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Diverticulitis

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Conditions

Expert Diverticulitis Treatment in Houston, Bay City & Lake Jackson

Diverticulitis is an inflammatory condition affecting the colon that can cause significant abdominal pain, fever, and changes in bowel habits. At Your GI Center, our board-certified gastroenterologists provide comprehensive diagnosis and treatment for diverticulitis at three convenient Southeast Texas locations in Houston, Bay City, and Lake Jackson. With over twenty-five years of combined experience, advanced diagnostic technology, and a patient-centered approach, we help patients manage diverticular disease and prevent future complications.

What is Diverticulitis?

Diverticulitis occurs when small pouches called diverticula, which have formed in the colon wall, become inflamed or infected. These pouches develop over time in a condition called diverticulosis, which affects approximately half of people over age 60. While most people with diverticulosis never experience symptoms, diverticulitis develops when bacteria and waste material become trapped in these pouches, leading to inflammation and infection.

The condition most commonly affects the sigmoid colon—the S-shaped section of the colon located in the lower left abdomen—though diverticulitis can occur anywhere in the colon. Without proper treatment, diverticulitis can lead to serious complications including abscess formation, bowel perforation, peritonitis, fistula development, or intestinal obstruction.

Symptoms of Diverticulitis

Diverticulitis symptoms can range from mild to severe and typically develop suddenly, though some patients experience gradual onset. Common symptoms include:

Abdominal Pain

Persistent pain in the lower left abdomen is the hall mark symptom of diverticulitis. The pain may be constant or cramping and typically worsens with movement or coughing. Some patients describe a tender area that hurts when touched.

Fever and Chills

Fever indicates infection and inflammation. Temperature may range from low-grade to high fever depending on severity.

Nausea and Vomiting

Many patients experience digestive upset including nausea, vomiting, and loss of appetite.

Changes in Bowel Habits

Diverticulitis can cause constipation or diarrhea. Some patients experience alternating patterns.

Bloating and Gas

Abdominal distension and increased gas production are common.

Rectal Bleeding

Though less common than with diverticulosis, some patients experience blood in stool.

Urinary Symptoms

If inflammation affects the bladder, patients may experience frequent urination, urgency, or burning.

Severe symptoms requiring emergency evaluation include intense abdominal pain, high fever, significant rectal bleeding, inability to pass gas or stool, or persistent vomiting. If you experience these symptoms, seek immediate medical attention.

Causes and Risk Factors

Diverticulitis develops when diverticula become inflamed or infected. Several factors increase risk:

Age

Diverticular disease is rare before age 40 but becomes increasingly common with age. The colon wall weakens over time, making diverticula formation more
likely.

Low-Fiber Diet

Diets low in fiber and high in red meat increase risk of diverticular disease. Fiber helps soften stool and reduce pressure in the colon, while low-fiber diets lead to constipation and increased colon pressure that can contribute to diverticula formation.

Lack of Exercise

Physical inactivity increases risk. Regular exercise promotes normal bowel function and may help prevent diverticular disease.

Obesity

Being significantly overweight increases risk of diverticulitis and its complications.

Smoking

Tobacco use increases risk of diverticulitis complications and may affect healing.

Certain Medications

Regular use of NSAIDs (aspirin, ibuprofen, naproxen), steroids, or opioids increases risk.

Genetics

Family history of diverticular disease increases risk, suggesting genetic predisposition.

Diagnosis

Our gastroenterologists diagnose diverticulitis through:

Medical History and Physical Examination

We review your symptoms, medical history, and medications. Physical examination includes abdominal palpation to identify tender areas and assess severity.

Blood Tests

Complete blood count (CBC) checks for elevated white blood cell count indicating infection. We also assess kidney and liver function.

CT Scan

CT imaging of the abdomen and pelvis is the gold standard for diagnosing diverticulitis. It reveals inflamed diverticula, abscesses, perforations, or other complications. CT helps determine severity and guides treatment decisions.

Colonoscopy

We typically defer colonoscopy until inflammation resolves (usually 6-8 weeks after acute episode) to avoid perforation risk. Once healed, colonoscopy examines the entire colon, confirms diverticular disease, and rules out other conditions like inflammatory bowel disease or colon cancer.

Treatment Options

Diverticulitis treatment depends on severity and whether complications exist:

Uncomplicated Diverticulitis (Mild Cases)
  • Antibiotics: Oral antibiotics treat infection. We select antibiotics that effectively target the bacteria commonly involved in diverticulitis.
  • Clear Liquid Diet: We recommend clear liquids for several days to rest the colon. As symptoms improve, we gradually reintroduce solid foods.
  • Pain Management: Acetaminophen provides pain relief. We avoid NSAIDs as they may worsen inflammation.
  • Rest: We recommend rest and reduced physical activity until symptoms improve.
Complicated Diverticulitis (Severe Cases)
  • Hospitalization: Severe diverticulitis requires hospital admission for IV
    antibiotics, bowel rest with nothing by mouth, IV fluids, and close monitoring.
  • Drainage: If abscess develops, interventional radiologists may drain it
    using CT-guided needle placement.
  • Surgery: Surgery becomes necessary if perforation occurs, abscess doesn’t respond to drainage, fistula develops, obstruction occurs, or severe symptoms recur frequently. Surgery typically involves removing the affected colon segment (partial colectomy).
Long-Term Management

After recovering from acute diverticulitis, we help you prevent future episodes through:

  • High-Fiber Diet: Gradually increasing fiber intake to 25-35 grams daily helps maintain normal bowel function and reduce colon pressure.
  • Adequate Hydration: Drinking plenty of fluids helps fiber work effectively.
  • Regular Exercise: Physical activity promotes healthy bowel function.- Maintaining Healthy Weight: Weight management reduces risk of recurrence.
  • Avoiding Smoking: Smoking cessation improves outcomes.
  • Probiotics: Some evidence suggests probiotics may help prevent recurrence, though more research is needed.

Preventing Diverticulitis

While you cannot reverse existing diverticula, you can reduce your risk of developing diverticulitis:

Why Choose

Your GI Center for Diverticulitis Care?

Board-Certified Gastroenterologists

Our physicians completed rigorous training at top medical institutions and maintain board certification through ongoing education. Dr. Nizam Meah and Dr. U. Siddiqui bring over twelve years each of specialized experience diagnosing andtreating diverticular disease.

Comprehensive Diagnostic Capabilities

Our facilities offer complete diagnostic services including laboratory testing and coordination with imaging centers for CT scans. Once you’ve recovered from acute diverticulitis, we perform colonoscopy at our on-site endoscopy centers to thoroughly evaluate your colon.

Personalized Treatment Plans

We recognize that each patient’s situation is unique. We develop individualized treatment plans based on your specific symptoms, severity, medical history, and lifestyle factors. Our approach balances effective treatment with quality of life considerations.

Three Convenient Locations

We serve patients throughout Southeast Texas with offices and endoscopy centers in Houston, Bay City, and Lake Jackson. This means you can receive expert care close to home without long drives to Houston.

Same-Day Appointments Available

When you’re experiencing diverticulitis symptoms, timely evaluation is important. We typically handle appointment requests the same day during business hours, usually within three hours.

Schedule Your Diverticulitis Consultation

If you’re experiencing symptoms of diverticulitis or have been diagnosed with diverticular disease and want to discuss prevention strategies, Your GI Center is here to help. Our experienced gastroenterologists provide comprehensive evaluation and treatment at three convenient Southeast Texas locations.

To schedule your appointment, call 1-888-292-0010 or contact your preferred location:

Houston

(713) 436 8171

12951 South Freeway, Houston, TX 77047

Bay City

(979) 292-0033

720 Avenue F North, Bay City, TX 77414

Lake Jackson

(979) 292-0033

109 Parking Way, Lake Jackson, TX
77566

Our team is committed to providing expert, compassionate care that helps you recover from diverticulitis and maintain optimal digestive health.