Diverticular Bleeding | CS Mott Children’s Hospital | Michigan Medicine

Topic Overview

What is diverticular bleeding?

Diverticular bleeding occurs when pouches ( diverticulum ) that have developed in the wall of the big intestine ( colon ) shed blood. If you have these pouches, you have a condition called diverticulosis. Diverticular bleeding causes a large measure of rake to appear in your stool. Bleeding starts abruptly and normally stops on its own. Abdominal ( abdomen ) pain normally does not occur with the run. If you have a large sum of blood in your fecal matter, see a doctor correct away. It is possible, but not park, to cursorily lose then much rake that you become faint or weak.

What causes diverticular bleeding?

The reason pouches ( diverticulum ) form in the colon wall is not completely understand. Doctors think diverticulum form when eminent pressure inside the colon pushes against weak spots in the colon wall.

normally, a diet with adequate fiber ( besides called roughage ) produces stool that is bulky and can move easily through the colon. If a diet is low in fiber, the colon must exert more pressure than usual to move belittled, hard toilet. A low-fiber diet besides can increase the time toilet remains in the intestine, adding to the eminent press. Pouches may form when the high imperativeness pushes against weak spots in the colon. weak spots are where rake vessels pass through the muscle layer of the intestine wall to supply rake to the inside wall. Bleeding occurs when the rake vessel going to the pouch breaks open.

What are the symptoms?

Diverticular bleeding normally causes sudden, hard run from the rectum. The blood may be benighted crimson or bright loss clots. In most cases there is no pain, and the bleed stops on its own.

How is diverticular bleeding diagnosed?

Diverticular shed blood is diagnosed by ruling out other causes of the run. Your repair will do a checkup history and forcible examination, along with some tests. Imaging tests such as angiography ( besides known as arteriography ) may be done to find the placement of dogged shed blood. Colonoscopy —the inspection of the entire big intestine ( colon ) using a long, flexible, light up viewing scope ( colonoscope ) —is thought to be one of the most utilitarian tests for finding the source of bleeding in the lower intestines. Your doctor might do a test called a technetium-labeled crimson blood cell bleeding scan to look for the source of bleeding. In this test, some blood is taken from you, and a humble amount of radioactive material called technetium is added to the blood. The blood containing the technetium is then injected back into your bloodstream and traced to the source of bleeding.

How is it treated?

Bleeding from diverticulum often will stop on its own. If it does not, treatment may be needed to stop it and to replace lost lineage, and you may need to be hospitalized. discussion may include intravenous fluids, blood transfusions, injection of medicines, and in some cases surgery to remove the diseased part of the colon.

Can diverticular bleeding be prevented?

Eating a high-fiber diet, getting plenty of fluent, and exercising regularly may help prevent the geological formation of diverticulum. But if you already have diverticulosis, diet may not help prevent bleed. You may have a higher risk of diverticular bleeding if you take aspirin regularly ( more than 4 days a workweek ). footnote 1

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