Flexible sigmoidoscopy and colonoscopy Diverticulae can be seen and

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other pathology (e.g. polyps or tumour) can be excluded.

Bloods: FBC (anaemia), " WCC and " inflammatory markers in acute disease.

M: GI bleed: PR bleeding is often managed conservatively with nil by mouth, IV rehydration, antibiotics, blood transfusion if necessary.

Diverticulitis: Nil by mouth, IV antibiotics (cephalosporin and metronidazole) and IV fluid rehydration.

Chronic: High-fibre diet with bulking agent (e.g. methylcellulose). Laxatives may be required if constipation is severe. Encourage high fluid intake. Surgery: May be necessary with recurrent attacks or when complications develop, e.g. severe bleeding or infection. Sigmoid colectomy, Hartmann's procedure, fistulectomy or drainage of pericolic abscesses are some operations performed.

C: Diverticulitis, pericolic abscess, perforation, colonic obstruction, fistula formation (bladder, small intestine, vagina), haemorrhage (caused by vessel erosion).

P: 10-25% of patients will have one episode of diverticulitis. Of these, 30% will have a second episode. 20% of patients will have one or more complication after the first episode of diverticulitis.

Cystoscopy Angiodysplasia

Fig. 9 (a & b) Both figures show severe diverticular disease.

Fig. 9 (a & b) Both figures show severe diverticular disease.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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