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    Diverticular Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Diverticular Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Diverticular Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook155 pages1 hour

    Diverticular Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Diverticular disease is a medical disorder of the colon or large intestine where there are one or more sac-like diverticula (pouches) in the inner walls of the colon.
    It is more common in the descending and sigmoid colon.
    Diverticular disease affects the lining of the colon (large intestine) that removes waste from the body.
    It is caused by small diverticula (pouches) that can form anywhere in the digestive tract, but usually forms in the last part of the large intestine (called the colon).
    Diverticular disease is made up of two conditions:
    1. Diverticulosis occurs when diverticula, called pouches form in the colon.
    These diverticula bulge out like weak spots in a tire.
    Most people who have diverticulosis do not have any symptoms and may not even know they have it.
    2. Diverticulitis occurs if the pouches become inflamed and infected.
    Some symptoms of diverticulitis can include severe abdominal pain, fever, nausea, constipation or diarrhea.
    Less common symptoms are vomiting and frequent and painful urination.
    Pain is most often located on the lower left quadrant of the abdomen.
    Diverticulitis complications can include intestinal blockages and openings in the bowel wall
    Diverticular disease is common in developed countries where low-fiber diets are common while it is infrequent in Asia and Africa where people eat high-fiber vegetable diets.
    Diets with low fiber cause constipation which occurs when stools are hard and difficult to pass.
    Constipation and hard stools increase the pressure in the bowel walls.
    Fiber prevents constipation which can strain the muscles and raise the pressure in the colon.
    The doctor may check the abdomen for tenderness and ask the patient about the bowel habits, diet and medications.
    The doctor will place a gloved finger into the rectum to check for pain, bleeding, or a blockage.
    Barium enema and CT scan will show the pouches in diverticular disease.
    A colonoscopy can also detect pouches in the colon.
    Treatment for diverticular disease depends on the severity of the disease and whether the patient is suffering from diverticulitis or diverticulosis.
    For diverticulosis, the doctor may suggest that the patient eat more fiber, drink plenty of fluids and exercise regularly to help prevent the pouches from becoming inflamed or infected.
    For mild cases of diverticulitis, the doctor may prescribe antibiotics.
    He or she may also suggest that the patient eat more fiber, drink plenty of fluids and exercise regularly to help prevent future problems.
    For severe cases of diverticulitis or diverticular bleeding, the patient may require surgery to excise the pouches and the damaged parts of the colon.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Diverticular Disease
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Ulcerative Colitis
    Chapter 8 Irritable Bowel Syndrome
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateFeb 5, 2017
    ISBN9781370285952
    Diverticular Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Diverticular Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Diverticular

      Disease,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2016 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Diverticular Disease, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Diverticular Disease)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenmed.wordpress.com.

      From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Diverticular Disease

      What is Diverticular disease?

      Diverticular disease is a medical disorder of the colon or large intestine where there are one or more sac-like diverticula (pouches) in the inner walls of the colon.

      It is more common in the descending and sigmoid colon.

      Diverticular disease affects the lining of the colon (large intestine) that removes waste from the body.

      It is caused by small diverticula (pouches) that can form anywhere in the digestive tract, but usually forms in the last part of the large intestine (called the colon).

      Diverticular disease is made up of two conditions:

      1. Diverticulosis occurs when diverticula, called pouches form in the colon.

      These diverticula bulge out like weak spots in a tire.

      Most people who have diverticulosis do not have any symptoms and may not even know they have it.

      2. Diverticulitis occurs if the pouches become inflamed and infected.

      Some symptoms of diverticulitis can include severe abdominal pain, fever, nausea, constipation or diarrhea.

      Less common symptoms are vomiting and frequent and painful urination.

      Pain is most often located on the lower left quadrant of the abdomen.

      Diverticulitis complications can include intestinal blockages and openings in the bowel wall.

      Diverticular bleeding occurs when a blood vessel next to the pouches bursts.

      The patient may find blood in a bowel movement or in the toilet.

      If the patient notices blood coming from the rectum, the patient should call the doctor immediately.

      What are the causes of Diverticular disease?

      Doctors are not sure what causes diverticular disease.

      Many think a diet low in fiber is the main cause.

      Diverticular disease is common in developed countries where low-fiber diets are common while it is infrequent in Asia and Africa where people eat high-fiber vegetable diets.

      Fiber is a part of food that the body cannot digest.

      It is found in many fruits and vegetables.

      Fiber stays in the colon and absorbs water, which makes bowel motions easier to pass.

      Diets with low fiber cause constipation which occurs when stools are hard and difficult to pass.

      Constipation and hard stools increase the pressure in the bowel walls.

      Fiber prevents constipation which can strain the muscles and raise the pressure in the colon.

      This increased pressure induces the weak spots in the colon lining to bulge out like pouches and become diverticula.

      This pressure and straining at stool movement may cause the diverticular pouches to form.

      If stool or bacteria get caught in the pouches, diverticulitis can occur.

      Many people get diverticular disease.

      Starting at age 40, the chance of getting it increases about every ten years

      About 50% of people between the ages of 60 and 80 have diverticular disease.

      Almost everyone over 80 has it.

      Diverticular disease affects both men and women and is most common in people older than 40 years of age.

      Diverticular disease becomes more obvious with age.

      What are the symptoms of Diverticular disease?

      The symptoms for diverticulosis and diverticulitis are different.

      Diverticulosis

      Most cases of Diverticulosis have no or little symptoms.

      The main symptoms of Diverticulosis in the more severe cases are:

      1. Abdominal pain or cramps-usually over the left side or over the lower abdomen

      2. Constipation

      3. Flatulence and bloating

      These symptoms may vary from mild to severe

      Some people also have bleeding, inflammation, and fistulas.

      If the patient is bleeding, bright red blood will pass through the rectum.

      The rectum connects to the anus (end of the colon).

      The rectum and anus are part of the gastrointestinal tract which is the tube that food passes through.

      Bleeding per rectum is normally painless, but it can be dangerous.

      The patient should see a doctor immediately.

      Diverticulitis

      People who develop diverticulitis can have many symptoms.

      Often pain is felt in the lower part of the abdomen.

      If the patient has diverticulitis, the patient may have fevers, feel sick to the stomach, vomit, or have a change in the bowel habits.

      The symptoms of diverticulitis are:

      1. Abdominal pain usually continuous in the lower left abdomen with palpable tenderness

      2. Fever that is caused

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