Diverticulosis is also referred to as Diverticular disease

Occurs when “diverticula” or small outpocketings are found within the colon of the Large Intestines.

The pockets occur in the mucosa and submucosa.

Rectal bleeding is a sign but it is non-specific

Therefore often rectal bleeding must be evaluated to rule out Hemorrhoids and Colon Cancer.



  • Often no symptoms are present
  • Rectal bleeding
  • Abdominal pain
  • Abdominal cramping
  • Diarrhea
  • Constipation


Potential Causes:

  • A weakness in the muscle layer of the colon wall.
  • Increased pressure within colon
  • Colonic spasms

Risk Factors

  • Increased age
  • Constipation disease or conditions
  • Large or little fiber intake
  • Large intake of red meat
  • Connective tissue disorder



Often seen in the sigmoid colon, this portion of the colon has increased pressure


Those affected

  • Increase risk or occurrence as age increase
  • Less often found under the age of 40.
  • Over age 40 in U.S – 10% has this condition
  • Commonly found in US, Britain, Australia, Canada
  • Less common in Asia and Africa


diverticulosis II


Colonoscopy is essential when symptoms are present

X-ray, CT, MRI are helpful


Potential Complications

1.)  Diverticulitis – infection in the pockets

2.)  Abscess formation

3.)  Sepsis

4.)  Fistula

5.)  Enterolith

6.)  others


Other organs affected due to complications may be:

1.)  Bladder



Dietary changes

  • Increase hydration
  • Increase fiber
  • Avoid certain foods

.  Nuts
.  Popcorn
.  Sunflower seeds
.  Pumpkin seeds
. Sesame seeds

  • Foods that don’t require avoidance

. Tomatoes
. Zucchini
. Strawberries
. Raspberries
. others

  • Medications

Ciprofloxacin  (Cipro)
Metronidazole  (Flagyl)
Cephalexin  (Keflex)

  • Surgery

May be required when complications arise
Drainage of area may be required
Bowel resection may be required

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