF THE COLON: R.O. Gregg; American
- Journal Surg (March 1987: issue 153(3)). Pp. 285-290.
-
- ARE WE REALLY OPERATING ON DIVERTICULITIS?: R.E. Breen, et al.;
- Diseases Colon Rectum (March 1986: issue 29(3)). Pp. 174-176.
-
-