- Diverticulitis vs Diverticulosis
Which is worse: diverticulitis or diverticulosis?
Understanding how one leads to the other is important to preventing either condition from taking hold.
What are diverticulitis and diverticulosis?
Both conditions share the common presence of something called a diverticulum. These diverticula are pockets inside your colon walls that can weaken areas in your colon’s lining over time.
What happens to your diverticula determines whether you have diverticulitis or diverticulosis.
What is diverticulosis?
Diverticulosis simply means that you have the pockets in your colon walls called diverticula. You shouldn’t have any additional complications.
However, symptoms such as an infection can lead to more serious diverticular diseases.
What is diverticulitis?
Diverticulitis occurs if your diverticulosis worsens and you develop additional symptoms.
When the diverticula in your colon are inflamed or infected, then you have diverticulitis. This condition can range from mild to severe.
Serious cases of diverticulitis require much more intensive surgical procedures.
Symptoms of diverticulitis and diverticulosis
Diverticulosis doesn’t have any noticeable symptoms. In fact, most people with diverticulosis don’t even know they have it.
Symptoms of diverticulitis
The symptoms of diverticulitis are more severe than diverticulosis. You may feel them suddenly. These include:
Causes of diverticulitis and diverticulosis
What causes diverticulosis?
Doctors don’t really know exactly what causes diverticula to develop and cause your diverticulosis.
The diverticular spots in your colon are caused by pressure in your colon wall. This is usually the result of straining or muscle spasms.
What causes diverticulitis?
When your diverticula are inflamed and/or infected, this causes diverticulitis.
The causes for infections like this are not well known. Doctors think that stool and bacteria get caught in the diverticula, leading to infection.
Certain people are more at risk of developing diverticulitis. Those people can be any of the following:
Diagnosing diverticulitis and diverticulosis
Only a licensed healthcare professional can diagnose diverticulosis or diverticulitis.
Treatments for diverticulitis and diverticulosis
No treatment is required if you have diverticulosis without any symptoms.
Acute diverticulitis treatment is for new and current attacks. Your doctor may prescribe antibiotics to reduce infection in your colon, as well as a change in diet.
Attacks that are more severe may require hospitalization. These include diverticulitis symptoms such as:
Severe attacks of diverticulitis can cause lasting damage to your colon.
The types of surgical procedures vary between people and cases. But if acute diverticulitis requires surgery, it’s typically for the following reasons:
- Your colon becomes perforated, which brings on other severe symptoms.
- Abscesses that cannot be drained safely may require surgery.
- If other therapies and hospitalization do not work, surgery may be suggested.
- Surgery may be required for a person who has a damaged immune system.
Chronic diverticulitis generally requires surgery that involves taking out portions of your colon and reconnecting it. This is typically reserved for when complications occur during an acute attack or if attacks continue.
Changes in your diet and lifestyle can help prevent future attacks of diverticulitis. These include:
- Regular exercise promotes regular bowel function and reduces the stress on your colon.
- A fiber-rich diet helps soften stool, allowing it to pass more easily through your colon.
- Drinking an adequate amount of fluid replaces the fluid absorbed by your colon. This prevents constipation and stress on your colon.
- Not smoking, because it increases your risk of contracting diverticulitis.
Digestive Disorders Resources
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American Society of Colon & Rectal Surgeons: "Diverticular Disease Expanded Information."
American Society of Gastrointestinal Endoscopy: "Understanding Diverticulosis."
Cedars-Sinai: "Diverticula Disease."
Cleveland Clinic: "Diverticulosis and Diverticulitis of the Colon."
Johns Hopkins Medicine: "Diverticular Disease."
Mayo Clinic: "Diverticulitis: Symptoms and causes."
Mount Sinai: "Diverticulitis."
National Health Service: "Diverticular disease and diverticulitis."
University of Iowa Hospitals and Clinics: "Diverticular disease of the colon."