Why pay attention to inflammatory bowel disease

Posted on 05/29/2022 at 7:00 p.m.


(credit: Valdo Virgo / CB / DAPress)

With age, it is natural for the intestinal muscles to weaken. And depending on the pressure of peristaltic movements (contraction and relaxation that are part of digestion), the inner layer of the intestine can become inflamed, resulting in small sac-like sacs. These structures are called diverticula. “A sign of intestinal aging,” understands Daniele Couto, a proctologist at Hospital DF Star, Rede D’Or.

More than half of the population over the age of 60 has fungi, and the incidence is increasing among the elderly. According to the doctor, most of them go through it quietly, without any symptoms and often without even knowing about the situation. It’s just that not everyone with diverticulitis (diverticulosis) has or will have had diverticulitis, which is an inflammatory condition.

Coloproctologist Paulo Gonçalves de Oliveira explains that diverticulitis is a disease associated with age and certain eating habits, such as low fiber consumption. The pathology is relatively new: “Our current reports are from the twentieth century.

It is not clear what caused the crisis, along with a persistent stomach ache that does not go away with medication. At that moment, Daniel advises that it is time to seek medical attention. In the most severe form, the patient goes to the toilet and draws almost only blood.

After going through and treating such an emergency, it is necessary to take care of the food and, if necessary, supplement with some nutrients. Eating a healthy lifestyle can help prevent symptoms. Ideally, people with recurrent diverticulitis should have a trusted doctor who will accompany them in the event of an attack.

diverticulosis

Unlike diverticulitis (the suffix “itis” indicates an inflammatory disease, as in “appendicitis”), diverticulosis refers only to the presence of diverticula. Usually, these structures do not cause any symptoms.

Incidence

– More than half of the population over the age of 60 has fun.

– Of these, between 10% and 20% will have a complication and may have diverticulitis.

– When this happens, most of them are not serious and can be cured.

Source: Brazilian Coloproctology Association.

Cause

It is an inflammation of the diverticula, the fragile sacs that form in the inner layer of the intestine.

Risk factors

– Advanced age.
– Low-fiber food, which makes it an unhealthy intestinal habit, such as going to the toilet every four days.

Signs

– Severe and persistent pain, usually in the lower left part of the abdomen, “at the foot of the abdomen”. This is because the stool is usually drier at the end of the colon, in the large intestine, in a region called the sigmoid.
– The abdomen is enlarged and swollen.
– Sudden change in bowel function.
– In some cases, fever.

related studies

– Computed tomography (especially if suspected).
– Colonoscopy, indicated after two or three months after the acute phase.
– Blood tests.

Treatment

Newer approaches focus on dietary changes (during the crisis, fiber is removed from the diet), the use of Buscopan-type medications, and plenty of fluids. That is if the patient is in good health and immunity.

When the body does not respond to treatment, the following may be indicated:

– Antibiotics
– Drainage of abscesses if the amniotic sac is accumulating with pus due to infection and inflammation.
– Surgery involves the removal of part of the intestine. Due to its complexity and risks, it is less common

It’s a myth …

Seeds and grains are directly responsible for the filling of the fungi. They don’t favor diverticulitis!

Other inflammatory bowel diseases

– Crohn’s disease: causes diarrhea, colic, rectal bleeding and sometimes fever. Chronically, medications help control symptoms, but there is no cure.
– Ulcerative colitis: mainly includes diarrhea. Here, too, it is chronic that the goal of treatment is to get the patient out of the crisis and prevent it from happening.

the word of the expert

What causes the crisis of diverticulitis?

In theory, it is a barrier to the sacs, which can lead to infection or inflammation. It is unclear what may or may not cover them. As with appendicitis, there are those who eat everything and have no complications.

Does the disease have a genetic or hereditary link?

There is no evidence of this. What is happening is a family trend because relatives have the same eating habits. And eating habits and intestinal habits, in turn, affect diverticulitis.

Does the patient’s life change a lot after the diagnosis because he has to adjust his diet?

This is usually a big change because most of these people have bad bowel habits. Once healthy, the patient should be on a daily basis for fiber intake and, if necessary, supplementation with superfoods or oral capsules.

Is diverticulitis related to the onset of other diseases (intestinal or not)?

No. Diverticulitis is considered benign and has nothing to do with cancer-like malignancy. What happens is that the more common age group is consistent with the onset of other pathologies.

Paulo Gonçalves de Oliveira is a coloproctologist and a member of the Brazilian Coloproctology Association.

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