Diverticulitis is a common digestive condition involving inflammation of small pouches in the colon. While symptoms can be uncomfortable and sometimes severe, diverticulitis itself does not typically present as a palpable lump that can be felt from the outside.
What is Diverticulitis?
Diverticulosis is a condition where small, bulging pouches, known as diverticula, form in the wall of the large intestine, or colon. These pouches typically develop in weakened areas, often in the lower left side of the colon. The presence of these pouches without symptoms is common as people age.
Diverticulitis occurs when one or more of these diverticula become inflamed or infected. While the exact cause is not fully understood, it is thought that stool or bacteria can become trapped in a pouch, leading to infection and inflammation.
Typical Symptoms to Expect
Symptoms of diverticulitis often appear suddenly and can range in severity. A common symptom is abdominal pain, frequently felt in the lower left side of the abdomen. This pain can be intense and may worsen over several days.
Other common symptoms include fever and chills, indicating an infection. Nausea and vomiting are also frequently experienced. Individuals may also notice changes in their bowel habits, such as constipation or diarrhea.
Understanding Abdominal Lumps
Simple diverticulitis, which is localized inflammation of the diverticula, does not typically cause a palpable lump that can be felt externally. However, a lump might be felt if complications arise from diverticular disease. These complications can lead to a mass detectable upon physical examination.
One such complication is an abscess, a painful, swollen area filled with pus caused by infection. An abscess can sometimes manifest as a tender lump in the abdominal area, often with a persistent fever. Another potential complication is a phlegmon, an inflammatory mass similar to an abscess, creating a hardened, tender area. In rare cases, chronic inflammation can lead to a stricture, a narrowing of the colon that might be felt as a mass due to obstructed bowel contents.
Many other conditions unrelated to diverticulitis can also cause abdominal lumps. These may include hernias, benign growths like lipomas, cysts, hematomas, or tumors. Any new or unusual lump in the abdomen should always be evaluated promptly by a healthcare professional to determine its cause.
When to Seek Medical Care
Seek medical attention if you experience persistent or severe abdominal pain, particularly if accompanied by other concerning symptoms. These include fever, persistent nausea, vomiting, or an inability to keep fluids down. Any new or worsening abdominal lump also warrants immediate medical evaluation.
Diagnosis often involves a physical exam and imaging tests. A computed tomography (CT) scan is frequently used to confirm the diagnosis, assess severity, and identify complications. Early medical intervention is important for managing diverticulitis and preventing more serious complications.