Diverticular Disease
Assessment and treatment of diverticulitis and its complications
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Overview
Diverticulosis (pouches in the colon) becomes more common with age, affecting more than 50% of adults over 60. When these pouches become inflamed or infected, diverticulitis occurs.
Diagnosis involves CT scan and colonoscopy (usually after the acute phase has settled).
Symptoms
- Left-sided abdominal pain
- Fever
- Bloating
- Change in bowel habit
- Rectal bleeding
Treatment Strategies
- Mild episodes — antibiotics and dietary guidance
- Recurrent attacks or complications — bowel resection
- Abscess — radiological drainage or surgery
- Fistula formation — surgical repair (often laparoscopic or robotic)
FAQ: Do I need to avoid nuts and seeds?
Current evidence shows nuts and seeds do not worsen diverticular disease. Dr von Papen provides personalised dietary advice based on modern guidelines.