Diverticulitis
Diverticulitis is a condition where there is infection in the tiny areas of weakness in the large intestine. Feces can get stuck in these weak pouches (diverticulum) and lead to inflammation and infection. This condition usually affects people over the age of 60 years. There is inflammation or infection in the diverticulum. Diverticula can form in different parts of the digestive tract, be it the esophagus, small intestine or stomach. It is associated with diets low in fiber. Diverticulitis is noticed more in persons from developed nations who partake refined, high fat food. Fiber in the diet prevents constipation and allows for easier passage of stools. This prevents formation of bulging diverticulum. If left untreated, diverticulitis can lead to bleeding and blockage thereby causing serious illness.
Abdominal pain is a primary symptom of diverticulitis. There is tenderness around the left side of the abdomen and may be accompanied by fever, vomiting, chills and cramps. Often a person suffering from diverticulitis may not exhibit any symptoms. There may be difficulty in passing urine and frequent need to pass urine. Diverticulitis is usually diagnosed during routine checks for intestinal problems and colorectal cancer. CT scan and blood tests can aid in the diagnosis.
When a patient is suffering from diverticulitis, a low-fiber and clear liquid diet is usually recommended. A high fiber diet helps in keeping diverticulitis at bay. Fresh vegetables, fruits and whole grains make for high fiber content. Drinking plenty of water will help prevent constipation. Antibiotics are prescribed to treat any inflammation and infection. Surgery is resorted to in cases where the diverticulum forms an obstruction. Changes in diet can go a long way in treating diverticulitis. Read more on diverticulitis diet to make modifications and add fiber to your meals.
Fecal occult blood test
Fecal occult blood test (FOBT) aids in detecting any occult blood in the stool. This test is part of any colorectal cancer screening process. New flushable reagent pads allow you to conduct this test either at home or a laboratory. About 2 -3 stool samples are taken on different days to check for fecal occult blood. While FOBT can detect presence of blood in the stool, it can pinpoint the cause. Fecal occult blood can occur due to colon cancer, gastritis, hemorrhoids, fissures, inflammatory bowel disease, peptic ulcer or esophagitis. Fecal occult blood test must not be conducted if the person is suffering from colitis, diarrhea, constipation or diverticulitis. Women who are menstruating or persons with active anal bleeding due to fissures or hemorrhoids must not take the FOBT. Avoid eating beets, grapefruit, poulty, red meat cooked rare, turnips or horseradish about 48 hours prior to FOBT. If any blood is detected during fecal occult blood test, further diagnostic tests are conducted to check the causes.
Gastrointestinal Bleeding
Gastrointestinal Bleeding or GI bleeding refers to bleeding from any part of the gastrointestinal tract, from the mouth and esophagus to the stomach or intestines.
Gastrointestinal bleeding can occur due to infection or medications that damage tissues leading to bleeding. GI bleeding needs to be monitored carefully and attended to. Upper Gastrointestinal bleeding can result from gastritis or peptic ulcers. Lower GI bleeding is often due to diverticulitis, polyps, anal fissures or hemorrhoids.
Acute GI bleeding manifests in bloody bowel movements and vomiting of blood. There is fatigue and weakness. The patient suffering GI bleeding may suffer pain in the abdomen. A person suffering from gastrointestinal bleeding experience thirst, low blood pressure and dizziness. The patient may notice black tarry stools.
Laboratory tests, endoscopy and rectal examinations may be needed to determine the source of the gastrointestinal bleeding. Excessive bleeding can lead to anemia. In severe cases, it can lead to shock and may need hospitalization for further treatment. There might be need for blood transfusion. Upper GI bleeding can be treated with injection of chemicals. Medicines are then prescribed to prevent the bleeding from recurring. If polyps or hemorrhoids are the cause for gastrointestinal bleeding, they are surgically removed.
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