Bladder & Bowel Archive

People who have diverticular disease have tiny pouches (diverticula) in the lining of the colon that can bleed or perforate and develop infection (called diverticulitis). People with diverticular disease should eat a healthy diet rich in fiber, drink lots of water, exercise regularly, maintain a healthy weight, not smoke, avoid straining in the bathroom, and report bleeding or pain to a doctor. However, it's not necessary to avoid eating nuts, seeds, or popcorn, which were once believed to lodge in diverticula and cause problems. That old advice turned out to be wrong.

I have been taking a stool softener daily for two months. It's helped with my constipation. Are there any risks to taking a stool softener on a long-term basis?

Adequate fiber can protect against this painful colon condition.

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About half of Americans ages 60 to 80 have diverticulosis, a condition in which pea-sized pouches, called diverticula, bulge outward from the colon. After age 80, almost everyone has it.

Most of the time the pouches don't cause any problems, but if the diverticula become inflamed or infected, the result is diverticulitis, which produces symptoms like fever, nausea, vomiting, and pain or tenderness in the lower abdomen. It's unclear why this happens, but it's generally thought that the pouches become infected after stool or bacteria get caught in them.

News briefs

The pandemic may have you feeling reluctant to seek medical treatment. But when it comes to cancer care, even a short delay in treatment may lead to deadly outcomes, according to a review of 34 studies published online Nov. 4, 2020, by BMJ. Researchers evaluated treatment delay and survival in more than a million people who had cancer of the bladder, breast, colon, rectum, lung, cervix, or head and neck. Each four-week delay in treatment — whether surgery, radiation therapy, or medication (such as chemotherapy or immunotherapy) — was associated with an increase of 6% to 8% in the likelihood of dying during the study period. Scientists say delays of up to eight weeks and 12 weeks further increased the risk of death. For example, in women who delayed breast cancer surgery by eight weeks, there was a 17% increased death risk; women who delayed surgery by 12 weeks had a 26% increase. Keep in mind, there are lots of unavoidable reasons why cancer treatment might be delayed, such as not being strong enough to undergo procedures or scheduling issues at a treatment center. But if there isn't a good reason to delay, it's best to get treatment as soon as possible.

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