Diverticular Colitis

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NABO
Regular Member


Date Joined Apr 2010
Total Posts : 69
   Posted 8/3/2011 5:25 PM (GMT -7)   

I was diagnosed about 6 years ago with left side UC. I just had a Colonoscope today and my GI said I really have diverticular colitis. He said that recently there is a realization that some patients diagnosed with UC really have diverticular colitis. He said that this is not an autoimmune disease and could be caused by inadequate blood flow to a portion of the colon. He said that the treatment is the same as UC.

Has anyone heard of diverticular colitis? When speaking to the doctor, I was still groggy having just come out of anesthesia and did not ask questions.


NABO

Diagnosed with left side UC in 2005 Colazol 4 x 3 daily
2005 to 2009 condition manageable with minor flare-ups
2010 to May 2010 - more severe flare-up
May 2010 started Mesalamine Rectal Suspension Enema
May 19, 2010 Started cortenema

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 10483
   Posted 8/3/2011 5:43 PM (GMT -7)   
NABO, I haven't heard of such a thing. Sorry, I wish I could be more helpful. One of the moderators here, Red 34, has diverticulitis and UC and she would probably find this interesting, she's on vacation for a few days. Diverticulitis runs in my family.
Co-moderator: Ulcerative Colitis
Diagnosed with Pancolitis & Migraines. Battling Extreme Exhaustion
Currently: Asacol (3200mg) + 6mp (25mg) + Pristiq (50mg) + Zantac (150mg) + Canasa (1g AM/PM)

basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 8/3/2011 10:25 PM (GMT -7)   
I haven't heard of it either. I would think that if there was inadequate blood flow that it would be called ischemic colitis.
Sam(antha)
22 year old college student
Diagnosed with ulcerative colitis in Sept '04 and went into remission in Jan '06 through a bowel rest. Severe case of mono in Feb '06 and went back into remission. 4/12/11 Possibly flaring 4/26/11 biopsies and scope show no active UC! Just IBS
Currently on:| 3 colazal (generic) 2x daily | Back on effexor (generic) 75mg | 25mg Elavil | Levsin .125mg as needed

quincy
Elite Member


Date Joined May 2003
Total Posts : 25831
   Posted 8/4/2011 2:25 AM (GMT -7)   
NABO...what you are describing is as Sam says...ischemic colitis.

Do you have diverticulosis?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

NABO
Regular Member


Date Joined Apr 2010
Total Posts : 69
   Posted 8/4/2011 3:36 AM (GMT -7)   
q: I am not sure what I have. I am only going by what my Dr said. A google search of Diverticular Colitis shows that it does exist, but there is little information about it on line. I am just searching for information and to see if someone else has been diagnosed with this disease.
NABO

Diagnosed with left side UC in 2005 Colazol 4 x 3 daily
2005 to 2009 condition manageable with minor flare-ups
2010 to May 2010 - more severe flare-up
May 2010 started Mesalamine Rectal Suspension Enema
May 19, 2010 Started cortenema

NABO
Regular Member


Date Joined Apr 2010
Total Posts : 69
   Posted 8/4/2011 9:07 AM (GMT -7)   
Here is some information I found on line:

Diverticular disease–associated segmental colitis is a unique variant of chronic colitis limited to segments of the left colon that harbor diverticula. Histologically, this disease mimics chronic idiopathic inflammatory bowel disease and can be indistinguishable from ulcerative colitis or Crohn’s colitis on histologic grounds alone. Patients typically present with hematochezia and cramping abdominal pain, and colonoscopic evaluation reveals inflammatory changes limited to the segment of bowel containing the diverticula, with rectal sparing. Although this disease does not appear to be an unusual form of diverticulitis but possibly an immunologically mediated process, many patients respond to treatment directed toward diverticulitis. A subset of patients requires immunosuppressive therapy and/or surgery, and a small subset progresses to develop classic ulcerative colitis.

Clinical Gastroenterology and Hepatology
Volume 5, Issue 1 , Pages 27-31, January 2007
NABO

Diagnosed with left side UC in 2005 Colazol 4 x 3 daily
2005 to 2009 condition manageable with minor flare-ups
2010 to May 2010 - more severe flare-up
May 2010 started Mesalamine Rectal Suspension Enema
May 19, 2010 Started cortenema now use only when needed
Aug 3 2011 After colonoscopy now diagnosis is Diverticular Colitis

Sweetie31105
Veteran Member


Date Joined Aug 2008
Total Posts : 903
   Posted 8/4/2011 9:12 AM (GMT -7)   
So, you have diverticulitis. My Grangpa had that and they just had to cut out a portion of his colon that the disease was at and then he's been fine. This could be a blessing in disguise since it's a step up from UC.
29 year old, Married, Female. Moved from Sacramento, Ca to Arizona July 5th, 2010
Diagnosed with UC since March 2007
Taking Humira since May ’07 (Currently in remission since May ’07 with minor yearly flares)
Prescribed Imuran from May ’07 to Jan. 15, 2009. Can’t take Asacol, allergic to remicade, odd reactions to Canasa.
Flares: *5/ ’08 – 7/ ’08 * Mid 6/ ’09 – 8/21/2009 * 3/16/2010 – Beg. 8/2010

AZYooper
Veteran Member


Date Joined Mar 2010
Total Posts : 1170
   Posted 8/4/2011 9:49 AM (GMT -7)   
Never heard of it. I have diverticulosis with no symptoms.When you have symptoms it is called diverticular disease. My dad had serious diverticulitus which is infected diverticula. He had his sigmoid segment removed and not a problem since.

diverticular colitus sounds like it is a symptom of diverticular disease and hence curable. You do not get colitus away from the area with diverticuli. Or maybe not.

If you read this whole link, you start wondering how many colitises there are and how much they really know about colitis. Gets more and more confusing.



www.uptodate.com/contents/diverticular-colitis

AZYooper
Veteran Member


Date Joined Mar 2010
Total Posts : 1170
   Posted 8/4/2011 9:52 AM (GMT -7)   
The article does mention that it could be caused by localized ischemia but that ischemic colitis also exists
Diagnosed with proctosigmoiditis as my 50th birthday present Dec 2009
4.8 grams Asacol HD plus 1000mg canasa daily for 8 weeks. Went to 1.6 gr Asacol for 8 months. Tried sulfasalzine for a month got adverse reactions

On 3 g/day generic Colazal now,fish oil, homemade yogurt(VSL#3), pscillium husk,glucosamine sulfate,curcumin,ginger,milk thistle, boswellia.

quincy
Elite Member


Date Joined May 2003
Total Posts : 25831
   Posted 8/4/2011 10:38 AM (GMT -7)   
NABO....what exactly did the doc say regarding what he saw that lead him to say diverticular colitis.
 
Regardless of what an article states that it is...I'm wanting to know what it is that the doc says is going on.  Hence we're asking if you have diverticulosis, etc.
 
Ischemic colitis is a separate issue as is UC...so lots going on with you.  . 
 
When are you going back for the results of your biopsies? 

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18093
   Posted 8/4/2011 11:09 AM (GMT -7)   
"colitis"= inflammation of the colon (col-colon---itis-inflammation).
My mother in law has diverticulosis, she ended up having a perforation in her large bowel (colon) and had to wear a bag for a year before getting it reversed.
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

NABO
Regular Member


Date Joined Apr 2010
Total Posts : 69
   Posted 8/4/2011 2:54 PM (GMT -7)   
q: Remembering that I was just coming out of anesthesia I will try to recall what Dr. said.

He said you have a small area of inflammation with ulcers on the left side of your colon. This has not changed since you last colonoscopy (3 years ago). What you have is diverticular colitis. He said that recently there is a realization that some patients diagnosed with UC really have diverticular colitis. He said that this is not an autoimmune disease and could be caused by inadequate blood flow to a portion of the colon usually on the left side of the colon. He said that the treatment is the same as UC.

He also said that the rest of the colon is fine but he took some pieces for biopsies as precaution. He expects them to be negative. He said that he will mail the results to me and if they are negative, I will have my next colonoscopy in five years. I question the five years, but he said that from my history he determined that five years is sufficient.
NABO

Diagnosed with left side UC in 2005 Colazol 4 x 3 daily
2005 to 2009 condition manageable with minor flare-ups
2010 to May 2010 - more severe flare-up
May 2010 started Mesalamine Rectal Suspension Enema
May 19, 2010 Started cortenema now use only when needed
Aug 3 2011 After colonoscopy now diagnosis is Diverticular Colitis

quincy
Elite Member


Date Joined May 2003
Total Posts : 25831
   Posted 8/5/2011 4:07 AM (GMT -7)   
OK, so no rectal involvement?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

NABO
Regular Member


Date Joined Apr 2010
Total Posts : 69
   Posted 8/5/2011 4:24 AM (GMT -7)   
No mention of rectal involvement.
NABO

Diagnosed with left side UC in 2005 Colazol 4 x 3 daily
2005 to 2009 condition manageable with minor flare-ups
2010 to May 2010 - more severe flare-up
May 2010 started Mesalamine Rectal Suspension Enema
May 19, 2010 Started cortenema now use only when needed
Aug 3 2011 After colonoscopy now diagnosis is Diverticular Colitis

quincy
Elite Member


Date Joined May 2003
Total Posts : 25831
   Posted 8/5/2011 2:14 PM (GMT -7)   
got it.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

wodin
Regular Member


Date Joined Jul 2009
Total Posts : 498
   Posted 8/5/2011 5:49 PM (GMT -7)   
Thanks for the info re: UC with diverticulosis.

After my last C-Scope in February, my GI said I had UC in remission, and diverticulosis. That made sense to me as since my UC went into remission, the only symptoms I had was some lower abdominal pain, sometimes severe enough to need one or two Percocet per day, but usually not.

Then my PCP prescribed a course of Cipro for a UTI, and the pain went away. I speculated that my diverticula had abscessed, and the Cipro cleared that up. My GI did not dispute this, so I think it was pretty close.

I’m due for a follow-on appointment with my GI, so I’ll be sure to ask him about this. From what I’ve seen here and in the links, I’m pretty sure I’d rather have diverticular colitis than ulcerative colitis.
Proctosigmoiditis
67 year old male
Diagnosed Feb 2007
Currently in remission X 22 months
Contracted Steroid induced diabetes during last flare.
6 Grams/Day Colazal, nicotine therapy
Nicotine therapy , primarily electronic cigarettes supplemented by Nicorett lozenges

NABO
Regular Member


Date Joined Apr 2010
Total Posts : 69
   Posted 8/8/2011 11:33 AM (GMT -7)   
I’m pretty sure I’d rather have diverticular colitis than ulcerative colitis, also. I have not had as many problems as most on this blog. I never needed to go into the hospital nor have I needed Prednisone. It seems like the diverticular colitis may be age related. I was diagnosed at age 52. Now when I seem to flare, a cortenema or two seems to correct the problem.
NABO

Diagnosed with left side UC in 2005 Colazol 4 x 3 daily
2005 to 2009 condition manageable with minor flare-ups
2010 to May 2010 - more severe flare-up
May 2010 started Mesalamine Rectal Suspension Enema
May 19, 2010 Started cortenema now use only when needed
Aug 3 2011 After colonoscopy now diagnosis is Diverticular Colitis
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