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Colonic Diverticular Disease is a condition in Singapore that involves the formation of small, bulging pouches (diverticula) in the wall of the colon. These pouches can develop anywhere in the colon but are most commonly found in the sigmoid colon. Colonic diverticular disease can be broadly classified into three main types:
Colonic Diverticular Disease is primarily caused by increased pressure within the colon. This elevated pressure, particularly in areas where the colon wall is weaker, forces the mucosal and submucosal layers to herniate through weak spots in the muscular layer of the colon wall, forming diverticula. These weak spots typically occur where blood vessels penetrate the circular muscle layer of the colon, which makes certain areas more susceptible to diverticula formation under increased pressure.
Additionally, muscle spasms and segmentation in the colon can further increase localised pressure. This combination of increased pressure and weak points in the colon wall leads to the protrusion of the inner layers through the outer muscular layer, which results in the formation of diverticula.
The symptoms of Colonic Diverticular Disease can vary depending on whether a person has diverticulosis or diverticulitis.
However, while these factors contribute to the likelihood of developing colonic diverticular disease, lifestyle choices can play a significant role in its prevention and management.
Colonic Diverticular Disease is diagnosed through a combination of medical history, physical examination, and diagnostic tests. Here’s a detailed overview:
Combining these methods, doctors can accurately diagnose colonic diverticular disease, assess its severity, and develop an appropriate treatment plan
Treatment options for Colonic Diverticular Disease vary based on whether the patient has uncomplicated diverticulosis or complicated diverticulitis. Here's a detailed look at the treatments:
Diverticulosis
Diverticulitis
Treatment plans are tailored to the individual based on the severity of the disease, overall health, and response to initial treatments.
If you are experiencing the symptoms of Colonic Diverticular Disease, please schedule an appointment with CRCS Clinic to learn more about this condition and a thorough diagnosis.
Yes, maintaining a high-fibre diet, staying hydrated, and engaging in regular physical activity can help prevent complications and manage the disease effectively.
Contrary to past beliefs, recent research suggests that nuts and seeds do not increase the risk of diverticulitis and can be safely consumed as part of a balanced diet.
Surgery is usually only necessary for severe or recurrent cases of diverticulitis, especially if complications arise. Most cases can be managed with antibiotics and dietary changes.
While stress does not directly cause diverticular disease, it can impact your overall digestive health. Managing stress through relaxation techniques may help improve symptoms.
Yes, regular exercise is beneficial and can help manage symptoms. However, it's important to listen to your body and avoid activities that cause discomfort.
Screening recommendations can vary, but typically, a colonoscopy every 5-10 years is advised, especially after the age of 50 or earlier if you have a strong family history or symptoms.
Many people with diverticular disease live healthy lives with proper management. Complications can occur but are often preventable with lifestyle adjustments and medical care.
Generally, it's recommended to avoid foods that may irritate the colon, such as processed foods and those low in fibre. Focus on a balanced diet rich in fruits, vegetables, and whole grains.
For mild flare-ups, rest, a liquid or low-fibre diet, and over-the-counter pain relief can help. If symptoms are severe or persistent, seek medical attention.