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DIVERTICULITIS – DIAGNOSIS
Complications are common and are the usual reason for operation. Diagnosis of the condition should be made on the history and the physical examination. The special tests are used only to confirm that diagnosis and determine the extent of the disease.
Treatment of the condition will depend on its extent and severity. In the past, a low residue diet was recommended to rest the bowel. We now know that this is the main cause of the complaint, so such a diet is suggested only during an acute attack.
At all other times, a diet high in bulk or residue is advised. It should include fruit, vegetables and wholemeal cereals. Added bulk may be gained by taking bran or one of the prepared vegetable extracts which swell when water is added.
Laxatives should be avoided as they increase the pressure inside the bowel and may contribute to the formation of diverticula.
Pain relieving tablets which do not constipate, and also the antispasmodic drugs which reduce the muscular contractions, may be necessary.
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