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Diverticulitis typically presents with lower quadrant abdominal pain of a sudden onset. [1] Patients commonly have elevated C-reactive protein and a high white blood cell count. [10] In Asia it is usually on the right (ascending colon), while in North America and Europe, the abdominal pain is usually on the left lower side (sigmoid colon).
Diverticulitis is defined as diverticular disease with signs and symptoms of diverticular inflammation. Clinical features of acute diverticulitis include constant abdominal pain, localized abdominal tenderness in the left lower quadrant of the abdomen, nausea, vomiting, constipation or diarrhea, fever and leukocytosis .
Complicated diverticulitis is treated with antibiotics and may require surgical interventions such as abscess drainage or fistula repair. [8] Pain is managed with antispasmodics or acetaminophen, rather than NSAIDs (ibuprofen, aspirin, etc.). [16] Antibiotics should be used selectively in most cases of uncomplicated diverticulitis.
Dr. Wasan shares that there are several organs located on the right side of the body that can cause pain, including the lungs, gallbladder, pancreas, appendix, colon or even kidneys.
Erosion and inflammation most commonly causes pain in the left lower quadrant. Diverticulitis is usually not associated with hematochezia, or rectal bleeding, since the blood vessels become scarred from inflammation, and therefore rectal bleeding is more associated with diverticulosis.
Abdominal pain is one of the top reasons people seek medical treatment—and no wonder: It could be anything from a pulled muscle to a life-threatening aneurysm. Check out the 10 types of pain you ...