Diverticulitis history and symptoms: Difference between revisions

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==Overview==
==Overview==
When taking the 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]].
The most common symptoms of diverticulitis include [[Abdominal pain|left lower abdominal pain]], [[fever]], [[Cramp|cramps]], and [[constipation]]. A positive history of change of [[bowel]] habits is suggestive of diverticulitis. Less common symptoms include [[flatulence]], [[nausea]], and [[vomiting]].  


==History and symptoms==
==History and symptoms==
Diverticulitis clinical manifestations depend on the severity of the organ [[inflammation]]. [[Patients]] [[affected]] with the [[disease]] usually give the 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.<ref name="pmid17573742">{{cite journal| author=Laurell H, Hansson LE, Gunnarsson U| title=Acute diverticulitis--clinical presentation and differential diagnostics. | journal=Colorectal Dis | year= 2007 | volume= 9 | issue= 6 | pages= 496-501; discussion 501-2 | pmid=17573742 | doi=10.1111/j.1463-1318.2006.01162.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17573742  }} </ref>
Diverticulitis clinical manifestations depend on the severity of the organ [[inflammation]]. [[Patients]] affected with the [[disease]] usually give the 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 [[Diverticulum|diverticula]] or a very redundant sigmoid colon.<ref name="pmid17573742">{{cite journal| author=Laurell H, Hansson LE, Gunnarsson U| title=Acute diverticulitis--clinical presentation and differential diagnostics. | journal=Colorectal Dis | year= 2007 | volume= 9 | issue= 6 | pages= 496-501; discussion 501-2 | pmid=17573742 | doi=10.1111/j.1463-1318.2006.01162.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17573742  }} </ref>


===Common symptoms===  
===Common symptoms===  
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**[[Urgency]]
**[[Urgency]]
**[[Frequency]]  
**[[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]], referred pain and [[fistula]] are the known mechanisms that explain those symptoms.
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]], [[referred pain]] and [[fistula]] are the known mechanisms that explain those symptoms.


==References==
==References==

Revision as of 18:44, 31 July 2017

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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]Ahmed Elsaiey, MBBCH [3]

Overview

The most common symptoms of diverticulitis include left lower abdominal pain, fever, cramps, and constipation. A positive history of change of bowel habits is suggestive of diverticulitis. Less common symptoms include flatulence, nausea, and vomiting.

History and symptoms

Diverticulitis clinical manifestations depend on the severity of the organ inflammation. Patients affected with the disease usually give the 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.[1]

Common symptoms

Diverticulitis common symptoms include the following:[2]

Less common symptoms

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, referred pain and fistula are the known mechanisms that explain those symptoms.

References

  1. Laurell H, Hansson LE, Gunnarsson U (2007). "Acute diverticulitis--clinical presentation and differential diagnostics". Colorectal Dis. 9 (6): 496–501, discussion 501-2. doi:10.1111/j.1463-1318.2006.01162.x. PMID 17573742.
  2. Jacobs DO (2007). "Clinical practice. Diverticulitis". N Engl J Med. 357 (20): 2057–66. doi:10.1056/NEJMcp073228. PMID 18003962.
  3. 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.

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