Which of the following symptoms indicated diverticulosis?
A. No symptoms exist.
B. Change in bowel habits.
C. Anorexia with low-grade fever.
D. Episodic, dull, or steady midabdominal pain.
Correct Answer: A. No symptoms exist.
Diverticulosis is an asymptomatic condition. The other choices are signs and symptoms of diverticulitis. The majority of individuals with diverticulosis are asymptomatic. Diverticular disease occurs when there is symptomatic diverticulosis (e.g., diverticular bleeding); diverticulitis (e.g., acute or chronic inflammation that may or may not is complicated by abscess formation, fistula formation, bowel obstruction, or perforation); or associated segmental colitis (e.g., inflammation in segments of the mucosal segments of the colon in between diverticula).
Option B: Change in bowel habits, either diarrhea (35%) or constipation (50%), can be associated with abdominal pain. Patients may also experience nausea and vomiting, possibly secondary to bowel obstruction.
Option C: Fever is not uncommon in patients with abscesses and perforation. Dysuria, frequency, and urgency can occur in patients when the inflamed portion of the bowel comes into direct contact with the bladder wall, which is called sympathetic cystitis.
Option D: Clinical manifestation of acute diverticulitis varies depending on the severity of the disease. Patients with uncomplicated diverticulitis typically present with left lower quadrant abdominal pain, reflecting that propensity of left-sided disease in Western nations.
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