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More Great Information on Left Shoulder:
Diverticulitis and Diverticular Disease " Part One by Jonathan Blood Smyth
If part of the inner lining of the intestine protrudes through the muscular coat on the outside of the intestine it is known as diverticulum, forming a small out pouching with a narrow neck. The lower part of the colon on the left side is the most common area for diverticula to occur and if there are several present the condition is called diverticulosis.
What is the cause of diverticula?
A diverticulum can occur naturally and this is most likely in the small intestine, with a majority of British people over seventy years of age having diverticula in the large intestine. Diverticula increase in incidence with the years and are much commoner in later life. Incidence of diverticula is lower in rural parts of the world such as Africa although the reasons for this are not clear. Diet may well be an important difference between rural countries and western developed countries due to the colon's function of processing the typical plant foods which are relatively indigestible.
In the west we eat less fibre than in other, primarily vegetarian, regions of the world. If the colon has plenty of fibre to deal with, the bulky soft contents keep the walls of the bowel apart. If little fibre is present, the stools tend to be smaller and harder, and they do not keep the walls of the tube-like colon apart when the muscles in the wall of the colon contract. These contractions form a ring-like narrowing to mix and push the contents along. Closed segments occur within which pressure is high and it is thought that this pressure pushes out the pouches.
Is there any harm in having diverticula?
We do not generally worry about our appendix which is a type of diverticulum. Diverticula are a common feature of many people's colons, projecting from the colon walls but not becoming troublesome. As with appendicitis where the appendix becomes inflamed or infected, diverticula can be subject to infection also and this can present as pain in the affected region, a feeling of illness and the danger of the diverticulum perforating or bleeding. If the diverticula become inflamed then the resulting condition is known as diverticulitis.
The nature of diverticular disease
In most people with diverticula the intestinal muscle is normal in appearance and thickness, but in some people it becomes thicker than normal and has an unusual structure under the microscope. The thickening of the muscle narrows the colon which becomes irregular in outline. The reason for this is not known but it is important to realise that it is not due to infection and may not be related to diet. The muscle abnormality can develop when very few diverticula are present and occasionally it occurs without any diverticula. The combination of abnormal muscle and diverticula is known as diverticular disease. This is confusing because diverticula and diverticular sound the same, hence the use of the word disease.
What are the symptoms of diverticular disease?
Symptoms are due to the muscle abnormality and consist of pain, usually in the left lower part of the abdomen, often bloating, an irregular bowel habit with pellet-like stools, and sometimes small quantities of blood passed with bowel actions. These symptoms are similar to those of irritable bowel syndrome which is not surprising because both disorders, at least in part, are due to abnormal muscle function.
Is investigation necessary?
Diverticula are not generally discovered on their own but secondarily when investigation for other conditions is occurring, such as x-ray or endoscopy for abdominal pain or rectal bleeding. As healthy older people very commonly have diverticula the doctor has to be certain they are the cause of symptoms and not just incidental. If there is blood test evidence of inflammation somewhere in the body and the area of the diverticula is tender then a diagnosis of diverticulitis is possible. If the lower left sigmoid colon has increased folding of its lining this is the muscular abnormality of diverticular disease.
Giving information
Since more worrying conditions can also produce symptoms it is important to reassure patients. Muscle contraction changes and infections can both cause symptoms without any signs of inflammation. Explanation helps patients realise the reasons why various treatments are tried and not others.
Jonathan Blood Smyth, editor of the Physiotherapy Site, writes articles about Physiotherapy, back pain, orthopaedic conditions, neck pain, injury management and physiotherapists in Bristol. Jonathan is a superintendant physiotherapist at an NHS hospital in the South-West of the UK.
Article Source: http://www.earticlesonline.com/Article/Diverticulitis-and-Diverticular-Disease---Part-One/530375
How to fix my left shoulder pain?
My left shoulder is in pain, I don't know which part of my shoulder but I know where:
When I stand and outstretch my arms to make a T-stance (palms facing the floor), then move my arms back, there is a sharp pain in my shoulder.
P.S. I weight lift normally. I asked my teacher and he said it might be a rotator cuff injury.
This is very easy to fix, all you need to do is rest. In a couple of days it will heal.
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