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Abdominal pains and fever may be acute diverticulitis

Abdominal pains and fever may be acute diverticulitis

Acute diverticulitis is caused by inflammation of a segment of the bowel in diverticula patients, which are sacrum formations that can be found throughout the digestive tract,

The risk of onset of this disease progressively increases with age and is present in 30% of individuals over 50 years and in 50% in the age group above 70. It is caused by the obstruction of the small intestine. diverticula by feces or by some foods, acute diverticulitis is extremely related to the type of feeding of the individual. The industrialized, refined and fiber-poor diets increase the risk of developing diverticula (the sacrum formations) in the large intestine.

Industrialized, refined and fiber-poor diets increase the risk of developing diverticula in the large intestine

The symptom The most common of acute diverticulitis is pain in the left lower abdomen of sudden onset, accompanied or not with fever, and altered bowel habit. To confirm the clinical diagnosis, it is usually requested to perform some initial tests: the hemogram, to evaluate if there is evidence of infection, and ultrasonography or computed tomography of the abdomen, to accurately define the presence of acute or non-diverticulitis. Colonoscopy is not indicated in these cases because there is a risk of increased perforation.

Once diagnosed, uncomplicated diverticulitis, when there is no pus or feces in the abdominal cavity, can be treated with antibiotics and resting. However, in complicated cases of the disease, an emergency surgical intervention is necessary for resection of the affected organ and lavage of the abdominal cavity.

Cure for this disease is only achieved through surgical resection, that is, extraction of the compromised segments of the intestine, but this is only indicated in the complicated pictures, in need of emergency surgery, or in those who have been recidivists (who were treated and re-presenting the problem), in whom surgery can be planned. surgical resection of the intestinal segment affected by diverticulitis with reconstruction of the intestinal transit, by means of manual suture or surgical staplers, is traditionally performed through an abdominal incision of 15 to 20 cm. However, in the last 20 years a new approach has emerged through laparoscopy, where the same surgery is performed through small holes of 1 cm, where delicate instruments and a camera are introduced. The advantages in this new method are: reduced postoperative pain, short fasting time and early hospital discharge with rapid recovery.

Recently, the approach to robotic surgery, available in few centers in Brazil, offers even more technical advantages for the patient had to undergo a surgical procedure, with medical discharge only 2 or 4 days after surgery, with a recommended liquid diet followed by a protein supplement for a further 7 days.


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Another point that remains to be clarified is whether the disease alone helps to decrease the vitamin's level in the body . However, the authors of the study claim that vitamin D can act on neurotransmitters, inflammatory markers and other factors, which would help fight the disease. Anti-stress foods combat depression and anxiety Women who are mothers, housewives and professionals all at the same time.

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