💩 DIVERTICULITIS

Question 1

What is Diverticulitis?

Answer 1

nflammation or infection of one or more diverticula (small pouches in the colon wall).
Tagalog: Pamamaga o impeksyon ng maliliit na supot (diverticula) sa bituka, kadalasan sa colon.
💡 Tip: “Diverticulosis” = may pouch lang; “Diverticulitis” = may inflammation na.

Question 2

What are the common symptoms of diverticulitis?

Answer 2

Left lower quadrant (LLQ) pain

Fever

Nausea, vomiting

Constipation or diarrhea

Bloating and tenderness
Tagalog: Sakit sa kaliwang tagiliran, lagnat, pagduduwal, at kabag.

Question 3

What causes diverticulitis?

Answer 3

Food, stool, or bacteria get trapped in the diverticula → infection and inflammation.
Tagalog: Pagkakulong ng pagkain o dumi sa pouch kaya naiimpeksyon at namamaga.

Question 4

What is the most common diagnostic test for diverticulitis?

Answer 4

CT scan with contrast.
Tagalog: CT scan ang ginagamit para makita kung may pamamaga o abscess.
⚠️ Avoid colonoscopy or barium enema during acute phase — risk for perforation!

Question 4

What are complications of diverticulitis?

Answer 4

Perforation (pumutok ang bituka)

Peritonitis (infection sa tiyan lining)

Abscess or fistula formation
Tagalog: Pwedeng pumutok o mamaga ang bituka at kumalat ang impeksyon sa buong tiyan. 🚨

Question 5

What lab findings indicate diverticulitis?

Answer 5

↑ WBC (infection), mild ↑ ESR or CRP (inflammation).
Tagalog: Tumaas ang white blood cells at inflammatory markers dahil sa impeksyon.

Question 6

What type of pain is typical for diverticulitis?

Answer 6

Steady LLQ (left lower quadrant) pain.
Tagalog: Tuloy-tuloy na sakit sa kaliwang ibaba ng tiyan.

Question 7

What is the treatment for mild diverticulitis?

Answer 7

Oral antibiotics

Clear liquid diet → progress to low-fiber as tolerated

Rest
Tagalog: Gamot laban sa impeksyon, likidong pagkain muna, at pahinga.

Question 8

What is the diet for acute diverticulitis?

Answer 8

Clear liquids → advance to low-fiber diet until healed.
Tagalog: Simula sa sabaw o likido lang, tapos konting himay-himay na pagkain na madaling tunawin.

Question 8

What is the treatment for severe diverticulitis?

Answer 8

IV fluids

IV antibiotics

Possible NPO (no food by mouth)

Surgery if perforation occurs
Tagalog: Ilagay sa dextrose, antibiotics, at tigil muna sa pagkain; minsan kailangan operahan.

Question 9

What is the long-term diet after recovery (diverticulosis management)?

Answer 9

High-fiber diet (whole grains, fruits, vegetables)
Tagalog: Mataas sa fiber para maiwasan ang paninigas ng dumi at bagong diverticula.
💡 Tip: Fiber = soft stool = less pressure sa colon wall.

Question 10

What foods should be avoided during acute diverticulitis?

Answer 10

Nuts, seeds, popcorn, corn

Tough, high-fiber foods
Tagalog: Iwas sa mani, buto, at popcorn habang may inflammation kasi pwedeng ma-trap sa pouch.

Question 11

What are nursing priorities for diverticulitis?

Answer 11

Assess pain & bowel sounds

Monitor for signs of perforation (rigid abdomen, rebound tenderness)

Administer fluids & antibiotics

Educate about diet progression
Tagalog: Bantayan ang tiyan, bigyan ng gamot, at ituro kung kailan babalik sa normal diet.

Question 12

What sign indicates possible perforation or peritonitis?

Answer 12

Rigid board-like abdomen + severe pain + fever.
Tagalog: Matigas at masakit ang tiyan — emergency sign ng pumutok na bituka. 🚨