is a condition that develops when pouches (diverticula) form in the wall of the colon (large intestine). These pouches are usually very small (5 to 10 millimetres) in diameter but can be larger.
In diverticulosis, the pouches in the colon wall do not cause symptoms. Diverticulosis may not be discovered unless symptoms occur, such as in painful diverticular disease or in diverticulitis. As many as 80 out of 100 people who have diverticulosis never get diverticulitis.footnote 1 In many cases, diverticulosis is discovered only when tests are done to find the cause of a different medical problem or during a screening exam.
The reason pouches (diverticula) form in the colon wall is not completely understood. Doctors think diverticula form when high pressure inside the colon pushes against weak spots in the colon wall.
Normally, a diet with adequate fibre (also called roughage) produces stool that is bulky and can move easily through the colon. If a diet is low in fibre, the colon must exert more pressure than usual to move small, hard stool. A low-fibre diet also can increase the time stool remains in the bowel, adding to the high pressure.
Pouches may form when the high pressure pushes against weak spots in the colon where blood vessels pass through the muscle layer of the bowel wall to supply blood to the inner wall.
Most people don't have symptoms. You may have had diverticulosis for years by the time symptoms occur (if they do). Over time, some people get an infection in the pouches (diverticulitis). For more information, see the topic Diverticulitis.
Your doctor may use the term painful diverticular disease. It's likely that painful diverticular disease is caused by irritable bowel syndrome (IBS). Symptoms include diarrhea and cramping abdominal (belly) pain, with no fever or other sign of an infection. For information on the symptoms of IBS, see the topic Irritable Bowel Syndrome (IBS).
In many cases, diverticulosis is discovered only when tests, such as a barium enema X-ray or a colonoscopy, are done to find the cause of a different medical problem or during a screening exam.
The best way to treat diverticulosis is to avoid constipation. Here are some ideas:
This treatment may help reduce the formation of new pouches (diverticula) and lower the risk for diverticulitis.
Eating a high-fibre diet, getting plenty of fluids, and exercising regularly may help prevent diverticulosis.
Davis BR, Matthews JB (2006). Diverticular disease of the colon. In M Wolfe et al., eds., Therapy of Digestive Disorders, 2nd ed., pp. 855–859. Philadelphia: Saunders Elsevier.
Other Works Consulted
Travis AC, Blumberg RS (2012). Diverticular disease of the colon. In NJ Greenberger et al., eds., Current Diagnosis and Treatment: Gastroenterology, Hepatology, and Endoscopy, 2nd ed., pp. 259–272. New York: McGraw-Hill.
Current as ofMarch 27, 2018
Author: Healthwise StaffMedical Review: Adam Husney, MD - Family MedicineAnne C. Poinier, MD - Internal MedicineKathleen Romito, MD - Family MedicineJerome B. Simon, MD, FRCPC, FACP - Gastroenterology
Current as of: March 27, 2018
Adam Husney, MD - Family Medicine & Anne C. Poinier, MD - Internal Medicine & Kathleen Romito, MD - Family Medicine & Jerome B. Simon, MD, FRCPC, FACP - Gastroenterology
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