A woman is brought to an emergency room complaining of severe pain in her left iliac region. She claims previous episodes and says that the condition is worse when she is constipated, and is relieved by defecation. A large, tender mass is palpated in the left iliac fossa and a barium study reveals a large number of diverticula in her descending and sigmoid colon. What are diverticula, and what is believed to promote their formation? Does this woman have diverticulitis or diverticulosis? Explain.…
Screening is recommended beginning at age 50. Yearly fecal occult blood / fecal immunochemical test (take home, multiple sample); flexible sigmoidoscopy every 5 years; double-contrast barium enema every 5 years; colonoscopy q 10 years.…
Anorexia, pain in the lower abdomen and nausea are common symptoms of appendicitis. It is important to seek medical help right away. Appendicitis is an inflammation of the appendix and if not treated right away, the appendix can bust and can lead to serious health problems. Surgery is needed to remove the appendix and the use of antibiotic.…
We as nurses have a common goal of educating the people that we care for and teaching them in detail about disease management and prevention. Diverticular disease is characterized by small pouches in the colon. Most people do not exhibit symptoms, but some will have mild symptoms such as cramps, bloating or constipation. If the pouches become inflamed or infected, they develop into a condition known as diverticulitis. The most common symptom is abdominal pain usually left…
Some risk factors for C.diff includes being over the age of 65, patients who are immunocompromised, gastrointestinal surgery and procedures, gastrointestinal stimulants, antiperistaltic drugs and proton pump inhibitors.…
Hemorrhoids may develop as a result of repeated straining during bowel movements, pregnancy, heredity, aging, and chronic constipation or diarrhea.…
Schmelzer, & F. Verville (2014) describe the pathophysiology of Crohns as inflammation of segment of the GI tract (most commonly in terminal ilieu and colon). The inflammation involves the mucosa, submucosa and muscularis layers of the intestinal wall. Adversely diseased portions occur between normal portions of the bowls. The diseased portions can contain deep ulcerations that penetrate through edematous mucosa where thickening of the bowel wall and narrowing of the lumen occur where abscesses, fistulas lesions may development (Schmelzer, & F. Verville,…
Like most inflammatory diseases, Crohn's and its symptoms are directly linked to an immune response. With Crohn's the immune system launches a direct attack on the digestive tract, leading to inflammation which can occur anywhere from the mouth to the rectum; although it is most commonly restricted to the small intestine. This constant state of inflammation causes physical damage to the lining of the area of the digestive tract affected, which leads to pain, ulceration, abcesses, along with frequent, watery bowel movements often accompanied by blood. Vomiting and an inability to absorb nutrients are also common, leading to weight loss, anemia, and malnutrition. The pain associated with Crohn's is said to come in waves and according to one patient "had me curled up in a ball on the floor, vomiting". Depending on the severity of inflammation, pain can range from mild to severe enough to warrant hospitalization and…
Crohn’s disease (CD) is a chronic inflammatory disease of the intestines that causes ulceration in the small and large intestines, but affects the digestive system between the mouth and the anus. Once the disease begins, it tends to be a chronic, recurrent condition with periods of remission and disease exacerbation. The disease tends to be more common in relatives of patients with Crohn’s disease. Crohn’s disease affects males and females at the same rate, normally between the ages of 10 and 30 y/s. Jewish people form Eastern European have a higher chance of CD. Genetic susceptibility and altered immunologic response to the normal bowel flora are the risk factors of CD. In addition, “Increased suppressor T cell activity, alterations in immunoglobulin A (IgA) production, macrophage activation, luminal flora, antigens, and susceptibility genes are factors associated with Crohn disease” (McCance & Huether, 2012, p.909). Overall, this paper is focusing on the steps of Crohn’s disease to cause ulcers in the small intestine, colon or both, their symptoms, their complications and pathogenic changes.…
Crohn's disease is the chronic inflammation of any part of gastrointestinal tract and involves all the layers of bowel wall. The genetic factors, immune system disorders, environmental factors (air, food, etc.) are the main causes of Crohn's disease.…
Constipated? Having difficulty passing your stool? You are quickly putting yourself at risk for developing diverticulosis. It is believed that pressure accumulation in the colon, created by people straining to pass harden stool, may cause the lining of the colon to bulge out in weak spots of the colon creating pouches, called diverticula. The condition of having diverticula is called diverticulosis (Diverticulosis and Diverticulitis, 2012). Although only ten percent of Americans over the age of forty have diverticulosis, the risk for developing it increases every ten years afterwards. It is suspected that everyone over the age of eighty has some form of diverticulosis (Issa et al.,…
When pouches called diverticula form on the wall of the colon become inflamed it becomes diverticulitis a very pain disease no one is sure what causes diverticulitis for sure, but doctors believe a low fiber diet may be a leading cause behind it. The treatments depend on if you have an infection and how bad your symptoms are which will typically be treated with antibiotics. Diverticulitis is a disease that affects the colon, doctors do not have a specific cause for the pea sized pouches. Diverticulitis was not very known 100 years ago due to the low percent of people contracting the disease. There are many more cases of diverticulitis then there was at any other point of history. The reason more and more people and starting to get diverticulitis is that; people now eat too much processed foods. The bowels work at a high volume and a low pressure. Processed foods have a very low volume and therefore require a high pressure to excrete the feces. The higher pressure from pushing can damage your colon, and anus. Eliminating waste should be easy for the body, not a high pressure challenge. When the feces is moving through the intestinal wall and there is a high amount of pressure the walls begin to get pressed upon by the feces. When the feces begins to press on the folds of the intestinal wall they become stuck inside the folds,and push out and hemorrhage the walls causing small papules, in which become inflamed and infected with a lot of bacteria becoming diverticulitis. Diverticulitis is found in 50-70% of people aged 80 years and older and 80% of the people with diverticulitis are age 50. Diverticulitis is not usually found in people younger than 40, Africans, and Asians. The most common regions diverticulitis affects is U.S.A., Europe, and Australia. Ages 50, obesity, and people with fiber diets are higher risk than other people to develop diverticulitis. In elder adults the muscular wall of the…
Aging, obesity, smoking, high fat and low fiber diets, a sedentary lifestyle. Certain medications have been known to increase the risk of diverticulitis. These include steroids, opiates, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.…
History: Crohn 's disease is an inflammatory bowel disease of an undetermined cause that afflicts more than five-hundred thousand people in the United States and is not biased in regards to which it strikes. People unlucky enough to get Crohn 's Disease include the old and young; rich as well as poor; men, women, and children of white, black, and Asian descent; the disease does not discriminate against age, social class, gender or color. Crohn 's primarily attacks the digestive system in the areas of the ileum, which is part of the small intestine and the large intestine (also known as the colon), but can occur in any section of the gastrointestinal tract. Although Crohn 's disease afflicts all age groups, initial diagnosis generally occurs before the age of thirty.…
A number of other problems may be associated with colitis. These are more likely when the disease is active and include skin…