Symptoms and Causes of Diverticulitis Disease

Cholecystitis affects women more often than men and is more likely to occur after age 40. People who have a history of gallstones are at increased risk for cholecystitis. Cholecystitis has an increased prevalence among people of Scandinavian descent, Pima Indians, and Hispanic populations. It affected 20 million people with a mortality record of 1,092 deaths in 2004. Hospitalizations total up 622,000 in the same year and over 700,000 have undergone cholecystectomies.

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

Intestinal obstruction secondary to active inflammation is the most common complication. Patients with colonic involvement are at risk for developing colon cancer. Subsets of patients develop fistulas that are usually managed by medication or parental nutrition, but may require surgery. Nutritional and vitamin deficiencies are common, resulting from inadequate diet, intestinal loss of protein, or malabsorption. Systemic complications may include arthritis, skin lesions, anemia, liver and biliary disease, inflammation of the eyes or mouth, and bleeding disorders. Some of these problems resolve during treatment of the disease, but some may be treated separately. Consultations with dietitians, wound care specialists, or pain management clinicians and physiological support clinicians are not uncommon.

It is believed that aging has something to do with compromising the muscle tone of the colonic wall; people aged 50 and over are most at risk for diverticulosis and diverticulitis. It is believed that high fat diets and obesity also play a role in developing diverticular disease.

Crohn’s disease is characterized by inflammation of segments of the GI tract. The parts of the tract where Crohn’s disease is most often seen are in the terminal ileum, jejunum, and right side of colon. Involvement of the esophagus, stomach, and duodenum is

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.

Most individuals get well by arranging a better diet and the results of this treatment also prevent constipation and the formation of more diverticula. The components of the healthy diet includes fruit, vegetables and grains such as raw apples, peaches, pears, and tangerines, broccoli squash carrots and brussels sprouts, potatoes, baked beans, kidney beans, and lima beans, whole-wheat bread, brown rice, bran flake cereal, and oatmeal (Longstreth). Doctors often advise individuals with diverticulitis to bypass any food that is hard to digest such as: popcorn, corn and seeds, however there is no evidence to coincide with this statement (WebMD). In some cases, surgery is needed in order to correct or treat diverticulitis because the diet does not have the capability of curing it. Subsequently, surgery is the last option and the process involves cleaning the abdomen of bleeding hernias and the removal of infection. If the disease reoccurs a

B.S. is an 81 year old Caucasian female presenting with abdominal pain, diarrhea, nausea and vomiting in the emergency room on February 3, 2013. B.S. has a history of glaucoma, hypothyroidism, degenerative arthritis and diverticulosis. She has allergies to iodine and vicodin. B.S. is admitted for diverticulitis with possible partial bowel obstruction and hydronephrosis. B.S. was admitted on February 3, 2013 here at Verdugo Hills Hospital.

HISTORY- EPIDEMIOLOGY: Diverticulitis is an intestinal inflammation occurring as a complication to the disorder of diverticulosis. The global epidemiology is associated with the western culture diet, being far more common in industrialized countries like the United States, Canada, Australia and the United Kingdom, and much less prevalent in Asia and Africa. These two conditions were rare in the 18th century and appear to be linked to the reduction of fiber in flour due to the development of roller mills that replaced grist mills in the late 1800’s. Roller mills were a more efficient method of refining wheat into flour; however this resulted in the destroying or removal of most of the fiber from the grain. This

Also, in some rare cases, surgery is required, life threatening bleeding, perforation of the intestine and inflammation of the abnormal cavity may occur. Other risk factors are inflammation of the joints, eyes, skin and/or liver, malnutrition and partial blocking of the bile ducts which carry bile from the liver to the intestine, however, there is much that can be done about all these complications. One risk and a major one is colon cancer. The risk of developing colon cancer increases when the disorder begins in the childhood, the disorder has been present for more then 8 years and when there is a history of colon cancer in the family. There have cases that colitis can become so severe that the removal of the colon had to be done. It affects everyone differently.

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

Ethnicity is another important factor. According to scientists, Native Americans have a genetic predisposition to secrete high levels of cholesterol in bile. In fact, they have the highest rates of gallstones in the United States. A majority of Native American men have gallstones by age 60. Among the Pima Indians of Arizona, 70 percent of women have gallstones by age 30. Mexican-Americans men and women of all ages also have high rates of gallstones.