Expert Treatment for Diverticulum by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Symptom Review
He asks about your abdominal or pelvic pain, bowel and bladder-related changes, past infections and family history of diverticular disease.
Physical Examination
An abdominal and pelvic exam helps identify areas of tenderness, masses or signs of urinary tract involvement.
Endoscopic Evaluation
- Colonoscopy or sigmoidoscopy to directly visualize colonic diverticula and assess for inflammation or bleeding.
- Cystoscopy when bladder diverticulum is suspected, to inspect the bladder lining and ureteral orifices.
Imaging Studies
- CT scan or MRI of the abdomen and pelvis to map diverticular pouches, detect complications (abscess, perforation) and evaluate surrounding organs.
- Pelvic ultrasound or endovaginal ultrasound for women to detect urethral or vaginal diverticula.
Contrast and Specialized Tests (if needed)
Barium enema or voiding cystourethrogram can further delineate pouch anatomy; endoscopic ultrasound may be used for detailed imaging.
Frequently Asked Questions
What is the difference between diverticulosis and diverticulitis?
Diverticulosis means you have small pouches (diverticula) in your organ walls without infection. Diverticulitis means those pouches are inflamed or infected, often causing pain, fever, or other symptoms.
Can diet fix duodenal diverticulum?
No. While a high-fiber diet helps prevent and manage colon diverticula, it does not treat duodenal diverticula. Duodenal pouches may require monitoring or specific medical intervention.
Is it common after age 50?
Yes. About half of people over age 50 develop diverticula-most remain symptom-free, but some will experience discomfort or complications.
When should I see a doctor for bladder diverticulum?
See a doctor if you have urinary pain, frequent bladder infections, difficulty emptying your bladder, or blood in your urine. Early evaluation can prevent complications.
Do all Meckel's diverticulum cases need surgery?
No. Asymptomatic Meckel's diverticulum often only requires observation. Surgery is recommended if there's bleeding, obstruction, inflammation, or other complications.
How long is recovery after diverticulum surgery?
Most patients go home within two days after laparoscopic repair and return to normal activities in one to two weeks, depending on the procedure and individual health.
Can bladder diverticulum lead to cancer?
It's rare. Regular follow-up with imaging and cystoscopic exams helps detect any abnormal changes early and reduces long-term risk.