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. | 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 | * [[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 with 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, | * 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. | ||
* 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 | * 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 stimulants 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). | ||
* [[Exercise]] regularly. | * [[Exercise]] regularly. |
Revision as of 20:30, 4 August 2017
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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]
- 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 with 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.
- In various conditions (such as the use of codeine or morphine), combinations of hydrating (e.g. lactulose or glycols), bulk-forming (e.g. psyllium), and stimulants may be necessary to prevent constipation.
- Drink plenty of fluids each day (at least 8 glasses of water per day).
- Exercise regularly.
- Go to the bathroom when you have the urge. Don't wait.
References
- ↑ 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.