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Kelly: ALOHA.
EVERY THURSDAY WE'RE TAKING A
LOOK AT A HEALTH ISSUE OR
CONCERN AFFECTING MANY PEOPLE.
BREAPG DOWN THE INFORMATION -- BREAKING DOWN THE
INFORMATION FOR YOU.
DOCTOR KALANI BRADY JINX US JOINS US
WITH THIS WEEK'S TOPIC,
DIVERTICULITIS.
GOOD MORNING.
Kelly: SOME PEOPLE MANY
HAVE NEVER HEARD OF THIS.
WE HEAR IT'S COMMON.
WHAT IS DIVERTICULITIS AND HOW
DO ADULTS GET THIS?
DIVERTICULITIS IS AN
OUTPOUCHING OF THE COLLIN.
AND IT OCCURS IN ABOUT 20% OF
THOSE AGED 40 AND MORE THAN HALF
OF THOSE THAT ARE AGE 60.
IT'S LIMITED TO THE SIGMOID
COLLIN ON LAST PORTION OF THE
COLON IN ABOUT TWO THIRDS OF
PATIENTS.
ASIANS HAVE AN INCREASED RISK OF
DIVERTICULOSI SIGH ONS ON THE RIGHT
SIDE.
IF YOU LOOK AT THE COLON AS A
BIG TUBE AND SEE A BLEB, AND
IT'S ON YOUR SCREEN NOW.
THOSE ARE DIVERTICULI.
THEY CAN BE FILLED WITH
MATERIAL-LIKE BACTERIA OR FOOD.
THEY CAN PER PERFORATE.
THAT'S THE SERIOUS DISEASE OF
DIVERTICULITIS.
Kelly: WHAT ARE THE
SYMPTOMS?
DIVERTICULOSIS IS WITHOUT
SYMPTOMS.
A COUPLE OCCUR.
ONE IS BLEEDING IN THE
DIVERTICULUM.
IN 10% OF PATIENTS.
THE OTHER RISK, DIVERTICULITIS,
THAT WE WERE TALKING ABOUT,
WHICH IS AN INFECTION OR INFLAM
ACHES OF THE DIVERTICULULUM.
DIVERTICULITIS IS PAIN IN THE
LEFT LOWER BELLY.
ASIANS HAVE AN INCREASED RISK IN
THE RIGHT LOWER BELLY SO THE
PAIN CAN BE THERE.
ALSO NAUSEA OR VOMITING CAN
OCCUR.
AND LOW-GRADE FEVER IS COMMON.
YOU CAN HAVE CONSTIPATION OR
DIARRHEA.
Kelly: WHAT ARE RISK
FACTORS?
DIVERTICULITIS IS ASSOCIATED
WITH A HIGH DIET IN REC'D RED MEATS
AND LOW FIB YOU FIBER DIET AND LACK OF
EXERCISE.
BECOME OVERWEIGHT AND SMOKING.
AND NON STEROIDAL
ANTI-INFLAMMATORIES CAN INCREASE
THE RISK.
Kelly: WHAT ABOUT -- I'M
ASSUMING THE RISK FACTORS ARE
SIMILAR FOR DIVERTICULITIS?
YES.
ABOUT 5 TO 15% PATIENTS END UP
WITH DIVERTICULITIS.
Kelly: ON THE SMALLER END.
NOT NECESSARILY IT'S GOING TO
DEVELOP INTO THAT.
CORRECT.
Kelly: GOOD TO KNOW.
IF YOU DO HAVE THIS, HO YOU ARE --
HOW ARE YOU TOYING NOSED? DIAGNOSED?
PAIN IN THE LEFT LOWER BELLY
IS THE MOST COMMON SYMPTOM
ASSOCIATED WITH THE OTHER
THINGS.
AND DIVERTICULITIS CAN BE
OBVIOUSLY IN REVIEW A
PERFORATATION.
COMMON AGE IS 63.
Kelly: IS THAT SOMETHING
THEY CHECK FOR WHEN YOU GET A
COLLIN OS
COLONOSCOPY?
COLON CANCER AT THE MARGIN
CAN BE THE CAUSE OF
DIVERTICULITIS.
SO IT'S IMPORTANT TO GET A
COLLENNOSCOPY AFTER YOU'RE
CURED.
DURING THE EPISODE YOU CAN BE
TREATED AS AN OUT-PATIENT AND
SOMETIMES WITH SURGERY.
Kelly: WHAT ARE THE
TREATMENTS?
TREATMENTS ARE ORAL ANTIBOX,
PAIN MEDICATION BECAUSE THE PAIN
IS SEVERE IN OUT PATIENTS.
IF YOU'RE IN THE HOSPITAL, I.V.
ANTIBIOTICS, FLUIDS AND PAIN
MEDICATION.
Kelly: SO THERE'S A LOT
THAT GOES INTO IT?
YES.
Kelly: AND WE WERE TALKING
ABOUT TWO ALREADY SERIOUS
CONDITIONS.
COULD THESE POSSIBLY LEAD TO A
MORE SERIOUS DISEASE?
IF THE DIVERTICULUM PERFOR AR
ATES, THAT'S SERIOUS.
SOMETIMES PEOPLE END UPS WITH A
BAG FROM PERITONITIS.
IT'S A VERY SERIOUS CONDITION.
AND DIVERTICULITIS SHOULD BE
PREVENTED AND TREATED
AGGRESSIVELY.
Kelly: WOW.
THANKS SO MUCH FOR BREAKING THAT
DOWN.
IT'S SOMETHING THAT MAYBE SOME
OF US HAVEN'T HEARD ABOUT IT BUT
IT'S COMMON.
COMMON.