19Feb

Sigmoid diverticulosis: symptoms and treatment

Sigmoid colon diverticulosis is an acute inflammation of one or more diverticulum sacs. Sigmoid diverticulosis develops due to internal pressure in the intestine in the form of protrusions on the outside of the colon.

On this page you will learn about the causes of this illness, its symptoms and treatment. Also you will receive recommendations on the organization of proper nutrition in diverticulosis of the sigmoid colon.

The cause of the disease is usually a diet low in fiber, lack of exercise and exercise, congenital weakness of connective tissue, chronic constipation and genetic predisposition. The pressure in the large intestine causes saccular sacs or pockets( diverticula) to form on the outer surface of the intestinal wall.

An accumulation of stool or undigested food in the diverticulum causes inflammation( diverticulitis), which leads to infection and rupture of the wall of the large intestine, with such a possible result as fatal peritonitis.

A further complication occurs if the infected area sticks to another nearby organ, such as the small intestine, bladder or ovaries. So-called fistulas can develop between these organs.

Another complication is intestinal obstruction, edema of the intestine and possible build-up of abscesses. In the worst case, this can lead to perforation of the intestinal wall with a leakage of feces into the abdominal cavity and eventually peritonitis.

The disease is more common in Western countries, where the diet is usually poorer in fiber and contains more meat and flour. No one can say with certainty how and why diverticuli become inflamed. Most often this is explained by the fact that high pressure causes very small cracks in one of the pockets. Bacteria, which are usually found in the large intestine, can then infect tissues. This, in turn, can lead to an abscess.

Symptoms of sigmoid diverticulosis: spasms,

fever Disease can occur quite unexpectedly. The first signs can appear at the age of 40 - 50 years. Symptoms of diverticulosis of the sigmoid colon are very different. Sometimes diverticulosis of the sigmoid colon is the cause of pain and cramping in the lower abdomen, which subside after defecation.

In most cases, diverticula occur accidentally during a colonoscopy or X-ray examination of the colon.

But also the disease can be unnoticed, and the first symptoms may not appear for several years. But if the bacteria multiply rapidly and cause inflammation, the symptoms manifest themselves as permanent pain.

The second main symptom is fever or fever. In addition, there may be irregular bowel movements, which alternate with constipation and diarrhea.

Most patients feel pain in the left lower abdomen. But they can also be constantly disturbed by slight pain in the abdomen. The severity of diverticulitis varies from moderate inflammation of the colon to a massive infection or rupture of the intestinal wall. For this reason, you should immediately consult a doctor if you have any suspicions.

Diverticulosis of the sigmoid colon requires approximately half of the hospitalizations.

Treatment of diverticulosis of the sigmoid colon at home

In the early stages of treatment, sigmoid diverticulosis is treated at home using proper nutrition and lifestyle, including eating more fiber on a regular basis.

People with a history of diverticula should avoid food with small seeds, since they can get stuck in pouches and irritate them.

Elderly people should consult a physician before taking painkillers, because this may be associated with an increased risk of complications in the elderly.

More severe cases of sigmoid diverticulosis may require a prescription that includes antispasmodics.

People who have severe or frequent attacks of diverticulosis may need surgery to repair or remove abscesses, or remove entire sections of the intestine.

Surgery for sigmoid diverticulosis - invasive resection

Minimal invasive laparoscopic sigmoid resection.

Laparoscopic sigmoid resection is a procedure using a laparoscope during laparoscopy. In addition, several small incisions near the navel are made to insert other surgical instruments.

Abdominal cavity expands with CO2 gas to improve the camera's perspective on the monitor.

Sigmoid colon with diverticula is cut and removed, then all are sewn.

Invasive resection is a more gentle means of surgically removing the infected intestinal area than an open surgery. Wounds heal faster, a normal diet reduces the overall recovery time.

Nutrition and diet for diverticulosis of the sigmoid colon

What can you do to prevent diverticulosis?

The key to avoiding diverticulitis or slowing its apparent progression is to reduce pressure in the large intestine.

The following tips can help you:

1. Food for diverticulosis of the sigmoid colon should contain as much fiber as possible - doctors suggest that the appearance of diverticulosis is much less likely if the daily intake of dietary fiber is 25 g -30 g.

2. Diet for sigmoid diverticulosisgut with a high fiber content contributes to a good stool. Intestinal contractions of muscles decrease and much less pressure occurs.

3. Drink plenty of fluids. Try to drink at least 8 cups a day( 2 liters of liquid) daily.

4. Enter the urge to defecate - the delay of defecation, can cause hard stools.