Diverticulitis Symptoms and Diverticulosis

- An outpouching of the instestinal mucosa.- Most commonly found in the sigmoid colon.

Diverticulosis:

- Multiple diverticula of the colon

Diverticulitis:- Inflammation of the diverticula


Precipitating factors:

• Stress

• Congenital weakening of muscular fibers of intestine

• Dietary deficiency of roughage and fiber


Assessment:

• Intermittent lower left quadrant pain and tenderness over rectosigmoid area

• Alternating constipation and diarrhea with blood and mucus


Diagnostic Test:

•Barium enema

•Hgb and Hct


Diet:

• DiverticuLOSIS: High-residue diet with no seeds

• DiverticuLITIS: Low-residue diet


Drug therapy:

• Bulk laxatives

• stool softeners

• anticholinergics

• antibiotics


Nursing Interventions:

• Importance of adhering to dietary regimen

• Prevention of increased intra-abdominal pressure

• Monitor for signs and symptoms of peritonitis



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