Mild Diverticulosis: Managing Abdominal Pain and Diarrhea - Gastroenterology and Hepatology

More Info

---

Mild diverticulosis is a condition characterized by the presence of small pouches (diverticula) that can form in the walls of the colon. While many individuals with diverticulosis remain asymptomatic, some may experience abdominal pain, changes in bowel habits, and other gastrointestinal symptoms. Your recent experiences of diarrhea, occasional fever, vomiting, and the sensation of gas retention in your abdomen may be concerning, especially since they have resurfaced after a period of stability.

The symptoms you describe, particularly the diarrhea occurring four to six times a day, along with the sensation of gas and bloating, could indicate a few potential issues. First, it is important to consider that diverticulosis can sometimes progress to diverticulitis, which is an inflammation or infection of the diverticula. Symptoms of diverticulitis can include abdominal pain (often in the lower left quadrant), fever, nausea, and changes in bowel habits, including diarrhea or constipation. The presence of fever and vomiting in your case raises the possibility of diverticulitis or another gastrointestinal infection.

Additionally, the sensation of gas retention and the feeling of your intestines "pulling" could be related to increased intestinal motility or spasms, which can occur during episodes of diarrhea. This can lead to discomfort and a feeling of fullness or bloating, even if you are passing gas. It is also worth noting that dietary factors, such as the intake of high-fiber foods or certain irritants, can exacerbate symptoms in individuals with diverticulosis.

Given your symptoms and the recent changes in your bowel habits, it is crucial to seek medical attention. While your previous evaluations (including endoscopy and colonoscopy) did not reveal any cancerous changes, the emergence of new symptoms warrants further investigation. A healthcare provider may recommend additional imaging studies, such as a CT scan of the abdomen, to assess for complications related to diverticulosis, such as diverticulitis or abscess formation.

In the meantime, managing your symptoms can involve several strategies:
1. Dietary Adjustments: Gradually increase your fiber intake to help regulate bowel movements, but be cautious with high-fiber foods if they exacerbate your symptoms. Staying hydrated is also essential, especially if you are experiencing diarrhea.

2. Medications: Over-the-counter medications may help alleviate symptoms of gas and bloating. However, avoid self-medicating without consulting a healthcare provider, especially if you have ongoing diarrhea and other concerning symptoms.

3. Monitoring Symptoms: Keep track of your symptoms, including the frequency and consistency of your bowel movements, any associated pain, and other systemic symptoms like fever. This information will be valuable for your healthcare provider.

4. Follow-Up Care: Since your doctor previously indicated that you could stop follow-up visits if your diarrhea improved, it may be time to revisit that decision given your current symptoms. Regular follow-up is essential for managing diverticulosis and any potential complications.

In summary, while mild diverticulosis itself may not be a cause for alarm, the recent onset of diarrhea, fever, and other gastrointestinal symptoms should be evaluated by a healthcare professional. Early intervention can help prevent complications and ensure that any underlying issues are addressed promptly.