Understanding Diverticulosis and Diverticulitis
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- Опубликовано: 31 янв 2023
- This video contains a visual explanation of diverticular disease, diverticulosis and diverticulitis, aimed at helping students of medicine and healthcare professionals prepare for exams.
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I think it's important to add that lower abdominal pain can also be felt in the middle and just to the right of the middle abdomen. It's less common, but can still occur. If you rule out lower right abdominal pain, then you might miss it initially. (Patient might feel like they have a bladder or kidney infection, but it could be diverticulitis.) Of course, a CT scan will show if a patient has diverticulitis to confirm it. Also, I'm glad you said to treat with the amoxicillin-clavulonate because it really works well and fast without feeling awful, generally, whereas other patients who have been prescribed other types that made them feel awful.
My CT scan showed this when I was 28 yrs old. Diet poor on fiber due to gastroparesis, change my diet and have been better. Thanks for the video!
Hello.... I think I might have gastroparesis. What diet do you follow? I am having a time with all this. I'm 65 now and I know all about digestion problems
@@marypolk9820 Hi, I follow a low FODMAP diet mixed with a Mediterranean diet. Plenty greens, yogurt, lean meat and fish and white rice and pasta. Plus olive oil and nothing whole grain, no nuts or seeds. Hope you feel better and if you could see a dietician would be great!
Same exact age and just got diagnosed by the CT scan yesterday.... is this something that goes away eventually or is it like crohns
I also had been diagnosed with Acute Diverticulitis. I did not have surgery, because I only had the abdomen pain. I got better in the hospital during my 36 hour stay and sent me home. I had to switch my diet to this similar diet from @bunnyfooofoo did. I planned to wait out the surgery and see if the diet change would help. I am 28 months from my hospital visit and my issues have subsided, for the most part. Minimal issues since...mainly gas buildup will cause some slight discomfort. No alcohol since the night before I was admitted to the hospital. I take daily fiber pills to help boost up my fiber intake. Drink plenty of water to stay hydrated. I was 36 when I was diagnosed. Stay active, stay healthy!@@juliusseizures5931
33 years old. Not obese, active sports every week. Smoker and diet poor in fiber .
1 day at the hospital, only find the problem by a contrast CAT scan. Antibiotics and good diet I am fine.
Still waiting for the colonoscopy. Great video
Similar to me. But I had surgery to remove infected bowl and bladder. 6 weeks ago. Have a STOMA. LIFE SAVERS
Please what diet you on
@@taniabrough4358 at the moment ? Salads and beef. Basically. But now and then I eat “normal”.
Literally everything exact same for me.. what did they recommend after?
@@pierrerodrigues1781beef is the number 1 thing to avoid ffs!!!!!!
My husband was diagnosed with this without a colonoscopy and months later it turned out to be stage 4 bowel cancer. Insist on a thorough investigation including reference to family history.
So it wasn’t diverticulitis? Were the symptoms the same?? How’d you find out is was cancer instead? Pls elaborate if you could.
My mom is in the hospital for days now with diverticulitis. But I want to make sure it’s nothing worse.
I’m sorry for your husband. I hope and pray he gets healed😢
@@chrismorrison7 If your Mum is in hospital they will be carrying out a more detailed examination than my husbands GP did. His symptoms persisted without a second opinion until he told them his Bupa cover would provide for a referal. They started with blood tests and progressed to an MRI and then a CT scan but they only diagnosed cancer after he had a colonoscopy.
By the time he had his operation it was already stage 4.
He put up a good fight for nearly 2 years and we made the most of every moment but early diagnosis may have made all the difference.
@@yvonnewiggins4209 how long did he have "Diverticultis"?
I'm 19 and had these symptoms for last 4 days?
Im a nursing student in the second lvl of my program, and the GI content has been a real struggle due to the amount of info, but this was a fantastic breakdown! Very impressive layout of this subject matter, super helpful, thank you!! Definitely subscribing!
Nicely explained Tom ,thanks
Thank you. After my colonospy then said it was all good. Then a week later they sent a letter saying they found this, but didn't explain anything. So I greatly appreciate it!
Same here.. I was told by my old gastroenterologist more than 5 years ago {he retired now} that I have one but tiny only and the new doctor told me also when I had colonoscopy recently but did not explain what I should do. After colonoscopy, you're not really alert enough to ask a lot of questions. I think I would make an appointment to my doctor again.
Absolutely well done and definitely keep it up overall, but especially for this topic!!!
Thank you! Will do!
A high fibre diet is highly inappropriate for gut problems because it makes them worse. Fibre makes the stool too bulky for the colon to push out. What is needed is eating healthy, omega 3 rich fats which lubricate the stool and enables it to slide out easily. Drinking about 30ml EVOO is the laxative to use which soothes, not irritates the gut. When I changed to a low carb diet, I had withdrawal symptoms when my intestines were getting rid of all the high fibre rubbish I'd been putting into them for years. After one day of diarrhoea, my belly deflated and all bowel discomfort went with it. Now I pass a smooth, greasy stool without any difficulty and it doesn't have to be daily. High fibre for bowel problems is the worst possible advice. Back in the 1950s and earlier, it never occurred to anyone to do such a stupid thing. When constipated the normal remedy was castor oil, now its olive oil.
I was on the Zoe 2 30 + plants per week when I developed diverticulosis the high fibre diet put it crazy.🙁
What is EVOO please? UK reader
@@elizabethplane9868extra virgin olive oil
@@elizabethplane9868extra virgin olive oil
Extra virgin olive oil @@elizabethplane9868
Very well explained - easy to understand. There must be exceptions to eating a high fibre diet. All the people I know that have this disease, ALL were on a high fibre diet and have had to lower their fibre content after diagnosis. I know a lot of people that do not consume high fibre and they have no issues. I used to eat a lot of fibre and was in the worst health of my life. Make me curious.
Growing up in the 60’s, 70’s Castro oil was the only thing my parents gave us, today 2024 olive oil, and coconut oil works for me.
I was ok my whole life , one day I had pain in my stomach the next morning it was so bad had to,go to the hospital, 4 hours later they removed almost 20” of my large intestines and was fitted with a colostomy bag , about 5 months later they reversed the operation and removed the colostomy bag and Reattached my intestine, they had to cut some more away also , from the CT scans they found I had lung cancer, 7 weeks chemotherapy and 45 treatments of radiation I am doing ok but my breathing is not so,good , new PET scan coming up this week again, pray for me and hope it’s OK for the next few months ! Don’t play games have your check ups yearly or more !
How did it go??
Wishing you well and healing.
God bless you!
Wow! Such a great video! ⭐️⭐️⭐️⭐️⭐️💯
Thank you so much for this information.
Informative video, thank you.
Perfect timing… pls keep uploading I’ve exam in few days
Good luck!
Great information….
Nearly died from a burst pouch and a Hospitol bacterial infection. Was in renal failure a month after the surgery. Of course my military insurance would not let me stay in Hospitol until I was at deaths door. The penny wise pound foolishness of American health care kills people.
Can you pls elaborate? You went in for the pain, they did a ct scan? They saw that it was burst open? How did you almost die? Pls explain. My mom is now in the hospital with this but not burts yet and small sacs, but how did yours progress? How did they treat you?
@@chrismorrison7i hope your mom is better.
Tricare refused doctor’s recommendation of hospitalization?
Amazing ❤
well explained 👍
Thanks for correcting my knowledge about the colon anatomy, i thought that the entire colon is completely covered by longitudinal muscle but as it turns out, it only has 3 separate strips of this muscle along its length :)
Thanks!
Great Advice thanks 👍👍👍👍👍👍
Had it, and no one has heard of it, 5 days in hospital
how are you now
6h
@Christian Rock he must have died
What hospital were you in???
Sorry about the late reply Cynitha, l was in the Geelong, Victoria, Australia,
I am 33 years old. Have had several outbreaks of Acute Diverticulitis... one of them nearly killed me, 1,5 weeks ago. Getting my sigmoideum removed now.... looking forward to be rid of sicknesses
How did your operation go?
@@FlowFlora haven't gotten it yet. It need to be in a resting period for 2 months, before they will do anything. It needs to recover, before they decide.
tks well explained
My husband has it on both left and right sides. One of our sons was diagnosed aged 30, after we told Dr's what his systems were. Was told he's to young. Then he had an episode in hospital
I m 29 and i I have it ...life is a joke sometime
Yeah... 30 isn't to young for Diverticulitis.
😢😢😢😢
Consultant told me it used to be considered an old person's disease now it mainly young people
@@FlowFlorar u a doctor? Because every doctor I spoke to told me I'm too young for this I'm 29
Can you have this even if you are not overweight? Excellent video!
Yes you can. Weight doesn't play a factor in this disease at all. It's simply what you eat. Especially a diet poor in fibre
At last - I now have understanding. 2 years ago I became very ill. Pain in lower left abdomen, fever, vomiting, mucus and blood in my diarrhea, headache and confusion. This went on and got worse over 3 weeks. I was ignored by 111 services, 1st trip to hospital and my GP. Constantly told to drink water and take paracetamol. I was bedridden and towards the end I knew I was going to die.
I went to hospital for a 2nd time where a blood test revealed high markers - I was given a CT scan which showed that my bowel had perforated - this resulted in an emergency colostomy. I was very poorly and was in ICU for 2 weeks due to Peritonitis and abscess.
Hello, thank you for this video. I am hoping either someone at this channel, or someone reading this can shed some light on my situation (I apologize for the lengthy message ahead of time, but a lot has happened):
1. July 7th, 2023: Severe lower back pain, right side, getting worse by the hour; wife drove me to the ER.
2. First two hours (this is the US after all) everyone at the ER suspecting Kidney Stones from pain and symptoms.
3. Total Blood Panel run, CT scan of the Abdomen and Pelvis performed.
4. CT scan revealed liver, pancreas, spleen, gallbladder and appendix all normal; kidneys also normal with no kidney stones present; no free fluid in the Pelvis; Bladder and Seminal Vesicles normal.
5. What the CT scan DID find; Scattered Diverticula throughout the Colon with NO evidence of Diverticulitis.
6. Blood Panel was normal for all tests run, no high White Count; No acute disease in the Abdomen or Pelvis.
This seems pretty straight forward on paper, however, here is the strange part I would like to find out answers for many questions:
1. The first part of any description for this condition is if there is pain, it is in the LOWER LEFT ABDOMEN. I had (and still have, 6 days later) pain in my LOWER RIGHT BACK. I have never had pain on the left side.
2. I have not had constipation (have never had it, actually) over any time in the past 10 years, never mind when this started.
3. I do not have any rectal bleeding.
4. I did, and do not, have a fever.
5. I am a 60 year old male that is 5' 9" tall and weigh approximately 160 pounds. I just finished my annual physical with my primary doctor 2 DAYS PRIOR to going to the ER. My doctor's exact words were, "You are the epitome of health, all of your labs are excellent, and physically you are in excellent health.
A note here, if I may: My wife and I are very active, we exercise regularly, stair climb on weekends, and have just started hiking with our local Sierra Club. My current resting heart rate averages 54 to 56 beats per minute, my blood pressure as of last week was 123 / 66, my cholesterol is 136 (Total). I have a pretty healthy diet (with my only vice being a diet soda 4 or 5 times a week), I don't drink, I don't smoke, and overall I have been in excellent health for many years.
The reason I stated all of that in the note above is because in this video (and everywhere else I've researched), it states this condition is caused by:
1. Low Fibre diet
2. Overweight
3. Sedentary lifestyle
Of which NONE of these apply to me. So the only "symptom", or condition, I have that fits the diagnosis of Diverticulosis is that I am 60 years of age. NONE of the other information given to me from the ER doctor, or that we have found online, points to me having Diverticulosis.
Also, this is now Thursday, July 13th (6 days post ER), and I STILL have pain on my right side, and I was on a liquid only diet until yesterday (5 days), and have lost 4 to 5 pounds since last Friday because of that. The symptoms change daily, to sometimes the pain is when sitting, sometimes when standing, but it seems to be fine when lying down for the past couple of days.
So, in closing (couldn't resist): Has anyone at this channel, or anyone reading this far (and thank you if you have) ever seen or heard of a case of severe lower back pain on the right side only being diagnosed as Diverticulosis?
Thank you,
Marc
Hello, Marc. I wanted to jump in on this thread as we're slightly on the same boat. The only potential cause in my case is sedentary lifestyle, thanks to my 7-4 office job. Other than that, I am not obese, never smoked, and am just in my 30s.
I do feel the gnawing, burning pain in my lower left abdomen. It comes and goes, so it's really bothersome. My abdominal scan and blood tests came out normal, so I'd like to believe that I have a clean bill of health except that I am still in pain. 😥
@@lizamarieborja6435 Hi Liza, sorry to hear about your condition. My biggest concern was being diagnosed with this condition WITHOUT abdominal pain. The doctor should have known better than to give me the wrong diagnosis.
It was confirmed two days ago (Friday) that the pain in my lower right back has nothing to do with having diverticula on my intestine. Diverticulosis does not have pain involved, and is only found when searching with another method, such as a colonoscopy or a CT scan. It's unbelievable that I spent a week thinking I had a condition that I did not, and the doctor missed such obvious signs.
@@marcd1981 yes there's pain involved when the flare-up is worse I have more back pain
did you have sn MRI? is there a special ist you can see??
@@bethwilcox7121 Hello Beth, and Happy Holidays! Thank you for writing, this post was originally from 5 months ago, so it's good to know it is still out there being read.
This started on July 7th, and it is now November 29th. I have been to a total of 11 doctors with three different medical facilities, and all they are able to tell me still is what I do not have. No one can tell me what is causing the pain I have in my right flank, all day, every day, from when I get up in the morning until I go to bed. The only thing that relieves the pressure and pain in my flank area is laying on my back.
To answer your question, Beth, I have had two MRIs so far. One was of my low back (Lumbar area) that a chiropractor ordered, the second was of my right side / abdomen checking for musculoskeletal problems ordered by an Orthopedic doctor. They did not find a musculoskeletal problem, nor anything hernia related. This doctor sent me to another Orthopedic doctor specializing in the spine.
The spine doctor has me getting two more images, a SPECT CT and an MRI of my mid to upper spine (Thoracic area). He thinks there is a possibility the nerves running with the muscle from my mid-back, around my right hip, and in to my naval, are being constricted or interfered with in some way.
I am really hoping someone figures something out soon, this is affecting how I live my life. I am not eating or working out the same as I did a few months ago, and my wife and I have canceled several outings and a trip we were supposed to take in September. The pressure and pain varies almost day to day now, sometimes more standing, sometimes more sitting, and then the only thing I can do is lay down for 20 or 30 minutes to relieve it.
Does THC count as an NSAID?
Very good video. Im on ab after a ct scan and bloods. Plenty of fluids (min 2l a day). X3 or 4 medjool dates and kefir for me.
I have pain on my left side too been taking senna lax but I’m considering to stop due to this video thx
I have diverticulosis. I got it after taking high doses of ibuprofen for osteoarthritis in the knees.
This is NOT True! Yes, everything I've read says that Diverticulitis is the result of a low fiber diet. I am a 50-year (WFPB) VEGAN, who has been studying nutrition for 50 years and i cook all of my own organic Whole Food recipe meals. I am 77 years old. You can imagine my shock when I got a colonoscopy and the doctor told me I had diverticulosis and told me to eat lots of fiber which has always been the main focus of my meals. I eat Chickpeas 5 times a week (Hummus, falafel, Vegan Tuna), avocados, black beans and tons of oats. Up until a year ago I had the most beautiful #4 Turds and now I've got constipation everyday with #1 Pebble turds. I want my regular bowel movements. Got app[ointment to a Gastroenterologist next month. Believe me when I tell you that no one is more conscious of what they eat than I am and here I sit completely dumbfounded!
I also have a pristine organic whole food plant based diet like you but my downfall is not keeping myself suffiently hydrated for all that consumed fiber!!! Please make sure you are drinking 8 to 10 glasses 8oz. of water a day!!!
No beans, and no chickpeas. No good for diverticulitis 😉
Same here!!!! I just had surgery and feel great!!!!❤
The beans and chickpeas are probably not good for the digestive system. Maybe it them sparingly.
@@cruzcasusol6056 maybe not for you. Everyone is different. Updated gut health information says that no foods cause flare ups in Diverticulitis.
NSAIDs are given to people with colitis,
Which then cause ulcers and Diverticulitis 🤷♂️
Nice ✨
Is the book available in Arab countries?
My doctor in E.R. said more fiber...less seeds....I come to realize after many hours on internet....Nobody has a clue....
A colonoscopy found one many years back. Was told to avoid all foods with fibre like the plague and take senna laxative. I promise I did not laugh but mailed some updated peer review journal articles to the doc.
Cool
I was diagnosed with this about 2 months ago, I'm 22. I'm not the healthiest bastard but I feel more compelled to take some of the comments advice about fiber
I just got diagnosed with diverticulitis at 33 years old
ok do u want me to massage your belly
After ASCRS diverticulitis surgery does one need a colostomy bag
My bowel perforated after acute diverticulitis and I had to have an emergency colostomy I have to now wear a stoma bag.
Watching as I’ve been told today by my gp I have diverticulitis and am in flare. I have crohns and knew these new symptoms aren’t normal for me. I’m on antibiotics but glad I found this as I was given no information except it’s name. Anybody who suffers is it normal to not have left or right sided pain? I don’t. I have an ache all over my lower stomach and pass small amounts of fresh blood multiple times a day,don have constipation I have a constant urge to go to the toilet but only blood comes out.
i was diganosed with diverticular more than 10 yrs ago, then 2 yrs ago i had to rush to hospital and found out i got food poisoning called blood sespis was caused by those gaps burstingbso had to have fisula to settle down but still didnt work so had a big surgery to remove the affected bowel as it fail to heal and now im ok but feels tiring bec of the bowel removal!
Why wasn’t it mentioned that there are times a doctor will recommend low to no fiber to REST the intestines. Rest from fiber? the holy grail for optimal gut health? I find this odd.
Has anyone experienced on a carnivore diet? I am on one for about 1.5yrs .... had hull pain , felt a bit dizzy, general feeling of being under, Next morning no pain, but just a bit under. As for hte fiber, never had due to carnivore, but i did put chillies in my meat and it triggered running hot stooles on Sunday but abdominal dull pain came Monday evening.
I think Carnivore long-term is a bad idea for Diverticulitis. But obviously nobody knows. You are the test case.
I also deciding to do exam but sometime I feel I don’t know my contents . Thank you so much for putting video
Oh noes! I think this is what I have. I thought I had food poisoning 2 months ago when I ate some undercooked pork (followed the dumb instructions tho). Thought I had to quit meat so switching to WFPB diet helped alleviate the symptoms. No wonder it still feels like I'm dying and had low iron and RBC.
Just got diagnosed plz help what can i eat coz everything i eat triggers the pains and bloating😢
Clear liquids and soft foods diet at best. No lettuce or raw vegetables. Don't allow Drs to transition you to a regular diet Until you're PainFree and your BMs are somewhat normal. I've been symptomatic for 40 years. N. PA
@@unclefuddelmer8611 thank ypu so much
I was told by my new gastro that I have one too after colonoscopy. I knew that I have one from my old doctor, but I did not make it a big deal at that time b/c he said it's tiny, now it scares me.
I had it on the right side
I wonder how you tell between this and pancreatitis?
Pancreatitis is extremely painful,you’ll be able to tell the difference,I have had pancreatitis,and I have diverticulitis,can’t even tell I have diverticulitis.Been to the ER three times with pancreatitis.Removed my gallbladder,no more pancreatitis.
Hopefully you’ll never experience either.
Good luck and good health to you and your family.
Pancreatitis is so painful and also so dangerous, I had it twice and I hope I will not get it anymore.
Should it not be "diverticulae"?
I have it right now and I'm in so much pain. I've been on the antibiotics for 3 days. How long does the pain usually last?
i'm on day 6 in the hospital now and the pain has now gotten to a one.
@@joshualetren3958 oh wow I'm sorry you had to be in the hospital. I'm on day 4 of antibiotics and I'm finally starting to feel better pain from 5 2A1 now
I’m 66 yo, very fit, thin, eat very little meat, and was in hospital for 7 days until pain completely subsided. Went home and docs said I had fully recovered, the puncture had sealed on its own. 3 months later I’m back in hospital with same pain going on 3rd day with pain at about a 4 at worst. I’ll be going through elective surgery to remove the affected colon section after colonoscopy. Great video, thank you.
@@melissaheart420 went hospital with it swollen had emergency surgery. Now have a stoma
I've had it for about 30 years.
💙💙💙💙
Lets talk about the gact that most people have diverticuls. Most will never get diverticulitis. And the dirt thing? That was changed years ago.
I actually had to have some of my intestines cut out because it got so bad, I thought I was going to die.
It’s got nothing to do with fibre per say lots have it and don’t know they think it’s ibs
Fun fact: If you have endometriosis and go to the ER, any ER, they all think you have diverticulitis. It's ridiculous. None of the symptoms overlap.
Got colonoscopy 3 months ago after passing blood. And pain under my right ribs.
As soon as they went in. Problem.
Bloody hemeroids.
But no polyps and colon clear
Later they gave me a sheet explaining.
Diverticulitis grade 1
Advice was to eat loads of fibre and drink loads of water.
And i don't wanna see you again.
I said i jokingly said i dont wanna see you either.
For years I've been eating porridge oats for breakfast in winter and museli in summer and rice pudding before bed.
So ive swapped the tinned rice pudding for weetabix. Which is full of fibre.
Every one here is giving me opposite advice?
Every morning i have a table spoon of apple cider vinegar. A clove of garlic. Extra virgin olive oil on an empty stomach an hour later i have porridge oats? Help anyone??
true vs false diverticulum?????
The remedy suggested is dubious as many of the comments have pointed out. Do I really have to point out that we are not all the same in terms of health and diet. Standard dietary advice is highly suspect and probably has more to do with geopolitics and marketing from the big companies. Do your own research. Keep a log and learn from your own experience. If you need to visit a doctor take your own knowledge with you. Good luck.
no , low fiber does NOT cause Diverticulitis ! if anything fiber will cause it !
Something tells me you might not know enough to have an opinion on this topic.
Its the WORST!
Had 9 inches of my colon removed because of it
How are you feeling now?
Still have diverticula disease, doesn’t flare up as much as I am careful with what I eat. And the scar is huge
Same. I didnt even know I had it till my bowel perforated.
Had all these symptoms. Went hospital emergency surgery. Now have a STOMA. LIFE SAVERS
Tom Holland?
It's awful 😢
RUclips is crap!
A fun way to remember the complications of diverticulitis:
🌟Bleed, Burrow, Block, Burst, Bacteria🌟
1. Bleed: Hemorrhage
2. Burrow: Fistula (colo-vesicle, colo-enteric, colo-cutaneous, colo-vaginal, colo-uterine)
3. Block: Intestinal obstruction
4. Burst: Perforation
5. Bacteria: Pericolic abscess, peritonitis
I have this diagnosed over to weeks ago, but they send me home, asked me to get and appointment with a GYN doctors. Within two days. Instead of treating me right there. I have not seen any GYN doctors because no one wants to take New patient everywhere I have called even the ones I was referred to got within two days refuse to get me in for a visit/exam.?. Any suggestions?.
Very good advice as a diverticulosis sufferer I would seek medical attention immediately if blood appeared in the stool.
Poorly taped .Could be very Informative.