ColoWell America | Proctology and Aesthetics Care

Diverticulitis

Diverticulosis occurs when small pouches (diverticula) form in the walls of the colon, usually due to increased pressure from straining during bowel movements. A low-fiber diet, which leads to constipation, is the most common contributing factor.

Is Diverticular Disease Serious?

Diverticulosis itself is not serious and may not cause symptoms. However, when the diverticula become inflamed or infected, it progresses into diverticulitis, which can cause severe abdominal pain, fever, and potential complications like abscesses or bowel perforation.

What Are the Warning Signs of Diverticulitis?

  • Sharp or cramping pain in the lower left abdomen (though it can occur elsewhere)
  • Fever and chills
  • Bloating and gas
  • Changes in bowel habits (diarrhea or constipation)
  • Nausea or vomiting
  • Rectal bleeding in severe cases

What Color is Diverticulitis Poop?

Stools may appear dark, tarry, or bloody if diverticulitis leads to bleeding. Mucus in the stool is also common, especially during flare-ups.

Can Stool Get Stuck in Diverticula?

Yes, food particles and stool can get trapped in diverticula, leading to irritation, inflammation, and infection (diverticulitis). This is why high-fiber diets and regular bowel movements are crucial for managing diverticulosis.

Why Am I So Tired with Diverticulitis?

Fatigue during a diverticulitis flare-up is common due to inflammation, infection, dehydration, and poor nutrient absorption. If chronic fatigue persists, it may indicate an ongoing infection or complications requiring medical attention.

Identification and Symptoms

What Are Bowel Movements Like with Diverticulosis?

  • Alternating between constipation and diarrhea
  • Pellet-like stools or narrow stools due to pressure in the colon
  • Mucus in the stool
  • Bloating and excess gas

Does Drinking a Lot of Water Help Diverticulosis?

Yes! Staying hydrated helps prevent constipation, which reduces pressure on the colon and lowers the risk of diverticulitis flare-ups.

What Time of Day is Diverticulitis Worse?

Symptoms often worsen in the morning or after meals due to bowel movement stimulation. Eating large or high-fat meals may trigger discomfort.

What Not to Do During a Diverticulitis Flare-Up?

🚫 Avoid high-fiber foods during a flare-up (until symptoms improve).
🚫 Skip alcohol and caffeine, which can irritate the colon.
🚫 Do not ignore abdominal pain or fever—seek medical attention.
🚫 Avoid NSAIDs like ibuprofen, which may worsen symptoms.
🚫 Stay away from heavy exercise until symptoms subside.

Causes

Diverticular disease, which includes diverticulosis (the presence of pouches in the colon) and diverticulitis (inflammation or infection of these pouches), is influenced by multiple factors. While diverticulosis is often asymptomatic, diverticulitis can lead to severe abdominal pain and complications.

What is the Main Cause of Diverticulosis?

Diverticulosis primarily results from increased pressure in the colon, which weakens the colon wall and forms small pouches (diverticula). The main contributing factors include:

  • A low-fiber diet – Fiber helps bulk stool, preventing constipation and reducing pressure on the colon.
  • Chronic constipation and straining – Increases pressure inside the intestines.
  • Aging – The risk increases with age as the colon naturally weakens over time.
  • Lack of exercise – A sedentary lifestyle slows digestion, leading to constipation.
  • Obesity – Excess weight increases pressure on the intestines.

Is Diverticular Disease Serious?

While diverticulosis is usually not serious, diverticulitis can lead to complications such as:

  • Abscesses – Pockets of infection that may require drainage.
  • Bowel obstructions – Blockage due to inflammation and scar tissue.
  • Perforation – A rupture in the colon wall, leading to peritonitis (life-threatening infection).

What Are the Warning Signs of Diverticulitis?

Common symptoms of active diverticulitis include:

  • Severe lower left abdominal pain (though it can occur elsewhere).
  • Fever and chills (signs of infection).
  • Bloating and gas.
  • Nausea and vomiting.
  • Diarrhea or constipation.
  • Rectal bleeding (in severe cases).

What Color is Diverticulitis Poop?

  • Dark or black stools – May indicate bleeding in the digestive tract.
  • Mucus in stool – A sign of irritation in the intestines.
  • Loose, watery stool – Common in diverticulitis flare-ups.

Can Stool Get Stuck in Diverticula?

Yes. Food particles and stool can become trapped in diverticula, leading to inflammation, infection, and pain. This is why fiber intake and regular bowel movements are critical for preventing flare-ups.

Why Am I So Tired with Diverticulitis?

Diverticulitis triggers inflammation and infection, which can lead to:

  • Fatigue from the immune response.
  • Dehydration due to diarrhea and reduced appetite.
  • Nutrient deficiencies from poor digestion and absorption.

Treatment Options for Diverticulitis

Treatment for diverticulosis focuses on prevention and symptom management, while diverticulitis requires more aggressive treatment, including antibiotics, dietary changes, and in severe cases, surgery. The goal is to reduce inflammation, relieve pain, and prevent complications.

Bowel Resection Surgery

It can be managed with antibiotics, dietary changes, and lifestyle modifications. However, in severe or recurrent cases, where complications such as bowel perforation, abscesses, or fistulas develop, surgical intervention may be required. Here’s what you need to know about surgical treatment for severe diverticulitis.

Procedure

A colectomy (also known as a bowel resection) involves the removal of the affected section of the colon. The remaining healthy portions are then reconnected, allowing the digestive system to function normally. The type of colectomy depends on the severity of the disease and individual patient factors.

Types of Colectomy:

  1. Partial Colectomy – Only the diseased portion of the colon is removed, with the remaining segments surgically reattached.
  2. Laparoscopic Colectomy – A minimally invasive technique using small incisions, leading to faster recovery and less post-surgical pain.
  3. Open Colectomy – A traditional surgical approach used in more complex cases, requiring a larger abdominal incision.
  4. Colostomy (if necessary) – In some cases, a temporary or permanent colostomy may be required, where a portion of the colon is diverted to an external opening to allow waste to exit the body.
Benefits

Prevents recurrent diverticulitis episodes, improving long-term digestive health.
Eliminates the risk of serious complications such as perforation, abscesses, and bowel obstruction.
Improves quality of life by reducing chronic pain, inflammation, and the need for frequent hospitalizations.

Recovery

🔹 Hospital Stay – Patients typically stay in the hospital for several days for post-operative monitoring.
🔹 Initial Healing PeriodMild discomfort, bloating, and temporary changes in bowel habits are common but improve over time.
🔹 Full RecoverySeveral weeks to months, depending on whether a minimally invasive or open surgery was performed.
🔹 Dietary Adjustments – A low-fiber diet initially, transitioning to a balanced, high-fiber diet as healing progresses.

Who Needs Surgery for Diverticulitis?

Surgery is not the first-line treatment for diverticulitis but is considered in the following cases:

  • Recurrent diverticulitis attacks that significantly impact daily life.
  • Complications such as abscesses, fistulas, or strictures causing severe symptoms.
  • Bowel perforation, which can lead to peritonitis (a life-threatening infection).
  • Severe bleeding that does not resolve with non-surgical treatments.

Key Takeaway:
If you have experienced multiple episodes of diverticulitis or severe complications, surgical treatment may be the best long-term solution to restore digestive health and prevent further complications. Always consult a colorectal specialist to evaluate your condition and determine the most appropriate treatment plan.

Frequently Asked Questions (FAQs)

A healthy diet rich in fruits, vegetables, and whole grains can help maintain overall skin health and prevent conditions that may contribute to skin tags.

Professional treatments like cryotherapy, cauterization, and excision are effective methods for destroying skin tags.

Skin tag removal pens can be effective for some individuals, but results vary. It’s best to consult a healthcare provider for advice.

Losing weight can reduce friction and the likelihood of new skin tags forming, but existing skin tags typically do not go away on their own.

It is not recommended to remove skin tags overnight due to the risk of infection and improper healing.

Apple cider vinegar is a popular home remedy believed to dry out skin tags, causing them to fall off. However, it can cause skin irritation and should be used with caution.

Cutting off a skin tag with nail clippers is not recommended due to the risk of infection and improper healing. Always seek professional advice.

Tea tree oil is believed to dry out skin tags, but it can cause skin irritation. Use with caution and discontinue if irritation occurs.

Some believe that placing a banana peel on a skin tag overnight can help it fall off due to the peel’s enzymes, but there is limited scientific evidence to support this.

Hydrogen peroxide can help keep the area clean but is not a definitive treatment for removing skin tags.

Dr. Scholl’s Freeze Away is designed for warts but may also be used on skin tags. Consult a healthcare provider before use.

Applying clear fingernail polish to skin tags is a common home remedy believed to suffocate the tag, but it is not medically recommended.

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