Diverticular Disease


Last updated September 2009
Edited by: Guy Slowik, FRCS

What Are The Symptoms Of Diverticular Disease?

Most people with diverticular disease never experience symptoms.

When symptoms do appear, they range widely in severity, depending on the extent of the inflammation or infection of the pouches, and the possible complications that may occur.

The most common symptoms are:

  • Pain in the abdomen, usually on the lower left side, ranging from slight tenderness to severe pain

  • Cramps and bloating

  • Muscle spasms

  • Diarrhea or constipation

  • Bleeding with the stools

If infection develops in a pouch (diverticulitis), a person may also experience:

  • Fever or chills

  • Nausea

  • Vomiting

  • The release of pus and mucus from the rectum   The terminal part of the large intestine, running from the sigmoid colon to the anus.

Nice To Know:

Q: Does diverticular disease increase the chance of later developing colon   The main part of the large intestine, responsible for absorbing water and salts from the digested products of the small intestine, and passing the digested products into the rectum for removal from the body. cancer?

A: No, diverticular disease doesn't seem to increase the risk for colon cancer. But the symptoms of colon cancer can be quite similar to those of diverticular disease. Cancer and diverticula   Small pouches that protrude out of the normally smooth wall of the colon. often look alike on CT scans (CT stands for Computed Tomography, a type of x-ray that shows the condition of soft tissue).

So anyone suspected of having diverticular disease based on the findings of a CT scan should have a colonoscopy   Use of a flexible lighted instrument inserted through the rectum to examine the interior of the rectum and entire colon. to rule out colon cancer. If no cancer is found, people with diverticular disease should undergo the same schedule of colon cancer screening as the general population.

Other Conditions With Similar Symptoms

It is important to see a doctor if you experience any of the symptoms of diverticular disease, in order to identify the cause. There are several other conditions that may present similar symptoms:

  • Irritable bowel syndrome

  • Appendicitis (typically causes pain on the lower right side of the abdomen, distinguished from diverticular disease where pain is experienced usually on the lower left side)

  • Stomach ulcers

  • Colon or bowel cancer

  • Ulcerative colitis, an inflammatory condition of the colon

  • The presence of a foreign body in the intestines

  • Hemorrhoids

  • Fibroid tumors in women (noncancerous tumors of the uterus)

For further information about colorectal cancer, go to Colorectal Cancer.

For further information about ulcerative colitis, go to Ulcerative Colitis.

For further information about Fibroids, go to Fibroids.

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