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CT scan. This is a non-invasive x-ray-based test although, as with the colonoscopy, you will be required to completely empty your bowels beforehand.

It is important to remember that most people with diverticular disease will never have any complications and can carry on with their lives as normal.

The most common symptoms include lower abdominal pain, bloating increase in abdominal size due to gas , change in bowel habit diarrhoea or constipation and mucus or blood in the stool.

The pattern of symptoms varies from one person to the next, but pain is often crampy, comes and goes and is commonly focussed in the left side of the abdomen where the diverticula most often occur.

In a small number of people, and people of South Asian origin, symptoms may occur on the right-hand side5 of the abdomen. Pain and bloating can often start after food is eaten and may ease when a stool or wind is passed.

Many people experience a change with diarrhoea one day and constipation the next. It is important to remember that many symptoms of diverticular disease are very similar to those of more serious conditions such as bowel cancer so do not assume that they are due solely to diverticular disease.

If you experience a change in symptoms or develop new symptoms consult your doctor as they may want to check you over to make sure something completely unrelated to diverticular disease was not developing instead.

The reason for this is that symptoms of diverticular disease may overlap with conditions such as irritable bowel syndrome IBS , colitis and cancer.

Relatively few patients ever get complications severe enough for them to be admitted to hospital and very few people die of this very common disease.

However, in some cases, complications can occur and these include:. This is the most common complication, occurring between 1 in 10 to 1 in 4 people with the condition.

Signs that this has happened include worsening abdominal pain, high temperature, nausea feeling sick or vomiting being sick.

If any of these symptoms are experienced, medical help should be sought immediately. Complicated diverticulitis requiring hospitalisation is normally treated with antibiotics and fluids.

Sometimes, when infection is severe, it can cause further complications such as a collection of pus abscess , an obstruction blockage of the bowel or a perforation.

If these complications arise, an operation to remove part of the colon, or a needle placed into the collection of pus may be needed.

Scar tissue can sometimes form around the inflamed diverticulum. This may lead to narrowing of the colon, which can cause a blockage.

Perforation in the diverticulum: sometimes an inflamed pouch diverticulum can burst, breaching the wall of the bowel and leading to peritonitis, a serious condition with widespread inflammation in the whole of the abdomen.

Bleeding Large amounts of bleeding from the back passage: a blood vessel in the wall of a diverticulum can rupture leading to bleeding into the colon.

Rarely, the presence of diverticula may lead to formation of abnormal connections or tracts fistulas between the gut and other organs such as the bladder or vagina.

Signs of this include small amounts of stool in the urine or foul-smelling discharge from the vagina and, if diagnosed, surgery is usually necessary, so it is important to see a doctor if you have these symptoms.

What causes flare-ups of diverticular disease or the development of complications such as acute diverticulitis is presently unknown, despite much research.

Following the diagnosis of diverticular disease, as has happened in your case, many people will ask their doctor for advice on how to prevent development of complications.

You are advised to eat a healthy, balanced diet including whole grains, fruit and vegetables. A portion of fruit and vegetables is 80g or a handful.

Smoothies are ml portion as they generally contain a lower amount of fibre. Bran-based cereals and shredded wheat. Fruit All varieties are suitable including fresh, frozen, dried and canned.

Vegetables All varieties are suitable including fresh, frozen, dried and canned. Vegetable soup. Protein containing foods Chickpeas, lentils, peas and beans, dhal.

Nuts and seeds Desserts and other snacks Puddings containing dried fruit, oat-based crumble toppings, biscuits containing wholegrain flour, nuts, dried fruit and seeds, flapjack, muesli bars and fruit bars based on dates.

Chocolate containing nuts and dried fruit, root vegetable crisps. Drinks Smoothies and milk shakes containing the whole fruit.

There is no need to avoid seeds, nuts, popcorn or fruit skins. If you change the type of food you eat it is important to ensure your diet remains balanced and nutritious.

The NHS website has useful information on what constitutes a healthy diet. It also contains the Eatwell Guide , a visual representation of which food groups you need to eat, and in what proportions, to achieve a balanced diet.

The British Dietetic Association also has useful information on healthy eating on their website. If you have any other restrictions to your diet or you are having problems with regards to knowing what to eat or have continuing symptoms of gas, bloating and diarrhoea ask you consultant or GP to see if further tests are required, you can also ask for a referral to a registered dietitian who can provide more individual dietary advice.

You should take regular exercise , lose weight if you are overweight or obese , and stop smoking. There are inconclusive results from the use of probiotics to prevent diverticular disease progressing so use of probiotics cannot be advised at this time.

There is no specific medical treatment for the general symptoms of diverticular disease although if you have been experiencing constipation , check with your pharmacist or doctor if the use of a bulk-forming laxative might help.

Painkillers such as codeine should be avoided as they tend to worsen and can even cause constipation, a pharmacist can provide advice with regards to alternatives for abdominal pain.

Tell your doctor immediately if your symptoms become worse in this situation. This is usually only undertaken after an episode of inflammation because an abscess has formed around the colon, or infection from the inflamed perforated diverticulum has spread more widely within the abdomen.

The commonly performed operation cuts out the segment of the bowel with the infected pockets. One end of the bowel is brought up to the skin as a stoma where the bowel content comes into the bag.

This, in most instances, can be reversed later, if the inflammation is not too severe and the bowel can be joined back together.

There has been a review into whether reducing fibre intake during acute diverticulitis is helpful in reducing hospital stay, digestive symptoms or recurrence of diverticulitis and no evidence was found that following low fibre or low residue diets during was more helpful for people with diverticulitis than a more liberalised typical diet.

There is no evidence that fibre modification is helpful in treating uncomplicated diverticulitis. Advice may however be different when complications of diverticulitis occur for example fistulas, abscesses, perforation, bowel blockages or after surgery to the bowel.

Your doctor or dietitian can provide further advice as needed. If you look on the internet you will unfortunately still see older information about diverticular disease development alongside incorrect advice about avoiding certain foods.

You may have read that with a diagnosis of diverticular disease you need to avoid sources of tough fibre such as seeds, nuts, popcorn or fruit skins, it was previously felt that these foods were likely to lodge in the diverticula and cause diverticular disease and diverticulitis.

This is not the case so these foods can be consumed as part of a healthy balanced diet. It is important that robust research continues into the causes and treatments for diverticular disease.

Guts UK is the only UK charity funding research into the digestive system from top to tail. If you found this information useful, please consider donating to support our work into diverticular disease today.

Thank you. The awareness of such research can only help and perhaps inspire others to take on challenges like mine.

The National Institute of Health and Clinical Excellence make evidence-based recommendations on a wide range of topics in health, public health and social care.

They recommend the most effective ways to prevent and manage specific conditions and to improve health and manage medicines in different settings.

You can find their guidelines on diverticular disease here. We fund life-saving research into diseases of the gut, liver and pancreas.

It soon becomes clear that Raina's tummy trouble isn't going away What's going on? Raina Telgemeier once again brings us a thoughtful, charming, and funny true story about growing up and gathering the courage to face -- and conquer -- her fears.

Section 2. Section Section 9. She is also the creator of Drama and Ghosts , and is the adapter and illustrator of four Baby-sitters Club graphic novels.

Raina lives in the San Francisco Bay Area. To learn more, visit her online at goRaina. Informations bibliographiques.

Guts Raina Telgemeier Scholastic Inc. Section 1. Section 3. Section 4. Section 5.

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As much as I Consulter l'avis complet. Raina does it again in this highly engaging graphic novel memoir. Everyone has dealt with some form of anxiety in their lives at some point.

For Raina, she is dealing with the fear of throwing up Account Options Connexion. Raina Telgemeier. Scholastic Inc.

Raina wakes up one night with a terrible upset stomach. Her mom has one, too, so it's probably just a bug. Raina eventually returns to school, where she's dealing with the usual highs and lows: friends, not-friends, and classmates who think the school year is just one long gross-out session.

It soon becomes clear that Raina's tummy trouble isn't going away What's going on? Raina Telgemeier once again brings us a thoughtful, charming, and funny true story about growing up and gathering the courage to face -- and conquer -- her fears.

Section 2. Skip to content Search Menu. We are passionate about your guts Find out more. Guts UK is committed to fighting all digestive disorders. What are the conditions?

Learn more. The research we fund to fight digestive diseases Discover more. How you can support us Join in. Together we can do amazing things Give a donation today and play your part in the vital research that will change things for future generations for people affected by digestive diseases Give a regular donation Give a single donation.

Our Latest News. Do you suffer with Chronic Pain?

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