Understanding Diverticulitis

A 46 year old grossly obese man was seen in the Emergency Room on 9/16/08.

The causes of diverticulitis are also thought to be due to internal pressure in the colon. It’s not completely understood what causes the diverticula to become inflamed and infected. The internal pressure of fecal matter in the diverticula can impair circulation; when circulation is reduced in the diverticula, the tissue can break down and sometimes the pouches can burst.

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

Abdominal Sonographers examine he abdominal cavity to diagnose and treat conditions relating to the gallbladder, kidneys, liver, pancreas, and spleen. They are able to scan areas of the chest although most issues with the heart are done by echocardiographers. Obstetric and Gynecologic Sonographers specialize in the female reproductive system and the development of the fetal. Breast sonographers study diseases of the breast and track tumors, bloody supply conditions and assist in the accuracy of the biopsy of breast tissue. Neurosongraphers main attention is the nervous system, including the brain. They also diagnose disorders that have to do with premature infants such as infants with sickle-cell

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.

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

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

1. A patient that complains about blood is his stool could use the CLIA waved test called Immunochemical Fecal Occult Blood Test. For the non-Medicare/Medicaid payers the test would be an 82272 CPT code and for the Medicare/Medicaid payers the test would be a Go434QW. Both of those test help detect why there is hidden blood in the stool.

The chest organs, including the heart and lungs, are inspected. After any organ is removed, the pathologist will save a section in preservative solution. The pathologist takes blood from the heart to check for bacteria in the blood. For this, he uses a very large hypodermic needle and syringe. He may also find something else that will need to be sent to the microbiology lab to search for infection. The pathologist will send blood, urine, bile, or even the fluid of the eye for chemical study and to look for medicine, street drugs, alcohols, and/or poisons. After the chest has been examine the abdominal cavity is inspected, the first dissection in the abdomen is usually freeing up the large intestine. Some pathologist do this with a scalpel, while others use scissors. Freeing up the intestines takes some time. The intestines and other organs in the abdominal cavity are taken out an examine for any abnormalities, drugs, poisons, and diseases . Once the chest and the abdominal cavity is examine , the scalp is examine, the skull vault is opened using two saw cuts, one in front and one in back. The top of the skull is removed and the brain is very carefully cut free of its attachments from inside the skull, inspecting the brain often revels surprises. a good pathologist takes some time to do this as well with the other organs.

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

When the surgeon came out to update my parents he said, “Well, in the doctor's world, we say, We hit the Jackpot with your daughter.” He went on to explain my appendix was healthy, but I had Meckel's Diverticulitis. My surgeon was thrilled with the diagnosis because according to him this is a condition he has always studied in a book, but never had the opportunity to treat a case for himself. Meckel’s Diverticulitis is an extra piece of tissue attached to the small intestine that once it becomes inflamed must be removed. Unfortunately for me, I was the guinea pig the surgeon’s had the opportunity to study a condition only 2 to 3% of people are born

RASAL3, SASH3, PTPRC, and INPP5D. These genes are termed “hub genes” due to the high

• Endoscopy. This is a procedure to look into your stomach using a thin, flexible tube that has a tiny camera and light on the end of it.

When these symptoms appear it is actually a little bit late. Screening test is recommended, it is more accurate. Also, medical history and physical exam is needed. Doctors may want to take a complete medical history to check for symptoms and risk factors, including your family history (American cancer society, 2014). For physical exam, doctors will carefully feel your pelvic area for unusual tumor or enlarged organs. Also, they may test your stool to see if it contains occult blood. (American Cancer Society, 2014) Blood test can determine colorectal cancer too. There are few test that doctors might order. One of the test is CBC which is stand for complete blood count, use this to see if you have anemia. Anemia is due to long time bleeding from the tumor. When you take the blood test, you can also test the colorectal cancer cells called tumor makers which can be found in the bloodstream. This blood test usually use for those who were treated for colorectal cancer or who have been already diagnosed with colorectal cancer. (American Cancer Society, 2014) It can help people to know whether the treatment is successful or to warn cancer has