In IBS, the nerves and muscles in the bowel are overly sensitive. The disorder is most often identified by its symptoms: abdominal pain or discomfort associated with a change in bowel pattern, such as loose or frequent bowel movements, diarrhea or constipation. As people age, pressure within the colon causes bulging sacs of tissue that push out from the colon walls one sac is a diverticulum, and more than one are diverticula.
These sacs are most common near the end of the colon called the sigmoid colon. The condition of having diverticula in the colon is called diverticulosis, which may have few or no symptoms. If a diverticulum becomes infected or inflamed, it is called diverticulitis.
Nutritional disorders can also result from eating too little or too much food, or from eating too little or too much of a particular nutrient vitamin or mineral. However, tests may be done to ensure that symptoms like bleeding and abdominal pain are diagnosed correctly. Some of the tests used might be:. One of the reasons that the correct diagnosis is essential is because the treatments for ulcerative colitis versus those for diverticulitis are quite different.
The treatments for ulcerative colitis include lifestyle changes, over-the-counter OTC medications, complementary therapies, prescription drugs, and surgery.
Some of the most commonly used medications include:. Lifestyle changes can include altering your diet and quitting smoking. Complementary therapies may include yoga, acupuncture, and probiotics. Surgery to remove the intestine, with either the placement of an ileostomy or a j-pouch , is another form of treatment for complicated ulcerative colitis.
More types of treatments might be used to treat either the disease or its effects on other parts of the body.
The treatment for diverticulitis may occur either at home or in the hospital. Which treatments are used will depend on the severity of the symptoms.
Antibiotics may be given as first-line therapy, either orally or through an IV in the hospital. Other treatments, including medications or surgery, might also be needed if there is a high fever, an inability to eat or drink, a high white blood cell count, or sepsis. More treatments are being studied for diverticulitis, including Asacol HD mesalamine , Xifaxan rifaximin , and probiotics, although these are not yet proven to help. However, for those at risk, it may be worth talking to a physician about how to live a healthy lifestyle and avoid potential triggers.
Preventing complications from ulcerative colitis can include making sure the disease is under control. Staying on a treatment plan and seeing a gastroenterologist on a regular basis will be important in managing symptoms. It may not be possible to avoid developing diverticular disease, and not much is known about prevention. However, a high-fiber diet may be recommended once diverticula are present in order to avoid diverticulitis.
Other prevention methods that might be recommended include drinking more water and getting the right amount of exercise. It might also be recommended to avoid eating red meat.
People who have diverticular disease may also be told to avoid certain medications that are known to cause bleeding in the digestive system in some people. This may include aspirin, cyclooxygenase inhibitors cox inhibitors , and nonsteroidal anti-inflammatory drugs NSAIDs. Ulcerative colitis and diverticulitis both affect the colon and can cause abdominal pain, cramping, and blood in the stool, but they are different in many ways.
Both have causes that are not fully determined. A colonoscopy and imaging may be used in diagnosis for each condition. Treatment options for ulcerative colitis include medications, lifestyle changes, and possibly surgery. Treatment for acute diverticulitis often includes antibiotics. Living with digestive disease may mean paying more attention to diet, stress, and medical care. Seeing a doctor on a regular basis will be important in avoiding a flare-up of the condition or other complications.
Keeping on track with medications will also be key to managing the condition well and avoiding symptoms flaring back up again. For both diverticular disease and ulcerative colitis, diet will be important. Having both conditions will mean taking care to live the best quality of life possible. Diverticulitis is not a form of IBD, but people can have both diverticular disease and a form of IBD at the same time.
People with ulcerative colitis, however, may be less likely to develop diverticula because of scarring in their colon. A diet as high in fiber as can be tolerated is recommended for both diverticulitis and ulcerative colitis in remission. This study aimed to evaluate whether hospitalization burden differs for diverticulitis in patients with a history of Crohn's disease CD compared to ulcerative colitis UC. Method: All patients hospitalized for acute diverticulitis with pre-existing UC or CD in were selected using the national in-patient sample.
Overlap : Irritable bowel syndrome, inflammatory bowel disease, and diverticular disease. Overlap: Irritable bowel syndrome, inflammatory bowel disease, and diverticular disease. Yize Richard Wang, Nicholas J. Talley, Michael F. Gastroenterology and Hepatology. Overview Fingerprint. Keywords Crohn's disease Diverticular colitis Diverticulosis Inflammatory bowel disease Irritable bowel syndrome Ulcerative colitis Copyright.
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