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Ask a Doctor: Diverticulosis

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♪ Kelly: ALOHA. EVERY THURSDAY WE’RE TAKING A LOOK AT A HEALTH ISSUE OR CONCERN AFFECTING MANY PEOPLE. BREAPG DOWN THE INFORMATION — BREAKING DOWN THE INFORMATION FOR YOU. DOCTOR KALANI BRADY JINX US JOINS US WITH THIS WEEK’S TOPIC, DIVERTICULITIS. GOOD MORNING. GOOD MORNING. Kelly: SOME PEOPLE MANY HAVE NEVER HEARD OF THIS. WE HEAR IT’S COMMON. WHAT IS DIVERTICULITIS AND HOW DO ADULTS GET THIS? DIVERTICULITIS IS AN OUTPOUCHING OF THE COLLIN.

AND IT OCCURS IN ABOUT 20% OF THOSE AGED 40 AND MORE THAN HALF OF THOSE THAT ARE AGE 60. IT’S LIMITED TO THE SIGMOID COLLIN ON LAST PORTION OF THE COLON IN ABOUT TWO THIRDS OF PATIENTS. ASIANS HAVE AN INCREASED RISK OF DIVERTICULOSI SIGH ONS ON THE RIGHT SIDE. IF YOU LOOK AT THE COLON AS A BIG TUBE AND SEE A BLEB, AND IT’S ON YOUR SCREEN NOW. THOSE ARE DIVERTICULI. THEY CAN BE FILLED WITH MATERIAL-LIKE BACTERIA OR FOOD. THEY CAN PER PERFORATE. THAT’S THE SERIOUS DISEASE OF DIVERTICULITIS. Kelly: WHAT ARE THE SYMPTOMS? DIVERTICULOSIS IS WITHOUT SYMPTOMS. A COUPLE OCCUR. ONE IS BLEEDING IN THE DIVERTICULUM. IN 10% OF PATIENTS. THE OTHER RISK, DIVERTICULITIS, THAT WE WERE TALKING ABOUT, WHICH IS AN INFECTION OR INFLAM ACHES OF THE DIVERTICULULUM. DIVERTICULITIS IS PAIN IN THE LEFT LOWER BELLY. ASIANS HAVE AN INCREASED RISK IN THE RIGHT LOWER BELLY SO THE PAIN CAN BE THERE. ALSO NAUSEA OR VOMITING CAN OCCUR. AND LOW-GRADE FEVER IS COMMON. YOU CAN HAVE CONSTIPATION OR DIARRHEA. Kelly: WHAT ARE RISK FACTORS? DIVERTICULITIS IS ASSOCIATED WITH A HIGH DIET IN REC’D RED MEATS AND LOW FIB YOU FIBER DIET AND LACK OF EXERCISE.

BECOME OVERWEIGHT AND SMOKING. AND NON STEROIDAL ANTI-INFLAMMATORIES CAN INCREASE THE RISK. Kelly: WHAT ABOUT — I’M ASSUMING THE RISK FACTORS ARE SIMILAR FOR DIVERTICULITIS? YES. ABOUT 5 TO 15% PATIENTS END UP WITH DIVERTICULITIS. Kelly: ON THE SMALLER END. NOT NECESSARILY IT’S GOING TO DEVELOP INTO THAT. CORRECT. Kelly: GOOD TO KNOW. IF YOU DO HAVE THIS, HO YOU ARE — HOW ARE YOU TOYING NOSED? DIAGNOSED? PAIN IN THE LEFT LOWER BELLY IS THE MOST COMMON SYMPTOM ASSOCIATED WITH THE OTHER THINGS. AND DIVERTICULITIS CAN BE OBVIOUSLY IN REVIEW A PERFORATATION. COMMON AGE IS 63. Kelly: IS THAT SOMETHING THEY CHECK FOR WHEN YOU GET A COLLIN OS COLONOSCOPY? COLON CANCER AT THE MARGIN CAN BE THE CAUSE OF DIVERTICULITIS. SO IT’S IMPORTANT TO GET A COLLENNOSCOPY AFTER YOU’RE CURED. DURING THE EPISODE YOU CAN BE TREATED AS AN OUT-PATIENT AND SOMETIMES WITH SURGERY. Kelly: WHAT ARE THE TREATMENTS? TREATMENTS ARE ORAL ANTIBOX, PAIN MEDICATION BECAUSE THE PAIN IS SEVERE IN OUT PATIENTS. IF YOU’RE IN THE HOSPITAL, I.V. ANTIBIOTICS, FLUIDS AND PAIN MEDICATION. Kelly: SO THERE’S A LOT THAT GOES INTO IT? YES.

Kelly: AND WE WERE TALKING ABOUT TWO ALREADY SERIOUS CONDITIONS. COULD THESE POSSIBLY LEAD TO A MORE SERIOUS DISEASE? IF THE DIVERTICULUM PERFOR AR ATES, THAT’S SERIOUS. SOMETIMES PEOPLE END UPS WITH A BAG FROM PERITONITIS. IT’S A VERY SERIOUS CONDITION. AND DIVERTICULITIS SHOULD BE PREVENTED AND TREATED AGGRESSIVELY. Kelly: WOW. THANKS SO MUCH FOR BREAKING THAT DOWN. IT’S SOMETHING THAT MAYBE SOME OF US HAVEN’T HEARD ABOUT IT BUT IT’S COMMON. COMMON..

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