Long after acute attacks, diverticulitis patients show psychological, physical symptoms

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As they age, most people develop diverticulosis, a disorder characterized by the formation of pouches in the lining of the colon. More than 50 percent of people over 60 have the condition, but the pouches usually don't cause any problems. Occasionally, however, the pouches become inflamed, leading to a related disorder called diverticulitis, which causes pain and infection in the abdomen. Doctors usually treat diverticulitis withantibiotics, or in more severe cases, surgery.

The condition has long been thought to be acute with periods of relative silence in between attacks, but according to researchers, that's not true for everyone. Some patients experience ongoing symptoms.

In an earlier study, Spiegel and colleagues found that people suffering from diverticulitis have a four-fold higher risk of developing IBS after their illness, a condition called post-diverticulitis irritable bowel syndrome, and that patients had anxiety and depression long after the initial attack. However, that study was based on a database of more than 1,000 patients and did not draw from personal testimonials from people living with diverticulitis.

In the latest research, patients described feelings of fear, anxiety and depression, and said they had been stigmatized for having the condition. Interviewees also said they live in constant fear of having another attack, are scared to travel and feel socially isolated. In addition, many patients continue to experience bothersome physical symptoms such as bloating, watery stools, abdominal pain, incomplete evacuation and nausea.