Symptoms Of Diverticulitis And Diverticulosis: Acute And Chronic

Symptoms Of Diverticulitis And Diverticulosis: Acute And Chronic . Diverticulitis is hardly seen below the age of 40 years. Diverticulitis is more common in patients with wide-spread diverticulosis. Clinical presentation can be ‘acute’ or ‘chronic’.

• Inflammation is the commonest complication of diverticulosis coli.
• The clinical picture of sigmoid diverticulitis very much resembles that of appendicitis and is often called ‘left sided appendicitis’.
• Diverticulosis is mostly asymptomatic condition.
• Usually appearance of symptoms suggests that diverticulosis has progressed to diverticulitis.
• Pain is the most important symptom.
• Pain is usually mild to moderate and is felt deep in the left lower quadrant or supra-pubic region.
• Pain is usually dull, continuous and aching, occasionally it may be intermittent and cramping.
  
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  This is simply due to intra-luminal pressure in an isolated segment of colon.
• Anorexia and mild nausea are common, but vomiting is rare. Some changes of bowel habit is noted- either diarrhea or constipation.
• Low grade fever and mild leucocytosis are common.
• On examination, tenderness on the left lower quadrant is quite diagnostic.
• A tender mass representing the inflamed feces-filled colon be palpable.

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