Diverticulitis primary prevention: Difference between revisions

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==Overview==
==Overview==
Primary prevention of diverticulitis follows the prevention of [[constipation]] by using [[osmotic]] agents like [[lactulose]], [[polyethylene glycol]] or [[magnesium]] salts. High [[fiber]] diet should be given till [[constipation]] improves. Using [[Laxatives]] and drinking plenty of [[fluids]] daily will be helpful.
Primary prevention of diverticulitis follows the prevention of [[constipation]] by using [[osmotic]] agents like [[lactulose]], [[polyethylene glycol]], or [[magnesium]] salts. A high [[fiber]] diet should be given until [[constipation]] improves. Using [[laxatives]] and drinking plenty of [[fluids]] daily is also helpful.


==Primary Prevention==
==Primary Prevention==
Primary prevention of the diverticulitis follows the prevention of constipation as follows:<ref name="pmid10566700">{{cite journal| author=Stollman NH, Raskin JB| title=Diagnosis and management of diverticular disease of the colon in adults. Ad Hoc Practice Parameters Committee of the American College of Gastroenterology. | journal=Am J Gastroenterol | year= 1999 | volume= 94 | issue= 11 | pages= 3110-21 | pmid=10566700 | doi=10.1111/j.1572-0241.1999.01501.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10566700  }} </ref>
Primary prevention of the diverticulitis follows the prevention of constipation as follows:<ref name="pmid10566700">{{cite journal| author=Stollman NH, Raskin JB| title=Diagnosis and management of diverticular disease of the colon in adults. Ad Hoc Practice Parameters Committee of the American College of Gastroenterology. | journal=Am J Gastroenterol | year= 1999 | volume= 94 | issue= 11 | pages= 3110-21 | pmid=10566700 | doi=10.1111/j.1572-0241.1999.01501.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10566700  }} </ref>
* [[Constipation]] is usually easier to prevent than to treat. The relief of constipation with [[osmotic]] agents, i.e. [[lactulose]], [[polyethylene glycol]] (PEG), or [[magnesium]] salts, should immediately be followed with prevention using increased fiber (fruits, [[vegetables]], and grains) and a nightly decreasing dose of osmotic [[laxative]]. With continuing [[narcotic]] use, for instance, nightly doses of osmotic agents can be given indefinitely (without harm) to cause a daily [[bowel movement]].
* Recent controlled studies have questioned the role of physical exercise in the prevention and management of chronic constipation, but exercise is often recommended by published materials on the subject.
* Recent controlled studies have questioned the role of physical exercise in the prevention and management of chronic constipation, while exercise is often recommended by published materials on the subject.
* Hydrating agents as [[lactulose]] or [[Diol|glycols]], bulk-forming as [[psyllium]], and stimulants are recommended for prevention of the [[constipation]].
* In various conditions (such as the use of [[codeine]] or [[morphine]]), combinations of hydrating (e.g. [[lactulose]] or [[Diol|glycols]]), bulk-forming (e.g. [[psyllium]]) and stimulant agents may be necessary to prevent [[constipation]].
* Drink plenty of [[fluids]] each day (at least 8 glasses of water per day).
* Drink plenty of [[fluids]] each day (at least 8 glasses of water per day).
* Prevention of the constipation by eating high fiber diet as vegetables.
* [[Exercise]] regularly.
* [[Exercise]] regularly.
* Go to the bathroom when you have the urge. Don't wait.
* Go to the bathroom when you have the urge. Don't wait.
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Emergency medicine]]
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[[Category:Up-To-Date]]
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Latest revision as of 21:26, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Primary prevention of diverticulitis follows the prevention of constipation by using osmotic agents like lactulose, polyethylene glycol, or magnesium salts. A high fiber diet should be given until constipation improves. Using laxatives and drinking plenty of fluids daily is also helpful.

Primary Prevention

Primary prevention of the diverticulitis follows the prevention of constipation as follows:[1]

  • Recent controlled studies have questioned the role of physical exercise in the prevention and management of chronic constipation, but exercise is often recommended by published materials on the subject.
  • Hydrating agents as lactulose or glycols, bulk-forming as psyllium, and stimulants are recommended for prevention of the constipation.
  • Drink plenty of fluids each day (at least 8 glasses of water per day).
  • Prevention of the constipation by eating high fiber diet as vegetables.
  • Exercise regularly.
  • Go to the bathroom when you have the urge. Don't wait.

References

  1. Stollman NH, Raskin JB (1999). "Diagnosis and management of diverticular disease of the colon in adults. Ad Hoc Practice Parameters Committee of the American College of Gastroenterology". Am J Gastroenterol. 94 (11): 3110–21. doi:10.1111/j.1572-0241.1999.01501.x. PMID 10566700.

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