Diverticula, Diverticulosis, Diverticulitis

Diverticula, Diverticulosis, Diverticulitis

Diverticula are small, bulging pouches that can form in the lining of your digestive system. They are found most often in the lower part of the large intestine (colon) when naturally weak places in your colon give way under pressure. Diverticula are common, especially after age 40, and seldom cause problems.

Most of the People with diverticulosis (the condition of having multiple diverticula) usually don’t have outward symptoms. However, these pouches can some time have complication such as:

  1. Infection and inflammation (Diverticulitis). When this happen it can cause abdominal bloating, pain, and tenderness, typically in the left lower abdomen, plus diarrhea, chills, and a low-grade fever.
  2. Bleeding -Diverticular bleeding is the most common cause of acute lower gastrointestinal bleeding. It is estimated that 80% of these cases are self-limiting and require no specific therapy besides monitoring.

Several factors may increase your risk of developing diverticula:

  1. Aging.
  2. Obesity.
  3. Smoking.
  4. Lack of exercise. .
  5. Diet high in animal fat and low in fiber.

To help prevent diverticula:

  1. Exercise regularly. Exercise promotes normal bowel function and reduces pressure inside your colon. Try to exercise at least 30 minutes on most days.
  2. Eat more fiber. High-fiber foods, such as fresh fruits and vegetables and whole grains, soften waste material and help it pass more quickly through your colon. This reduces pressure inside your digestive tract. However, it isn’t clear whether a high-fiber diet decreases the risk of diverticulitis. Eating seeds and nuts isn’t associated with developing diverticulitis.
  3. Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. But if you don’t drink enough liquid to replace what’s absorbed, fiber can be constipating.

Diverticula are small, bulging pouches that can form in the lining of your digestive system. They are found most often in the lower part of the large intestine (colon) when naturally weak places in your colon give way under pressure. Diverticula are common, especially after age 40, and seldom cause problems.

Most of the People with diverticulosis (the condition of having multiple diverticula) usually don’t have outward symptoms. However, these pouches can some time have complication such as:

  1. Infection and inflammation (Diverticulitis). When this happen it can cause abdominal bloating, pain, and tenderness, typically in the left lower abdomen, plus diarrhea, chills, and a low-grade fever.
  2. Bleeding -Diverticular bleeding is the most common cause of acute lower gastrointestinal bleeding. It is estimated that 80% of these cases are self-limiting and require no specific therapy besides monitoring.

Several factors may increase your risk of developing diverticula:

  1. Aging.
  2. Obesity.
  3. Smoking.
  4. Lack of exercise. .
  5. Diet high in animal fat and low in fiber.

To help prevent diverticula:

  1. Exercise regularly. Exercise promotes normal bowel function and reduces pressure inside your colon. Try to exercise at least 30 minutes on most days.
  2. Eat more fiber. High-fiber foods, such as fresh fruits and vegetables and whole grains, soften waste material and help it pass more quickly through your colon. This reduces pressure inside your digestive tract. However, it isn’t clear whether a high-fiber diet decreases the risk of diverticulitis. Eating seeds and nuts isn’t associated with developing diverticulitis.
  3. Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. But if you don’t drink enough liquid to replace what’s absorbed, fiber can be constipating.

Breast Cancer and Mammogram

breast cancer

More than 25% of all cancers diagnosed in women are breast cancers. Between 2010 and 2014, about 1,856 women were diagnosed to have breast cancer in Singapore each year.

The risk of breast cancer increases with age. Most women who are diagnosed to have breast cancer are older than 40 years old, but younger women may also be affected.

Risk factors

A breast cancer risk factor is anything that makes it more likely you’ll get breast cancer. But having one or even several breast cancer risk factors doesn’t necessarily mean you’ll develop breast cancer. Many women who develop breast cancer have no known risk factors other than simply being women.

Risk factors included

  • Increasing age.
  • A personal history of breast cancer.
  • A family history of breast cancer.
  • Inherited genes that increase cancer risk.
  • Radiation exposure.
  • Obesity.
  • Beginning your period at a younger age.
  • Beginning menopause at an older age.
  • Having your first child at an older age.
  • Having never been pregnant.
  • Postmenopausal hormone therapy.
  • Alcohol.

Sign and symptoms:

  1. Breast lumps 
  2. Bloody nipple discharge
  3. Skin changes 
  4. Persistent itchy rash of the nipple 
  5. Breast pain 

Screening for breast cancer

  1. All women age 40-49 to consider mammogram yearly after discussing with their doctor.
  2. All women age 50 and above should go for mammogram every 2 years.
  3. For some patient with high risk, screening may need to be consider earlier (before 40).

8 out of 10 breast lumps are benign or non-cancerous. There are different classifications of breast lumps that can occur, depending on a woman’s age.