What is the treatment?
Diverticulitis is also known as colonic diverticulitis and diverticulosis coli.
How is the treatment done?
Diverticulitis refers to the inflammation or infection
in one or more than one small pouches in the digestive tract. Diverticula are basically the small pouches which form the lining of your digestive system. Most commonly they are found in the large intestine. Whenever one of these pouches becomes inflamed or infected, they cause a condition commonly known as Diverticulitis. When diverticulitis is mild, it can be treated with proper rest and medications and with a change in the normal diet
. In case the problem is severe then it might call for surgery
Who is eligible for the treatment? (When is the treatment done?)
In order to treat diverticulitis, people are recommended to intake food which is high on fiber as per the 2012 research. Other than that, in case of mild diverticulitis, most doctors recommend a routine intake of antibiotics. While mild diverticulitis can be easily dealt with, severe diverticulitis calls out for surgery. The surgery basically consists of bowel resection. An open surgical approach is used called colectomy. In the colectomy surgery, the patient is placed under the influence of anesthesia
while the surgeon removes the diseased section of the intestine and sews and staples together the healthy ends of it. This surgery is basically performed when the bowel has to be relieved. A small temporary opening of the colon is created on the skin surface and the end of the colon is passed through the abdominal wall and a removable bag is attached to it. All the waste is collected in the bag. Despite this, surgeons generally prefer to perform bowel resection in a laparoscopic manner where four small incisions are made in the abdomen or navel.
Who is not eligible for the treatment?
Diverticulitis is extremely common in elderly patients. The surgery is recommended only when the patient suffers from severe diverticulitis otherwise various other methods are sought after to resolve
the problem. You are eligible for treatment via surgery only if your diverticulitis episode is uncontrolled via medications and even changes in diet and lifestyle. In case of severe bleeding
from the rectum or excessive and continuous pain in the abdomen, all calls out to surgery.
Are there any side effects?
Patients who have mild diverticulitis should avoid seeking surgical interventions rather they should focus on taking their antibiotics daily and having a high fibre diet. Apart from this, patients who are obese and over the age of 60 are often recommended to not go into surgery as the risk factor increases among these patients. If you suffer from high blood pressure
, a surgery is probably not the right choice for you. People who have had a diverticulitis surgery before are more in danger than the ones who are having the surgery for the first time.
What are the post-treatment guidelines?
At times the surgery results in a few side effects such as bleeding from the closed cuts or in the waste, intense pain in the abdomen, recurring constipation
or diarrhea, nausea
. Though most often the outlook for diverticulitis is good, the patient can recover speedily and also does not undergo much physical problems, the above mentioned complications are a sign of danger. In case these effects ever take place, a doctor should immediately be visited.
How long does it take to recover?
In case you have undergone surgery, a few rules have to be adhered to in order to recover quickly and effectively. The patients are advised to not lift anything heavy or exercise, sexual intercourse is also prohibited for at least 2-3 weeks after discharge from the hospital is provided. Though the duration of this can vary depending upon the complications that came in the way of your surgery or the type of surgery that was employed. Patients are required to only drink clear liquids and solid food items are slowly introduced into the diet depending upon the rate in which your colon is healing. In case of a stoma
and a colostomy bag, specific and special instructions are provided by the doctor which need to be carefully followed in order to avoid further infection.
What is the price of the treatment in India?
Since the surgery for diverticulitis isn’t a very easy one, a lot many complications arise in the view of this surgery. These complications range from blood clots, infections, hemorrhage, heart attack
, kidney failure
to blockage of the colon from scar tissue. As a result of the risk factors associated, doctors advice patients undergoing the surgery to seek complete bed rest for at least 7-10 days in the hospital itself. When the patients are discharged, they are recommended to visit the hospital immediately in case of any glitch.
Are the results of the treatment permanent?
The cost of the surgery, depending upon the type of surgery that you opt for, ranges from INR 1,80,000 to 4,00,000/- However, it should be remembered that surgery is only for people with severe diverticulitis. In case you suffer from mild diverticulitis, antibiotics and high fibre diet will do the trick.
What are the alternatives to the treatment?
Nothing in life is permanent. It has been observed that many patients who undergo diverticulitis treatment, have to face the surgery again due to recurring diverticulitis. This is one of the reasons why doctors are not quick
to recommend surgeries if the problem can be solved by a switch in the lifestyle and medications. The risk factor also rises for patients who undergo the surgical treatment for the disease more than one.