Name of the Condition

• Diverticulitis of Large Intestine Without Perforation or Abscess Without Bleeding
• Also known as Non-Complicated Diverticulitis

Summary

• Diverticulitis is an inflammation of one or more diverticula in the colon. It occurs when small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. This particular condition does not involve perforation, an abscess, or bleeding, making it a milder form of diverticulitis.

Causes

• The exact cause of diverticulitis is not fully understood, but it may involve increased pressure within the colon pushing against weak spots in the colon wall, leading to inflammation. Other potential factors include chronic constipation, a low-fiber diet, and changes in the microbiome.

Risk Factors

• Risk factors include aging, obesity, a sedentary lifestyle, a diet low in fiber and high in fat, smoking, and the use of certain medications (e.g., NSAIDs, steroids).

Symptoms

• Common symptoms are abdominal pain (usually on the lower left side), fever, nausea, and a change in bowel habits (such as diarrhea or constipation).

Diagnosis

• Diagnosis is typically confirmed through clinical evaluation, including physical examination, and imaging studies such as a CT scan of the abdomen, which can reveal inflamed or infected diverticula.

Treatment Options

• Treatment generally involves antibiotics to treat infection and a temporary switch to a liquid or low-fiber diet to let the colon heal. In some cases, pain relief with medications and probiotics may be recommended to restore gut health.

Prognosis and Follow-Up

• Most individuals improve with treatment within a few days and do not require further intervention. Long-term management focuses on preventing recurrence through lifestyle changes. Regular follow-up with healthcare providers is important to monitor the condition and prevent complications.

Complications

• If left untreated or not well-managed, diverticulitis can lead to more severe complications, such as abscess formation, perforation, and peritonitis, which may require surgical intervention.

Lifestyle & Prevention

• Preventive measures include adopting a high-fiber diet, staying adequately hydrated, engaging in regular physical activity, avoiding smoking, and managing weight. These changes can help reduce the risk of diverticulitis flare-ups.

When to Seek Professional Help

• Seek medical attention if experiencing severe abdominal pain, persistent fever, inability to tolerate fluids, or if symptoms worsen despite treatment.

Additional Resources

• Mayo Clinic: Diverticulitis Overview
• American Gastroenterological Association: Diverticulitis Information

Tips for Medical Coders

• Ensure accurate coding by confirming there is no mention of perforation, abscess, or bleeding in the medical records for this condition.
• Be careful to distinguish between diverticulitis and diverticulosis, as they are separate conditions with different codes.