It is an all too often occurrence in my line of work as a hospital pharmacist that I see patients coming into the Emergency Room doubled over with abdominal pain. This isn’t your typical upset-stomach-because-you-ate-something-spicy kind of pain, but rather a severe give-me-morphine-now type pain. The pain is obviously bad enough to land someone in their local ER, otherwise they’d just pop some Tums and call it a night.
What’s happening here? Why are these patients in so much pain?
While many different medical conditions can cause abdominal pain diverticulitis is one of the common culprits in cases like the one described.
WHAT IS DIVERTICULAR DISEASE?
Diverticulitis is a condition contained in a broader range of conditions known as diverticular disease. Diverticulosis is the other condition in this group. I’ve provided the definitions of the two terms below to distinguish between them:1
Diverticulosis – The presence of one or several small, sac-like outpouchings, called diverticula, protruding from the colonic wall. (To picture this, imagine a long, slender, inflated balloon, much like the balloons used to make balloon animals. If you squeeze this inflated balloon just enough you can make a little bubble protrude out of its side. The formation of this “bubble” would be very similar to the diverticula formed in the wall of your large intestine. These diverticula are like little tiny pooches sticking out of the side of your colon.)
Diverticulitis – The acute inflammation of diverticula associated with fever, pain, and possible infections.
Diverticulosis occurs first. This condition usually flies under the radar though because most people never know they have it unless it’s found on a routine colonoscopy. Diverticulitis comes after, and it’s the reason people end up in the ER with pain. Ten to twenty-five percent of affected individuals with diverticular disease will develop symptoms in the form of abdominal pain, bloating, irregular bowel movements, bleeding, or signs of infection.2,3
Diverticular disease is common in industrialized nations, affecting up to 60% of the population over age 60.3 In fact, some of the first researchers to study the medical condition labeled it a “20th century problem” and “disease of Western civilization”.2 The United States and Europe have the highest rates of diverticular disease in the world, while it is rarely found in developing countries.3,4
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