Diverticulitis history and symptoms: Difference between revisions
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**Nausea | **Nausea | ||
**Vomiting | **Vomiting | ||
*In few cases, the patients may complain of urinary symptoms | **Chills | ||
*In few cases, the patients may complain of urinary symptoms which include the following:<ref name="pmid13903556">{{cite journal| author=HAFNER CD, PONKA JL, BRUSH BE| title=Genitourinary manifestations of diverticulitis of the colon. A study of 500 cases. | journal=JAMA | year= 1962 | volume= 179 | issue= | pages= 76-8 | pmid=13903556 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13903556 }} </ref> | |||
**Dysuria | |||
**Urgency | |||
**Frequency | |||
The anatomical site of the colon may be a cause to refer the inflammation to the bladder. When the inflammation takes place, it can affect the bladder. Bladder irritation, pain referral and fistula are the known mechansims that explain those symptoms. | |||
===Diverticulitis=== | ===Diverticulitis=== |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
When taking a medical history, the doctor may ask about bowel habits, pain, other symptoms, diet, and medications. The physical exam usually involves a digital rectal exam. To perform this test, the doctor inserts a gloved, lubricated finger into the rectum to detect tenderness, blockage, or blood. The doctor may check stool for signs of bleeding and test blood for signs of infection.
History and symptoms
Diverticulitis clinical manifestations depends on the severity of the organ inflammation. Patients infected with the disease usually give history of lower quadrant abdominal pain, fever and change in bowel habits either constipation or diarrhea. They also may complain of nausea and vomiting. Less commonly, an individual with diverticulitis may present with right-sided abdominal pain. This may be due to the less prevalent right-sided diverticula or a very redundant sigmoid colon.
Most common symptoms
Diverticulitis common sympotms include the following:[1]
- Abdominal pain especially left lower quadrant
- Abdominal distension
- Fever
- Cramps
- Constipation
Less common symptoms
- In severe cases of diverticulitis, the patients may present with the following:
- Flatulence
- Nausea
- Vomiting
- Chills
- In few cases, the patients may complain of urinary symptoms which include the following:[2]
- Dysuria
- Urgency
- Frequency
The anatomical site of the colon may be a cause to refer the inflammation to the bladder. When the inflammation takes place, it can affect the bladder. Bladder irritation, pain referral and fistula are the known mechansims that explain those symptoms.
Diverticulitis
The most common symptom of diverticulitis is abdominal pain. The most common sign is tenderness around the left side of the lower abdomen. If infection is the cause, fever, nausea, vomiting, chills, cramping, and constipation may occur as well. The severity of symptoms depends on the extent of the infection and complications.
References
- ↑ Jacobs DO (2007). "Clinical practice. Diverticulitis". N Engl J Med. 357 (20): 2057–66. doi:10.1056/NEJMcp073228. PMID 18003962.
- ↑ HAFNER CD, PONKA JL, BRUSH BE (1962). "Genitourinary manifestations of diverticulitis of the colon. A study of 500 cases". JAMA. 179: 76–8. PMID 13903556.