I Just Pooped and My Tummy Is Flat and Now Immediately My Tummy Is Bloated Again

Introduction

Diverticula are pouches in the lining of the intestine. They arise when the wall of the intestine bulges out through weak areas of abdominal muscle. The pouches are usually small and balloon-like, and the contents of the bowel (stool, or "poop") might get into them. Although diverticula are often harmless, they may lead to bowel bug and cause pain. But put, there are three different weather condition:

• Diverticulosis: The lining of the intestine bulges out in a number of places, but this doesn't cause any symptoms or problems.

• Diverticular disease: The bulging pouches cause symptoms or pb to problems (complications).

• Diverticulitis: The pouches are inflamed or infected.

Diverticula can cause recurring or permanent symptoms. This is referred to equally chronic diverticular disease. Diverticulitis tin can usually exist treated effectively, but may have serious consequences if the inflammation spreads.

Diverticula and diverticulitis

Symptoms

Well-nigh diverticula don't cause whatever symptoms. Diverticular disease is typically associated with pain in the lower left side of the abdomen (tum) or – less ordinarily – the right side. Information technology can also lead to bloating, constipation or diarrhea. The symptoms oft become away for a while, but may be constant. They commonly get worse later meals, and then meliorate over again later on going to the toilet and having a bowel movement. Sometimes diverticula lead to bleeding too.

If they get inflamed (diverticulitis), they cause sudden dull pain in the abdomen, accompanied by a mild fever. Other symptoms include constipation, diarrhea, bloating, nausea and sometimes cramping as well. Diverticulitis rarely leads to airsickness. If a doctor applies pressure level to the abdomen, the tummy muscles automatically tense up (a reflex known every bit muscular defense). If they suddenly let go, the pain gets worse.

Causes and risk factors

Diverticula form in weak areas of the intestinal muscles. They usually arise in the sigmoid colon. This due south-shaped section of the large intestine is roughly 40 to 45 centimeter long and constitute just in forepart of the rectum. The contents of the intestine put the about pressure on the muscular wall here.

Some people are more likely to develop diverticula because of their genes. Farther risk factors include weak connective tissue and bug with the wave-like movements of the intestinal wall. Older and very overweight people are at greater gamble, also.

The influence of lifestyle factors hasn't yet been properly adamant. A nutrition that is low in fiber can lead to constipation and hard stools, so it seems logical that too niggling fiber should increase the risk of diverticular affliction. Eating a lot of blood-red meat, smoking and non getting enough movement are too believed to exist risk factors.

It'southward still non clear how diverticula go inflamed and what increases the risk of this happening. Just inflammation is believed to be more likely in areas of reduced blood supply and if difficult lumps of stool grade in the diverticula.

Complications are more common in people who have a weakened immune system (for example, subsequently an organ transplant) or astringent kidney disease. The long-term use of particular medications probably increases the take a chance of more serious complications. These medications include non-steroidal anti-inflammatory drugs (NSAIDs), steroids, acetylsalicylic acid (the drug in medicines like Aspirin) and opiates.

Prevalence

Many people have diverticula without knowing it. They are more mutual in older age: About ten% of people under the age of 50 have diverticula, and almost 50% of people over the age of 70 accept them. They are equally common in men and women.

Most 1% of all people who have diverticula develop diverticulitis within 10 years. This inflammation can occur at any age.

Effects

Diverticula ofttimes remain unnoticed if they don't crusade whatsoever symptoms. But they sometimes lead to chronic digestive problems and pain, or may even become inflamed or infected.

Diverticulitis can commonly be treated finer and and so goes away after a few weeks. But nigh 20% of those affected get diverticulitis over again within a few years.

Diverticulitis can lead to complications if the inflammation spreads to the wall of the intestine, surrounding tissue or nearby organs. Abscesses (collections of pus) or fistulas may develop. A fistula is an unnatural tunnel-like passageway between ii organs, for example between the intestine and the bladder.

One rare but serious complexity may arise if the wall of the intestine tears (intestinal perforation). If the contents of the intestine and so leak out into the abdominal cavity, the inner lining of the tummy (peritoneum) may become inflamed, leading to a life-threatening status known as peritonitis. This typically causes severe tummy pain, a hard abdominal wall, fever, nausea, a rapid heartbeat and general weakness. Information technology is important to recognize these peritonitis symptoms and quickly seek medical aid.

In some people, diverticula keep becoming inflamed despite having been treated successfully in the past. This tin lead to scarring that causes the intestine to become narrow (stenosis), making it hard for stool to pass through it. In extreme cases, the intestine becomes blocked (ileus). Some people have abiding diverticula symptoms although their intestine isn't inflamed. The gamble of complications is greatest when someone has diverticulitis for the first time. After that, recurring inflammations are a lot less likely to pb to complications. The main consequences of recurring diverticulitis are chronic symptoms such equally irregular bowel movements, bloating and abdominal hurting.

It's good to know that diverticula practice non develop into bowel cancer. This kind of cancer develops from polyps in the bowel.

Diagnosis

If you get to see a doc about your symptoms, they will ask you nearly various things, such as your medical history and whether you lot are taking medication. This is followed past a concrete test where they listen to your tummy, and as well experience your breadbasket and rectum. Depending on the symptoms, y'all may have blood and urine tests, and your temperature might be measured.  You will usually have an ultrasound scan every bit well. If at that place is still no articulate diagnosis, yous may need to have a CT (computed tomography) browse and perhaps a colonoscopy too (inspection of the within of the intestine using a camera).

This can help to rule out other illnesses – the symptoms of diverticular affliction are similar to the symptoms of conditions like appendicitis or irritable bowel syndrome (IBS).

Colonoscopies are too risky during acute diverticulitis. Simply people are ofttimes advised to have a colonoscopy most 4 to 6 weeks subsequently the symptoms take cleared upward. This is to brand sure that they weren't caused past polyps, bowel cancer or another disease.

Prevention

Eating plenty cobweb helps to make sure that your stool doesn't get also hard. So information technology would seem logical that fiber should prevent pain and inflammation in people with diverticula. There's a lot of fiber in whole-grain foods, vegetables, legumes (e.one thousand. beans, lentils) and fruits. Physical practise stimulates digestion as well, but information technology isn't clear whether it can prevent the symptoms.

Sometimes people are advised to avoid certain foods – particularly nuts, grains, sweetcorn and popcorn. For a long time it was thought that fragments of these foods could get stuck in the diverticula and cause diverticulitis. Simply studies have shown that non to exist true. And then you lot don't have to avert eating nuts, for case.

Treatment

Diverticula that don't cause any symptoms don't take to be treated. The treatment options for diverticulitis depend on how severe it is.

The aim of treatment is to

• avoid potential complications and salvage acute symptoms,

• prevent information technology from coming back, and

• relieve chronic symptoms.

Diverticulitis inflammations are caused by a bacterial infection, so they tin be treated with antibiotics. But people usually only need to utilize antibiotics if complications arise or if there'due south an increased risk of them arising. Complications may have to be treated in hospital.

If astute diverticulitis doesn't improve or someone has constant symptoms, the affected part of the big intestine can exist surgically removed. Because of the associated risks, it's important to carefully consider the pros and cons of surgery first. Serious complications such as peritonitis require firsthand surgery, though.

For people who have chronic symptoms, it might be worth trying to eat more fiber. There'due south not still enough good research to be able to say whether probiotic nutrient products tin can assist.

Nowadays there's practiced reason to believe that antibiotics and surgery oftentimes aren't as necessary as previously thought.

Further information

When people are sick or need medical advice, they commonly go to run into their family dr. first. Read about how to find the correct dr., how to prepare for the date and what to remember.

Sources

• IQWiG health information is written with the aim of helping people understand the advantages and disadvantages of the chief handling options and wellness care services.

  Considering IQWiG is a German establish, some of the data provided here is specific to the German health care system. The suitability of any of the described options in an individual instance tin can be determined past talking to a doctor. Nosotros do not offering individual consultations.

  Our information is based on the results of proficient-quality studies. Information technology is written by a team of wellness intendance professionals, scientists and editors, and reviewed past external experts. You can find a detailed description of how our health information is produced and updated in our methods.

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Source: https://www.ncbi.nlm.nih.gov/books/NBK507004/