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Diverticular disease (Definitions (Diverticulosis Presence of diverticula…

- - - - Character
        Often colicky
      - Radiation
        Nil
      - Onset
        Sudden or insidious
      - Site
        Abdomen, usually L side
      - Associated symptoms
        Change in bowel habit
        Nausea
        Flatulence
        PR bleeds
      - Timing
        Intermittent
      - Exacerbating/relieving factors
        Exacerbating - constipation
        Relieving - defaecation
      - Severity
        Variable
  - - - As above but severe
        and peritonitic
- - - - Medical
        Antispasmodics e.g. mebeverene
      - Surgical
        If severe, resection
      - Conservative
        High fibre diet
    - - Conservative
        Bowel rest (NBM)
      - Medical
        Analgesia
        IV fluids
        Abx e.g. metronidazole
      - Surgical
        If abscess or peritonitic