Difference between Diverticulosis and Diverticulitis (With Table)

The human intestine is a long organ that is split into two portions for convenience of diagnosis the small intestines and then the large bowel or colon. Diverticulosis is defined by tiny pouches emerging from the colon’s wall. Diverticulitis is a condition that occurs as a result of an infection. Diverticulitis is more severe than other types of diverticulitis because the infection can progress to additional complications.

Diverticulosis vs Diverticulitis

The difference between Diverticulosis and Diverticulitis is that Diverticulosis is characterized by tiny pouches emerging from the colon’s wall, while Diverticulitis is an infection-related disease that affects the intestines. Diverticulosis frequently has no symptoms whereas when one or more of the pockets become inflamed or infected, diverticulitis develops. It can create a lot of pain in your stomach.

Diverticulosis is a condition in which the colon has numerous pouches (diverticula) that are not inflamed. Outpockets of the colonic mucosa and submucosa are produced by muscle layer defects in the colon wall and be exacerbated by a low-fibre diet that alters the microbiota and induces low-grade inflammation.

Diverticulitis, particularly colonic diverticulitis, is a gastrointestinal illness marked by inflammation of aberrant pouches (diverticula) that can form in the large intestine wall. Lower abdomen discomfort with a rapid onset is common, although it can gradually develop over several days. It might create a lot of pain in your stomach.

Comparison Table Between Diverticulosis and Diverticulitis

 Parameters of Comparison DiverticulosisDiverticulitis
DefinitionDiverticulosis is characterized by tiny pouches emerging from the colon’s wall.Diverticulitis is a gastrointestinal condition marked by the inflammation of aberrant pouches (diverticula) that can form in the large intestine’s wall.
Symptomscramping, bloating, flatulence, and irregular defecation.abdominal pain of sudden onset, have elevated C-reactive protein, and a high white blood cell count.
LocationThe lining of the intestineLower abdomen
DiagnosisClinical blood tests; serum iron concentrations, OZHSS, average haemoglobin content in erythrocytes; faecal occult blood analysis; general urine analysisBlood test and urine test, Medical history analysis, Physical examination, Colonoscopy, CT scan, Lower GI series
CausesPressure builds in your colon and pushes on the lining when you experience muscular spasms or strain (as when you have a bowel movement).Low-fibre diets increase pressure on the colon to force stool out, causing stool materials to lodge in the diverticula, leading to infection.
Risk factorsDue to excessive obesity, Excessive consumption of fat and red meat, cigarette smoking.Obesity, smoking, and nonsteroidal anti-inflammatory medications (NSAIDs)
Risk of cancerHigh risk of cancerMinor risk of cancer

What is Diverticulosis?

Diverticulosis is most commonly found in the sigmoid colon, which is prone to high pressure. In the United States, the left side of the colon is more often afflicted, but in Asia, the right side is more commonly affected. The diagnosis is frequently made during a regular colonoscopy or as a result of an unintentional discovery during a CT scan.

Diverticular illness can cause painless rectal bleeding that appears as bright red blood in the rectum. Acute lower gastrointestinal bleeding is most commonly caused by diverticular bleeding. However, it is believed that 80% of these instances are self-limiting and do not require treatment. Although the low-fibre explanation of diverticulosis is the most popular, it has yet to be proved, according to the National Institutes of Health in the United States. Diverticulosis is not an issue in and of itself, as the pouches are innocuous and seldom produce symptoms.

Many people who have diverticulosis have little or no symptoms and may not require therapy. Colonic stimulants should be avoided if at all possible. Treatments that induce hard stools, constipation, or straining, such as certain colon cleaners, are not suggested.

What is Diverticulitis?

Diverticulitis is more severe than other types of diverticulitis because the infection can progress to additional complications. In around 1 out of every 5 to 1 out of every 7 instances of diverticulosis, diverticulitis develops.

Diverticulitis can have a variety of reasons. Obesity, inactivity, smoking, a family history of the illness, and the use of nonsteroidal anti-inflammatory medications are all potential risk factors (NSAIDs). It’s uncertain if a low-fibre diet is a risk factor. Diverticulosis is a condition in which pouches in the large intestine aren’t inflamed.

Inflammation, which is caused by a bacterial infection, affects 10% to 25% of people at some point in their lives. CT scans are commonly used to diagnose the condition, although blood tests, colonoscopies, and a lower gastrointestinal series may also be helpful. Irritable bowel syndrome is one of the many possibilities.

Diverticulitis is caused by a combination of genes and environmental factors, with around 40% of cases attributable to genes and 60% due to environmental factors. Arterial hypertension and immunosuppression are two conditions that enhance the likelihood of developing diverticulitis. Another risk factor is obesity. Vitamin D deficiency has been linked to an increased incidence of diverticulitis.

Main Differences Between Diverticulosis and Diverticulitis 

  1. Diverticulosis is characterized by tiny pouches emerging from the colon’s wall, whereas, Diverticulitis is a gastrointestinal condition marked by the inflammation of aberrant pouches (diverticula) that can form in the large intestine’s wall.
  2. The symptoms of Diverticulosis are cramping, bloating, flatulence, and irregular defecation, whereas the symptoms of Diverticulitis are abdominal pain of sudden onset, have elevated C-reactive protein, and a high white blood cell count.
  3. Diverticulosis occurs in the lining of the intestine, while Diverticulitis occurs in the lower abdomen.
  4. In Diverticulosis, the risk of cancer is high, whereas in Diverticulitis. the risk of cancer is minor.
  5. Pressure builds in your colon and pushes on the lining when you experience muscular spasms or strain (as when you have a bowel movement) causes Diverticulosis, whereas Low-fiber diets increase pressure on the colon to force stool out, causing stool materials to lodge in the diverticula, leading to infection causes Diverticulitis.

Conclusion

Most people with colonic diverticula aren’t aware of them since they don’t cause any noticeable symptoms. Diverticulosis is the condition of having colonic diverticular. The majority of the time, they are discovered by mistake during an imaging process. These diverticula can become inflamed or infected, later resulting in the development of a disease known as diverticulitis.

Complications are uncommon in these diseases to counter. If they do, it’s typically for a severe reason. Diverticular disease is thought to be caused by a low-fibre diet. As a result, boosting the fibre level of your diet may help you avoid it and stay healthy.

References

  1. https://en.wikipedia.org/wiki/Diverticulosis
  2. https://en.wikipedia.org/wiki/Diverticulitis
  3. https://iffgd.org/gi-disorders/diverticulosis-and-diverticulitis/
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