Diverticulitis history and symptoms
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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 in bowel habits is suggestive of diverticulitis. Less common symptoms include flatulence, nausea, and vomiting.
History and Symptoms
Clinical manifestations of diverticulitis depends on the severity of inflammation. Patients affected by the disease usually give a history of lower quadrant abdominal pain, fever, and change in bowel habits, either constipation or diarrhea. Patients may also 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
Common symptoms of diverticulitis include the following:[2]
- Abdominal pain, especially in the left lower quadrant
- Abdominal distension
- Fever
- Cramps
- Constipation
Less common symptoms
- In severe cases of diverticulitis, patients may present with the following:
- In few cases, the patients may complain of urinary symptoms which include the following:[3]
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
- ↑ 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.
- ↑ Jacobs DO (2007). "Clinical practice. Diverticulitis". N Engl J Med. 357 (20): 2057–66. doi:10.1056/NEJMcp073228. PMID 18003962.
- ↑ 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.