Diverticulitis - Anatomy, Symptoms & Treatment
Вставка
- Опубліковано 27 вер 2020
- In this video, I discuss Diverticulosis and Diverticulitis. First I talk about and SHOW you the anatomy and physiology of diverticulosis and diverticulitis with a great 3D webapp called Biodigital. Next I'll explain the symptoms of diverticulitis, what generally happens to patients who develop diverticulitis and how we break down diverticulitis into the 4 main categories. I'll discuss the treatment options for each category including medical and surgical options. Finally I'll briefly discuss the possible complications of diverticulitis.
More 3D Interactive visualizations from BioDigital here: bit.ly/BioDigitalDrBuck
Dr. Buck's Study Hacks Program: studyhackers.com/
SUBSCRIBE: ua-cam.com/users/JHSurger...
Dr. Buck Parker, MD is a Board Certified General Surgeon and can be found here online here:
IG: @drbuckparker
Website: www.drbuckparker.com
My husband developed a colo-rectal fistula from diverticulitis and he was scheduled for surgery. However, by the time the surgery was going to take place he had not had symptoms for months. I asked the docs, if it could have healed on its own, as I had put him on a soft diet and gave him aloe juice. They all said no, it could not heal. We finally insisted on another pet scan and low and behold, the fistula had healed over!!!!!! These anecdotal stories count!!!!
Praise GOD!
It will 100% come back.
I've been through the same thing. I thought it would stay away and now I've had it for 2 months and can't wait to get surgery to get rid of it because it will come back I swear
@@BIGBOYREDGIE you know, I am sorry to hear this, but telling me this is not exactly uplifting. I would never say that to anybody. And…everyone is different. There are many variables. Too many to account for.
@@BIGBOYREDGIE
It might
It might not
50/50
Quit being Debbie Downer.
Thankyou for the clear info. I had no warning and straight into emergency. 17 days later came out of hospital with a stoma. Then 8 months later had a reversal opp. So about 14 months before I had recovered. Not an experience I would wish on anyone. Doctors and nurses were terrific. I was 77 at the time and otherwise in good health.
Cheers from Australia.
I just got diagnosed with diverticulitis and so glad I went to emerg and got a ct scan and have medication for treatment. Extremely painful in the lower left side and down the back and pressure in the rectum area. I hope to be doing better soon. Great video doc!
Great video!! Great explanation 👌 ❤
I hope all is well.
I’m a simple man, when I see a Dr. Parker video posted 17 minutes ago, I watch.
And really, am simpler than you.
I was just released from the hospital today for having diverticulitis, thank you for a very informative video
Im way too young to be looking this up . Prayers to you all
Oh look! Something non-Corona related! Great stuff doc 👏💪
Of course diverticulitis doesn't sound much better 😷
@@lethabrooks9112 this is more of his expertise than infectious disease.
I was a nurse in General Surgery... wish you were my lecturer to explain such like
I really appreciate all that I learn from your videos! Please keep them coming!
Thank you so much for this excellent video and information Dr Parker!!
Great video, clearly demonstrated and explained. Thanks!
Thank you for this video. I was diagnosed with it but no explanation given. This has given me a clear picture of my condition.
Thank you, Dr. Parker…excellent explanation for the lay-person to understand diverticulitis.
Thank you so much for this clear and precise explanation of diverticulitis and the available treatments. Much appreciated
Fascinating.. you always make your videos so informative ... thankyou
Great explanation! I’m currently learning this in my basic nutrition course!
Thoroughly enjoyed breakdowns like these!! So excited to see and learn about more diagnoses!
I love videos like this! I love to learn and see the visual as well. More please! 😂 Thank you!
Thank you for a clear explanation of this and the difference between the two
Great video! Love the detailed anatomy review. That will definitely help patients understand this disease process better.
Thanks for making this video, it's good for me sharing with folk to show them the condition (a lot of people haven't heard of it).
Thanks for the content! More please!
Very good information and most of all really well and simple explanation . Thank you
Outstanding video.
Thx for sharing
Excellent job! Thanks
Succinct explanation and dope anatomy simulation to explain diverticulosis, great revision for a med student on clinical placement. Cheers Dr Parker.
Thanks Dr Parker excellent explanation .
Very informative. Thank you.
love watching these videos doc! i wanna be a nurse practitioner or possibly a doctor when i grow up and u allow me to educate myself earlier!
Greatly appreciate your expertise!
Excellent video Doc. I’m 57 but had my first bout of DV at 44. I had none of the typical triggers; I was/am fit, exercise regularly, eat well (but do eat red meat), drank plenty of fluids, and never had any “going” problems. I do have relatives who had it early so suspect there’s a genetic link. Currently on my second bout in 60 days and on Cipro & Metro (I really don’t want to take Cipro given the potential side effects and I hate destroying my biome). Surgery was recommended in ‘18 but I’ve been working on diet to delay. Very informative video for us sufferers so thank you.
My doctor switched me over to Augmentin for diverticulitis. It works.
@@estherstone4860 Thanks for your comment. I switched to Augmentin back in March and it’s my new back-up plan to my usual treatment plan. I am finding that I can nip an attack if I go liquid diet immediately, take stool softeners, use Tylenol for pain, and do some good walking.
I was just in the ER for this I was prescribed cipro & dex I don’t want to take cipro because of the bad side effects is there anything else I can take
@@gloriaolvera3342 Hi, sorry to hear you're in the ER. I'd listen to your doctor because I don't know the severity of your situation. However, I prefer Amoxicillin as I believe (at least for me) that it has less side-effects and it works for me (but does take a little longer). I want to stay away from Fluoroquinolone antibiotics because, again for my body, I get the side-effects and those side-effects seem to last. If you're in the hospital then you might have severe pain and/or potential for perforation which could lead to sepsis. They may need to clear your infection fast and Cipro might be the best route. I would just do your homework in terms of future use of those types. I have found that going on a liquid diet at the first sign of pain, using stool softeners for 2-3 days, and some light walking really helps me past any flare-ups. Best of luck to you.
My doctor didn’t show me any of these when I was told I had it. This was very helpful to understanding wants wrong with me. The Doctor basically walked in and said “you have diverticulitis” then walked out, no explanation no nothing
Same here. No discussion of diet changes until I saw him on the follow up. I had to research it myself.
@@chrisdawson3859 I haven’t even had a follow up, they called me once and asked about getting in with a Gastrologist and that’s it.
What should I take for diverticulitis?
@@gabyd5662 I don’t really take anything unless I have a flare up.
I just watch what I eat and Avoid anything that is hard to digest like seeds or nuts, I also avoid things that will upset my stomach but everyone is different for that. Like to much milk will cause me to hurt but others it doesn’t
Great video! I definitely could have used this when I was nursing school. Now I get lots of patients with abdominal fistula and drains, etc. I don’t know how you do it! Thank you for helping these patients 👏🏻✨😁
Excellent video sir.. Thank you
Thank you for this!
Good use of graphics. Made this easy to understand.
Very excellent video!!!
Very educational and I'm going to get that app!
So much information! Thank you
I had a bout with diverticulitis two years ago. Terrible pain and ended up going to the ER. I was given IV Toradol and it dramatically reduced the pain. CT scans followed, and the diagnosis was confirmed. After waiting several hours for additional lab results to come back, I was sent home with prescriptions for TMP-SMX, metronidazole and Percocet. I was also instructed to take the narcotics if needed, otherwise try Tylenol and Advil together for any pain.
As it turns out, the TMP-SMX and metronidazole went a long way towards addressing both pain and inflammation, so I ended up not needing the narcotic medication I was prescribed. The next day, I was feeling tons better, and by the second day, more or less back to normal.
Also known as Bactrim and Flagyl.
I was just prescribed metronidazole & cipro for diverticulitis I was just in the ER I don’t want to take cipro I read up on it I am scared of taking it can I take something else
@@gloriaolvera3342 You could ask your doctor for TMP-SMX, which is a combination of trimethoprim and sulfamethoxazole. It's what I was given for the diverticulitis I had, and it worked well with fairly minimal side effects.
@@gloriaolvera3342 If you can explain, what is wrong with Cipro?
@@jingwills6267it can cause nerve damage.
Best video !! I was just diagnosed with complex diverticulitis thank you !! I especially had a wow moment when you explained the fistula. My first stomach surgery they had found my large intestine looped through my fallopian tube. And then when they removed a tumour off my stomach when it was folded in half in the report they had thought I had a fistula. Thank you for making all those words make sense.
welcome!
Excellent video. 👍🏻
Really like the video, would love to see more.
Thank you Dr Parker
Thanks for this video. Headed to see my GI guy soon to check this out.
I love these videos!
Thank you Dr. Parker for your video. Absolutely superb on this subject. I am a Dental Surgeon and have had a section of my descending / sigmoid colon removed following abscess formation. Your video explained more to me of the various types of diverticular disease than I was aware. One point however…I think twice mistakenly during your video you mentioned ‘ascending’ colon when you meant to say ‘descending’ and that could lead some people to become confused, e.g. Judy Carter’s comment. Overall, fantastic though. P.S. I still want to know how the two sections of colon were actually anastomosed? Maybe I should remain ignorant on that subject? :-)
Outstanding! Thank you so much for the excellent, detailed explanation!!!
Thank you. Very interesting
I am a gastroenterologist
Thank you very detailed🤗
Ahh some refreshing content.
This is a much higher quality video. I smell a Sony camera lol. Awesome video doc 👍🏼👍🏼
Thank u doctor for this video great help bless u an ur team an family u all besafe
Love the content. Gen surg all the way.
Thanks for the video!! I am 50 year old male and diagnosed with acute diverticulitis!!
Hi I got diagnosed yesterday but the hospital seemed very relaxed about it and just said I've to change my diet. I've hard 3 flare ups over the last 8 weeks. Did they suggest any medication for u
@@spockadoo1 I was diagnosed in the beginning of the year and have had 3 flare ups w/ 3 ER visits up to date
I've dealt with this for 3 decades. Numerous hospitalizations, perforations, abscesses, serious infections, twice leading to peritonitis. It nearly killed me twice. My diet was pretty restricted. I had to avoid anything with seeds or other types of non-soluble fiber. I was pretty careful and still ended up hospitalized 2-3 times a year. Finally, in 2014, surgeons removed 25 centimeters of my sigmoid colon. It stopped the infections, but now l often deal with alternating constipation and diarrhea. I haven't discovered a diet that balances things out for a sustained period, but I'm grateful to not be in constant agonizing pain.
That’s amazing! Love it the content info! 👍🏼
Super video. I’m 44 and have had this over three weeks. I’m in and out of hospital twice once for 10 days , they sent me home with my bloods at 110, the antibiotics they gave me didn’t work and I ended back in hospital with my bloods at 170. They put me on a new drip and got the bloods down to 140 in two hours and sent me home. I would love someone like yourself to review my case!
Thank you asI had bleeding ( bright red blood) several times. However, I did not understand the causes of ii. This video did help alot in gaining knowledge of the problems associated with it.
Thx a lot.
Finally someone explained these situations clearly ⭐️⭐️⭐️⭐️⭐️
I've been to 2 GI docs trying to get some answers, long story short they seemed really intent on not explaining their thinking/logic and why we couldnt start with imaging leaving me a bit frustrated. anyways after watching your video you gave me hope theres some reasonable healthcare professionals in the field, if next GI doc i go to isnt up to par i'm making appointment with you even though theres significant travel involved. im so done with the pain, uncertainty, and feeling removed from my healthcare providers
More of these for the love of God.
You certainly have to watch what you eat with diverticulitis. My friend made me a pudding of yoghurt with blackberries in it. The seeds got into my colon and I had to go to hospital because because my doctor wouldn’t see me, even though I knew antibiotics would help. Strawberries are definitely a no and all seeded vegetables and foods.
What should I take for diverticulitis?
Thank you from nz xx
Many thanks for a great explanation. Can I ask one thing. Once you have been diagnosed with diverticula via colonoscopy are these diverticula permanent.
Thanks for an enlightening session on a poopy subject 😊
I'm going through this now....the pain is awful. Still waiting to see what my next steps are but I can not live with this pain everyday.
SAME! And try getting a Dr to write antibiotics....I get it the super bugs but REALLY MESSED UP
Me too. I'm using XS Tylenol and diclofenac suppositories. I have gastritis as well.
Take ketir give the bowl a rest probotics water fast it all helps
I appreciate very much if there are captions for deaf viewers !
So well done, making a video with down to earth explanations, that ordinary people can understand. My sister died because of this disease, constant infection, she was elderly and stitches did not hold time an again.
Thank you for this insightful video, I am based in the UK, just over a year ago around Christmas my stomach felt bloated and I had a loss of appetite, my stools became black and smelly, then I started passing blood. My Dr recommended I see a specialist and an appointment was made, however, two days later I collapsed and haemorrhaged through my backside, my wife called an ambulance and I was rushed to hospital my BP also crashed they said. I was in hospital for four days, I have no idea what medication I was given, in hospital I had the camera down my throat but all was clear. I was released from hospital and booked in for the camera up the other end, I have to say I was stoic and watched the procedure via monitors, I was impressed how clean my 62 year old colon looked, it was spotless! However, the Dr said there where signs of Diverticulitis but no signs of a haemorrhage, to sum this up I really have not got to the bottom of this (pardon the pun) my GP hasn't really explained to me what happened it would be interesting on your thoughts.
A bun pun 😂
Thank you Doctor for the explanation I just have my first diverticulitis 2 days ago and I thought I had problem in my ovaries but with a scan it showed diverticulitis, ☺️
What are the recommend meds
Same here! My GYN told me to go to my gastroenterologist because she suspects it’s my colon.
What were your symptoms for her to recommend that?
Can you share the treatment for it ?
Thank you. So helpful
Just had 2 bleeds in one week. They couldn't stop the bleeding. Almost needed to too have my colon out. Am scared because I have severe diverticula' disease. Am reading everything I can. Thank you for this video.
How are you doing now?
If you are a candidate and a colostomy can fix your issues, why wouldn't you consider that? I've known many who had colostomies done and it gave them their lives back
Good luck to you. Sorry you suffer this.
Nice video. Great explanation and useful revision for me.
Just a little mistake I picked up: at 10:37 you say 'ascending colon' but I believe you mean 'descending colon'?
haha yes i just saw that myself. oops!
I had diverticulitis once in about 2010, after I had some corn on the cob, which I love but I stopped eating it and never had any problems or symptoms ever again.
Thank you for sharing this. And you didnt even swear once!!! Lol🤣😂 I love watching all your videos and Instagram. Stay cool!! 🍻
I might have this! I've been in weird lower belly pain for some weeks now, mostly on the right side. Usually strickes at night. I went on a hunt initially: I thought it was caused by my ovaries (no problem there). Then my gynecologist sent me to have my kidneys and bladder checked (nothing there either). Because a lot of gas showed up in my scan, I was sent to a gastroenterologist to check my colon. It might be this.
So unpleasant when one doesn't know where to start. 😔
Usually it’s in the left side. Very very rare
to be on the right side. Like almost never. Send me an email describing the symptoms. drbuckparker@gmail.com
@@drbuckparker I know somebody who had it on both sides
Appendix on the right and will hurt so bad you will double over in pain. Diver is through the middle and to the left
He’s back!!!!!!! Yay. Something different.
Read the transcript to what your saying ? Thanks for sharing
You answer questions better than my own doctor ever do I watch your video and other video doctor do to understand my medical problems cause doctor I have don’t help to treat the problem they know I have digestive problems but they
Never
Gave me treatment so I just end up
Suffering from my lssues that could have been taken care of
Most Dr's don't give a crap
Love the video.
Why are the diverticula not treatable with some sort of surgery, by being backed up with more tissue or something that repairs those locations?
Can you do one on anterior interosseous syndrome?
I had diverticulitis every so often, but since I stopped eating gluten I havent had it again.whew...thank you God
Welcome back Buck!!!!!
Thank you. The seeds and nuts have to be avoided just because they are hard? what if they boiled and cooked thoroughly to become soft would that be okay to eat? I'm just curious. Thank you again.
Thank you I'm a bit concerned 😟 😨, when home with antibiotics it went away but it came back my pain is in my right side.
I appreciate the information you shared. This is so frustrating for so many people, because of so much misinformation or rather all information is different from everyone. So what is your consensus on coffee being a component for a flare up? or rather not coffee itself but CAFFEINE? and what about dairy? is it possible for that to be a component for a flare up? MY flare ups for diverticulitis are always on the right side with pain...I dont eat seeds or corn....i eat alot of salads and typically have baked chicken, peel and apple and chop up on it, goat cheese, and pecans. Love carne asada tacos...typically eat one meal a day. I do have comfort morning and evening drinks like coffee with heated milk, Chai, but when i think about flare ups and what I had... its hard and coffee and dairy are always in the mix. I take alot of magnesium daily, along with many other supplements. Wich brings me to another question!!! OK...because I take so many supplements, I often wonder with the diverticulosis pockets could any of those supplements get lodged in the pockets causing an infection ?? tthank you for your time and thoughts you may share .
12:19 12:19
Does ct imaging sometimes misdiagnose diverticulosis when one just had abdominal surgery for adhesions?
(Thank you doctor I was diagnosed with mild diverticulitis but was not told what it was. You have helped me to fully understand.
@@RA82828 same to me Drs never talk about anything after X-rays, ct scan, etc, and only they said if the test shows something we will call you, still not explanation given to me and when I asked they won’t answer and tells me if if I don’t feel well or have a fever to go the ER
I think I had a diverticulitis attack recently. Last colonoscopy was five years ago and showed three diverticulum. I the worst pain in lower across lower abdomen. It even bothered me to move and walk. Like I had a painful weight in my belly. Better now, still very sore but doesn't bother me to move around like it did. I think I will address this with PCP when I go for next physical.
Right now I’m having a lot of pain in lower colon, no blood, but lots of pain. I am going to try a laxative to move it out. Hopefully that gives me some relief. Also I found it interesting that you said as the stool travels down into the large vowel it looses a lot of water and becomes hard. That’s could also be a problem for me. I’m 69 and have a lot of issues with my bowels which I hate, I also have a hernia close to my bellybutton which protrudes . 😧
Always get your medical records from a ER. I was never told I have this until I got my records.
Thank you for this very well done and informative video. I wonder if you can help me. I had basically a full hysterectomy over two operations. After the first one there was a new abdominal pain in my lower left. I have tried for over 3 years to find the source of this pain but nothing.
Please advise what the best test would be to check for diverticulitis or anything related.
Again thank you for this excellent information presented so clearly.
so diverticulosis is the general condition and diverticulitis is the acute inflammatory occasion that might include infection as well, generally CT scan full blood count and CRP plus colonoscopy are the full package i had to be d,iagnosed, CT scan is the usual approach
Thank you so much for asking & it just shows just how kind I’m certain that you are for asking, “what’s up guys”, because it’s been a long hard week already and it’s only Tuesday can you imagine that but since you asked, “what’s up guys” I will certainly tell you that things could be better but then they could be worse also and isn’t that always the case with life ha ha no matter what’s happening it could always be worse and no matter what is happening it could always be better, although there was one time, in fact actually there’s been a few times in my life where when somebody ask me “what’s up” I could actually tell him that things couldn’t be better, “what’s up” is that things are going so well but then I stop and think you know I suppose something else great could happen and things could even be better so to answer your question “what’s up guys”, I’ll begin by saying things are actually looking up kind of like Paul McCartney wrote that “everything is looking better” and then the severely negative John Lennon wrote, “couldn’t get much worse“, which means obviously that Paul McCartney was an optimist and John Lennon was a pessimist and we all certainly all know that therefore if you were to ask them “what’s up guys” considering they are two people which certainly fills out the definition of guys plural, they would say what they said in that song which they wrote many songs in their career but can you believe they only wrote Beatle songs or actually all the Beatles songs they wrote were before they were 30 years old which really is astonishing therefore if you were to ask them “what’s up guys” they would have been all over the road from the beginning to the end of the Beatles career yet you ask me “what’s up guys” and I can tell you that things are looking pretty good, I’ll come back later to finish answering your question but thank you so much for asking that question.
What about focal wall thickening with surrounding fat stranding
2 bouts of inflammation in 3 months one hospitalization same radiologist read my previous from December CT said this time CT March I should have colonoscopy to rule out underlying metastatic disease I had labs 🧪 CEA 1.1 and CA125 16.1 both WNL for over 50 and menopause
Just found out I have this but it’s on my right side which I heard mostly in Asians. Was getting fever of 105 and lots of pain. Went to Primary Doc and they send me to ER where I did the CT Scan where they saw air going into my stomach cavity. They wanted to do surgery but they decided to admitted and treat with antibiotics.
I had 6" of my bowels removed because of reoccurring diverticulitis attacks in 2000. I'm experiencing frequent constipation for the past few months. I'm worried that I may need further surgery as laxatives are not relieving the issue. What should I expect? Is this surgery as invasive as the actual bowel removal? Which was horrendous. Thank You
I have had like 10+ bouts in 4 years . I don’t have medical care. I’m so over this man. It’s depressing. People don’t know what it is.
I am just getting over 3rd attack in last year. I am so tired, and scared of this pain.
Try to take. Psyllium with yoghurt or water daily, it helps
@@karensimons6313 The most important thing is your diet. Four years ago when I had diverticulitis after eating a bunch of dried figs. I was prescribed specific antibiotics for 9 days and was told to be on a liquid diet for a week. I started to feel much better than I went on a planned trip to Europe. Since I felt much better, I started to eat regular food (after 2 weeks)and got another bout of diverticulitis. I was very constipated and felt really tired. I went to see an excellent gastrologist doctor, who prescribed antibiotics again and told me to stay on liquid diet and wrote down everything I should stay away from. Number one was seeds, meaning no strawberries, blueberries raspberries figs, popcorn tomatoes etc, drink at least 2 liters of water. And the same exact happened for the third time, after one week, felt better started to eat regular food. ( minus seeds) Went back to the same doctor, who finally explained to me that I had to be on a liquid diet for much longer, like a month. It was difficult because I was in Europe staying at my relatives home. We started to make vegetable soups with a little chicken for protein and blended them in a blender, and natural gelatin with organic syrup,zero solid foodstuffs. After 2 weeks I ate like an egg and a few soft foods BUT CHEW THEM THOROUGHLY TO MAKE THEM LIQUID IN MY MOUTH. I came back home to US and continued same. All this took over one month, finally started to eat regular food except ALL SEEDS. After 4 years, 3 weeks ago I got diverticulitis again. Kept the same procedure and now started to eat soft foods meaning no beef except ground and of course no seeds or nuts or corn, which I never eat anyhow. Even though it’s been a year since you wrote your comment, I hope this is helpful to you, and you’re staying healthy
@@aniaboch7428 Thank you so much for taking the time to write all this excellent advice. I am doing better, diabetes improving, lost 40 lbs and quit all alcohol. Fingers crossed!
@@karensimons6313 Excellent, I’m really happy for you! Keep it up 👍 and you may never get this nasty thing again. I have to keep up my diet too. I sure miss eating raspberries strawberries, blueberries and tomatoes. Best luck to you
Dr. Parker,
What can we do to prevent this issue from happening? Also, what are things that most often cause this: constipation? genetics?
This is what can happen when you eat like there’s no tomorrow, and too much of it!
I was having bladder pain. My nephrologist sent me for a scan of my pelvis. They found diverticulitis within the proximal descending colon. Really don't know what that means or if it's the cause of my bladder pain.