Student’s Name
Institutional Affiliation

Diverticulitis has become one of the most common diseases in the Western world, which affects the digestive tract. Diverticulitis is a serious condition that causes small, bulging pouches on the lining of the digestive system, especially in the lower part of the colon. For people who are above the age of 40 years, the complication can be common and often pose serious problems. The pouches formed can become inflamed or infected, which now marks the onset of the condition Diverticulitis. The pouches are weak spots that allow bacteria to gather and cause infection. The condition once it strikes, causes severe abdominal pain, significant bowel habit changes, fever, and nausea.
Common Signs and Symptoms
According to Carabotti, Annibale, Severi, and Lahner (2017), only 4% of a typical American population will have Diverticulitis and of those, only 15% will experience complications. Sallinen, Mali, Leppäniemi, and Mentula (2015) explain that for people who have had an episode of Diverticulitis, 39% of such individuals will have another attack from the complication within five years. The same study continues to say that the first attack is the worst one since, in future, the scar tissue will prevent future perforations. As such, those with mild episodes, have a good chance of avoiding serious recurrences. When the complication becomes severe and chronic, then the condition escalates and becomes serious. According to Bugiantella et al. (2015), such chronic Diverticulitis can be treated using surgical procedures.
According to Baum & Companioni (2018), patients with Diverticulitis experience a left lower quadrant abdominal pain and tenderness. Often patients have a palpable sigmoid and the pain is occasionally suprapubic. The pain of patients with Diverticulitis is often accompanied by nausea, fever, and vomiting. Sometimes, the patient might have a urinary symptom, which results from bladder irritation. Patients might experience peritoneal signs with an abscess. Bleeding is uncommon although Onur, Akpinar, Karaosmanoglu, Isayev, and Karcaaltincaba (2017) explain that 17% of people with chronic diverticulitis will experience bleeding.
Screening Assessment Tools and Recommended Diagnostic Tests
Different health conditions are similar to the perspectives of symptoms to those of diverticulitis and as such, it is imperative to conduct several tests to rule out other similar cases. A nurse practitioner or any other clinician will be interested in knowing the symptoms from the patient’s perspective, the patient’s health history, and any other medications that the patient is taking. A physical examination to check the abdomen for tenderness is necessary. Further, a digital rectal exam is necessary to check for aspects such as bleeding, masses and other problems.
According to Wensaas and Hungin (2016), different tests can be conducted to diagnose the complication such as blood tests to confirm the status of aspects such as inflammation, anemia, or kidney/liver problems. A urine test is necessary to detect and rule out different types of infection. A stool test is necessary to detect gastrointestinal infections, such as Clostridium difficile. To rule out gynecologic problems in women, a pelvic exam is necessary. Pregnancy tests in women are also necessary to rule out pregnancy complications with women.
After ruling out other possibilities using the tests described above, conclusive tests are necessary. Imaging tests, for instance, abdominal ultrasound or the abdominal CT Scan to give images of the gastrointestinal tract. A Barium enema test can be done, which is a form of an x-ray test that involves the use of liquid material through the colon to get the outline of the colon and identify large polyps/growth or diverticula are present on the walls of the colon. Colonoscopy can also be done as it will show the inside of the colon and will show abnormalities in the colon.
Treatment Plans
Non-pharmacologic treatment of diverticulitis is possible. Lots of rest and high fluid intake is encouraged to help the patient recover from symptoms as explained by Bugiantella et al. (2015). Pharmacologic treatment of diverticulitis includes the use of antibiotics, radiologic guided drainage, surgery, and temporary colostomy. With acute conditions, patients should be hospitalized and administered with antibiotics for 7 to 10 days, which include Metronidazole 500mg 8h plus fluoroquinolone 500 mg 12 h or Metronidazole 500mg 8h plus sulphamethoxazole 800/16 mg 12 h. The antibiotic regimen is based on selected factors such as the severity of the illness or adverse outcome. According to Feingold et al. (2014), surgery can be a necessary option depending on the severity of the complication, especially for patients with perforation. A temporary colostomy is required during complicated surgery. Radiologic guided drainage, which is a tube placed in the abdomen to drain large abscesses.
Diverticulitis has been seen to be a serious illness that calls for serious medical intervention, especially in acute cases. Patients are advised to take fluid foods and be diagnosed by medical professions to rule out other possible causes. Patients who are critically ill need to be hospitalized and administered with a regime of antibiotics to help with the problem. Depending on the determination of the medical examination and diagnosis, patients might be booked for surgery.

Don't use plagiarized sources. Get Your Custom Essay on
Just from $13/Page
Order Essay

Bugiantella, W., Rondelli, F., Longaroni, M., Mariani, E., Sanguinetti, A., & Avenia, N. (2015). Left colon acute diverticulitis: an update on diagnosis, treatment, and prevention. International Journal of surgery, 13, 157-164.
Carabotti, M., Annibale, B., Severi, C., & Lahner, E. (2017). Role of fiber in symptomatic uncomplicated diverticular disease: a systematic review. Nutrients, 9(2), 161.
Onur, M. R., Akpinar, E., Karaosmanoglu, A. D., Isayev, C., & Karcaaltincaba, M. (2017). Diverticulitis: a comprehensive review with usual and unusual complications. Insights into imaging, 8(1), 19-27.
Sallinen, V., Mali, J., Leppäniemi, A., & Mentula, P. (2015). Assessment of risk for recurrent diverticulitis: a proposal of risk score for complicated recurrence. Medicine, 94(8).
Wensaas, K. A., & Hungin, A. P. (2016). Diverticular disease in the primary care setting. Journal of clinical gastroenterology, 50, S86-S88.

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Confidentiality Guarantee

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

24/7 Support

Our specialists are always online to help you! We are available 24/7 via live chat, WhatsApp, and phone to answer questions, correct mistakes, or just address your academic fears.

See our T&Cs
Live Chat+1(978) 822-0999EmailWhatsApp

Order your essay today and save 30% with the discount code ESSAYHELP