Diverticulitis Case Studies

diverticulitis. The patient has no diet regimen, which may be the likely cause of his

The name for these erosions is aphthous ulcers. These erosions, after a while, start to deepen and grow in diameter. Once they reach a certain size, they can be referred to as ulcers. These ulcers can cause scarring and they can also cause the bowel to become stiff and lose its elasticity. As Crohn’s worsens, the bowel becomes obstructed once the passageways narrow enough. This obstruction can cause a buildup of food that is still being digested, fluid and gas that comes from the stomach. This obstruction will then prevent all of those products from entering into the colon. This will cause severe abdominal cramps, nausea, vomiting, and even abdominal distention. If the ulcers located in the walls of the bowel become large or extreme enough, holes can form in the walls of the bowel. Once those holes are formed in the bowel, the bacteria normal to the bowel can then pass through those holes and spread to nearby organs and into the abdominal cavity causing what are called fistulas. These fistulas are like a channel/tunnel that is formed between the ulcer and the adjacent organ. Then when a fistula is created between the affected intestine and the bladder, it is called an enteric-vesicular fistula which can lead to UTI’s and feces being presented during urination. Next, when the fistula is formed between the intestine and skin, it is called an enteric-cutaneous fistula. What this fistula, pus and mucous exit the body through a painful opening found in the skin of the

When pockets develop in the wall of the colon, this is called diverticulosis. The pockets that form are called diverticula; the pockets pick up fecal matter as the body’s waste is propelled through the colon.

Diverticulitis is an aliment of the colon that affects the inner lining. Approximately 50% of all Americans will experience diverticulitis by the time they reach age 60. Pouches or bulging sacs in the lining become inflamed or infected. The most common site of diverticulitis is the large intestine. A low fiber diet is believed to be responsible for most cases of diverticulitis. Small pieces of feces can become trapped in the pouches and bulging sacs, which then cause the inflammation and/or infection.

The Disease have always been cured through the hospital system, medication, however, recently it has begun a movement stated we should depend less on our medication. Base on statics publish for the center for disease as of 2012, about half of all adults—117 million people—had one or more chronic health conditions. One of four adults had two or more chronic health conditions. Among those disease diversities is one the disease. Diverticulitis is a disease when pouches form in the wall of the colon. If these pouches get inflamed or infected, it is called diverticulitis. Therefore, diverticula have always been a serious disease in the United States; thus there has been several of a reason for causing the disease. Research has dictated

"Diverticulitis is a condition in which diverticuli in the colon rupture. The rupture results in infection in the tissues that surround the colon” (MedicineNet, 2010, para.1). Or at least that’s what MedicineNet.com states that it is. Sometimes what we find on the Internet isn’t as reliable as what we may think. Doing research and finding correct and reliable information is very important in the nursing practice. There is so much information available at our fingertips, but finding accurate information is sometimes a challenge and can be detrimental to patient care if the information found is inaccurate. The purpose of this assignment is to evaluate the validity of three health websites.

The symptoms include tenderness, cramps and pain in the lower abdomen, fever that are accompanied with chills, gas, a bloated feeling or stomach swelling, diarrhea or constipation, nausea, loss of appetite and rectum bleeding which is usually painless. It is evident that many people who are diagnosed with diverticular disease have little or no symptoms at all but those who do are recommended high-fiber diet plans or fiber supplements as treatment.

This patient presented to the emergency department (ED) with pain in his upper right quadrant and flank. He reported experiencing abdominal distention

Pathophysiology: Diverticulitis, is characterized by inflamed diverticuli and increased luminal pressures that cause erosion of the bowel wall and thus microscopic or macroscopic perforation into the peritoneum. A localized abscess develops when the

A colonoscopy dated 09/28/2017 revealed a diverticulitis in the sigmoid colon and in the descending colon. The examination was otherwise normal.

Wilcox (2009) compared various types of diverticular syndromes and their treatments. He found out that the treatment for the asymptomatic that is characterized by no clinical symptoms and symptomatic which has no inflammation but abdominal pain with change in bowel habits are high-fiber diet. Marinella (2010) found that for uncomplicated diverticulitis, with fever and abdominal pain can be treated with oral antibiotics, bowel rest, clear liquid diet and total abstinence from morphine because morphine has the risk of intracolonic pressure increased. This type of uncomplicated diverticulitis is for a young stable patient. For an older patient with uncomplicated diverticularitis, IV antibiotics should be administered but nothing by mouth.

BIOLOGICAL MECHANISM: The condition of diverticulosis occurs when small areas of tissue form pouches in the large intestine or colon called diverticulum, or diverticula (plural). Diverticula may occur due to the lack of bulk forming and bacteria producing fiber, resulting in an imbalance of certain intestinal bacteria, increasing internal pressure on the intestinal tissue due to poor stool formation, constipation, or straining to pass stools. In the paper Low-Residue Diet in Diverticular Disease: Putting an End to a Myth it was stated that “fiber is an important energy substrate for the colonic epithelium because of its fermentation by colonic microbes to short-chain fatty acids, which in turn play a role in mucosal growth and colonic blood flow” (Tarleton, DiBaise 2011). Poor tissue health and increased internal pressure may cause the intestinal tissue to herniate causing diverticulum to form. Diverticulitis can occur when material or bacteria becoming trapped inside the diverticulum, and inflammation

DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were

I really appreciate your concern, abdomen pain could be due to colic or it could be nonspecific even the walking difficulty could be that one only, but to rule out this for some neurological disease you will have to go for clinical examination and some basic neurological tests until then it is nothing to worry hope this information

Surgery remains a cornerstone of peritonitis treatment. The operative approach is directed by the underlying disease process and the type and severity of the intra-abdominal infection. In severe abdominal sepsis, however, delays in operative management may lead to a significantly higher need for reoperation and to worse outcomes overall; early exploration (i.e., before completion of diagnostic studies) may be indicated. Surgical intervention may include resection of a perforated viscus with reanastomosis or the creation of a fistula. To reduce the bacterial load, lavage of the abdominal cavity is performed, with particular attention to areas prone to abscess formation (eg, paracolic gutters and the subphrenic area). Laparoscopy