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Abdominal Pain Caused By Diverticulitis?

>>>DR. KENNETH FALCHUK: Abdominal pain is
a broad subject, but if someone is concerned about a specific disease such as diverticulitis,
the pain usually is acute. More often than not it is a pain centered to the lower abdomen,
more commonly or not, the left side of the abdomen. We call it the left lower abdominal
quadrant. That is an area where most of diverticula usually occur. It is an area where the bowel is somewhat
narrow and a little curved and when diverticulitis occurs, develops, that means inflammation
within the diverticula, and the pain will be or can be quite severe and can also be
mild. Patients may develop a change in the bowel pattern, they may become constipated,
and they cannot eliminate the stools as well they may even feel bloated. Sometimes the
pain is quite intense when the patient is doubled over. Sometimes the patient can have a fever with
chills, a sign of an infection. What diverticulitis really is, the definition, is perforation
that means a little hole that could be small, does not have to be large, in one of the diverticula
or in several diverticula. So in the space, the area of the colon where these are located,
things become narrow, swollen, we call it edema. Pus can collect and that is called
abscess and therefore patients can be quite ill, they need to be seen promptly. Many cases of diverticulitis tend to be mild,
mild in the sense that patient can be seen by a physician as an outpatient, evaluated,
diagnosis established and be treated with antibiotics. The specific way to make the
diagnosis is not only the clinical presentation. The clinical finding is the need to do an
x-ray, a CT scan with contrast of the abdomen focussing in the area where the pain is present. Now that does not mean that you cannot have
diverticulitis in other segments of the colon. It could be at the right side, it could be
at the mid-portion of the transverse colon. As I said previously, the left side of the
colon, the sigmoid colon, is the predominant site where diverticulitis develops. Abdominal
pain is a broad symptom. It is caused by many conditions so it is important for the physician
to know how to proceed and differentiate, what we call established differential diagnosis
or in another conditions, it could be a catastrophe of something is leaking into the abdomen.
There could be another abscess. There could be a perforated appendix and so and so, that
is why prompt evaluation, proper x-ray studies and laboratory studies as well and then proceed
with a treatment and followup.

Cesar Sullivan

30 thoughts on “Abdominal Pain Caused By Diverticulitis?

  1. does it heal on it's own though? and what if abdominal pains just go away after a day or two, does that mean anything?

  2. just got out of the hospital,spent a week there recovering from a perforated colon do to a infection,the hospital sent me home like that they missed it on the ct scans,had to drink the dye to its called contrast not good for the kidneys,but went home and the pain was indescribable the only way I can describe the pain was if someone shot me with a shotgun with buckshot rite in the gut,I don't wish the pain on my worse enemy,I was pre septic,but went back to hospital the next day and they found it ,the ripe,they had to put drainage tubes in my gut they were called jP infection drainage tubes they look like hand grenades,had three of them for almost a week draining the infection out my organs and gut,I feel for people with this condition its nothing to play with, very very very painful,thank god I made it threw this,god bless

  3. I have been having abdominal pain which moves around, under left, right rib cage to just above pelvic bone, I had gallbladder removed years ago, drs, have done plenty of blood work and tests, however nothing so far other than an inflammation in the stomach I also get a fever when I do any cleaning, walking around, etc….any ideas on what this could be??

  4. I have a pain in my upper left abdomen right under my rib cage that has been off and on for years. Well lately it's been hanging around a lot longer and is not getting better. Seems to worst shortly before bowel movements. My family has a history of diverticulitis.

  5. spent 4 days in the hospital due to pain and I thought it was a kidney stone until the doctor told me I had diverticulitis at the age of 24 and required surgery due to it rupturing no joke! 6 months now gave up all fast food started eating mostly veggies and whole grains and I feel fantastic!

  6. Had a diverticulitis attack and was diagnosed with a ct scan in 2011. afterwards I promptly got an infection in my testicles. I was put on antibiotics that took care of the infection. My stomach has never been the same. No appetite and discomfort in my belly button. Gastroenterologist said I had gastritis and to take a prevacid. No medicine or diet has any effect on my condition. Bottom line I'm screwed doctors don't know what the hell there taking about. When they do the autopsy on my body they will probably say I don't know how we missed that it was cancer.

  7. Doctor please answer my question, I have a little bit pain on my lower left side abdomen its not painful to touch but I had a little fever before i felt the lain in my lower left side abdomen. Im not sure if this is just muscle strain because i have been playing too muchh table tennis everyday or this is diverticulitis. Thank you

  8. Doc, i think your topic is really essential,, but i think you really need to produce visuals on this to clarify your explanation. Thanks bdway for this very important topic.

  9. Would it be lower abdomen? I have pain in my lower abbs. Feel the pain on ovary area, left/right. A CT Scan was done I was told I have nothing, no cysts, nothing. I was told I had infection. I took antibiotics prescribed. My fever went away. This happened about 8 months ago. But feel pain again. No fever yet tho. I think it may be a cysts or fallopian tube infection. But CT scan and ultrasound would have detected that. I'm worried now 😕. I'll go to a different Doctor.

  10. I’m having abdominal pain it’s hurting so bad I can’t sleep
    Every time I move it hurts this is the worst pain I have ever felt I feel like throwing up but doesn’t come out
    I know am not pregnant I however am 17 days late but my cycle is also messed up
    (The pain started tonight around 1am it’s now 4:44am)

  11. I’ve got this now. Been in pain for a week, originally thought it might be a virus.
    Literally get pains within 5 minutes of eating, I am sick to death of sitting on the toilet. Even eating the bland diet gives me pains. Dr has given me some antibiotics today, so praying that they get rid of this. Never had anything like this, it’s nasty, gets you down and stops you doing things.

  12. hey ya i do have a bit of pain on the lower abdominal but like 2 out of 10 but this was after i somehow hurt my right nut but now my testical is fine but i have a bit of abdominal pain now, so maybe i just pulled a muscle doing work cause it jsut feels swollen but doesnt hurt unless i touch but again doesnt hurt much so ya i was wondering if that could be serious or not ?

  13. what I’ve had the past couple of days isn’t pain, per se, it’s more of a dull unconformableness. In my lower left abdomen, above the hip. It almost feels like something is stuck inside, and on occasion, it feels really painful. Is this a symptom? Or is it a tightening muscle, like what a couple of my med school buddies say it might be?

  14. Dr in the last two years I have been suffering from pains across top of my abdomin. It is a feeling of being full of gas, very painful to turn, make raped movments. At the same time my joints have started to inflame, hurt, just pain with no control. My CCP response number jump from 2017-22 /. 2018-39 / 2019-79, so they are sending me to see RA Dr. A CAT scan seen Diverticulitis in my Duodenum of all places. Could the intestine issues be connect to CCP and Authritis?

  15. Great Video! Sorry for chiming in, I would appreciate your thoughts. Have you considered – Weyannah Reyharlotte Method (Sure I saw it on Google)? It is a great one of a kind guide for getting rid of IBS and irritable colon Immediately minus the headache. Ive heard some incredible things about it and my old buddy Taylor after a lifetime of fighting got astronomical success with it.

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