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Diverticulosis

Also known as Intestinal Diverticulum

Diverticulosis, also known as "diverticular disease", is the condition of having diverticula in the colon, which are outpocketings of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall. These are more common in the sigmoid colon, which is a common place for increased pressure. This is uncommon before the age of 40, and increases in incidence after that age.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with diverticulosis, 70% report having sharp abdominal pain, 40% report having rectal bleeding, and 40% report having constipation. The symptoms that are highly suggestive of diverticulosis are rectal bleeding, blood in stool, and melena, although you may still have diverticulosis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with diverticulosis often receive sigmoidoscopy or colonoscopy, complete blood count, x-ray computed tomography, colonoscopy and biopsy, urinalysis, glucose measurement, intravenous fluid replacement and electrolytes panel .

Common Medications

The most commonly prescribed drugs for patients with diverticulosis include midazolam (versed), fentanyl, meperidine (demerol), metronidazole, propofol, psyllium, diatrizoate, lubiprostone (amitiza), barium sulfate, amlodipine / valsartan, amoxicillin/clarithromycin/lansoprazole, methylcellulose (citrucel) and perphenazine .

Who is at risk?

Groups of people at highest risk for diverticulosis include age 75+ years, age 60-74 years and age 45-59 years. On the other hand, age 5-14 years and age 1-4 years almost never get diverticulosis.

Age

< 1 years
0.1x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
0.4x
45-59 years
1.6x
60-74 years
2.4x
75+ years
2.5x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
0.5x
Hispanic
1.0x
White
1.2x
Other
0.5x
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