Some people simply get diverticulitis for no particular reason, but there are some risk factors. You may need to change your medication protocol to keep yourself healthy. To avoid potential drug interactions or worsening of symptoms, always give your complete health history to your healthcare professional, including all medications and supplements. If you regularly take NSAIDs and have symptoms of diverticulitis, speak to your healthcare provider about switching to a different pain management method. This side effect could lead to diverticulitis flare-ups. Tricyclic antidepressantsĪccording to the Mayo Clinic, constipation is regularly associated with taking antidepressants. Another study indicated that “patients exposed to antihistamines had an increased rate of intraabdominal abscess formation.” 4. While you can treat this with antihistamines, the medication’s tendency to lead to constipation could become an issue. One study showed that a high volume of histamine expression receptors could lead to diverticulitis complications. A one-person study also indicated that “long-term treatment with corticosteroids increases the risk of colon perforation.” 3. SteroidsĬorticosteroids such as prednisone are used to treat conditions like arthritis, but studies show steroids increase the risk of diverticulitis, especially in the older population, and may cause complicated diverticulitis. A recent study also points to opioids leading to “other complications of diverticulitis, including bleeding, sepsis, abscess formation, fistula formation, and obstruction.” 2. Here are 8 drugs that you should avoid if you have had diverticulitis in the past or are having a current flare.Īccording to multiple studies, taking opioids increases the risk of diverticulitis. There are also classes of medications that can lead to an increased risk for diverticulitis and its complications, such as perforation. Since diverticulitis affects the colon and the passing of solids, medications that cause constipation or straining to pass a stool will make it worse, according to Dr. Chronic constipation can be painful, and the inability to move stool regularly causes colon blockage, which can inflame or damage the colon. Boxer.Ĭonstipation is a leading cause of diverticulitis symptoms and flares. For example, it’s a myth that certain foods, such as seeds or nuts, will cause problems, according to Dr. Although many would like to identify their flare triggers to avoid symptoms, it’s not always possible to predict or prevent them. “Diverticulitis occurs when a diverticula becomes blocked by a fecalith (stool ball) and becomes inflamed,” says Andrew Boxer, MD, a gastroenterologist at Gastroenterology Associates of New Jersey.Ī “flare” occurs when someone experiences painful diverticulitis symptoms. For instance, a person might get diverticulitis because of the way their colon passes material. It’s unknown why some people develop diverticulitis while others don’t, despite similar health histories and lifestyle factors-but doctors have recognized several patterns in patients who have uncomplicated diverticulitis. Your healthcare provider may refer you to a gastroenterologist if you have continuing issues related to bowel problems. These symptoms are present in many conditions, including gastrointestinal viruses, peptic ulcers, Crohn’s disease, irritable bowel syndrome (IBS), and others so always get a checkup if you have ongoing gastrointestinal problems. Any inflammation can cause concern and indicate a more significant health problem, and diverticulitis can be challenging to manage as there are not always clear risk factors. Any of the inflamed diverticula may rupture and can cause scarring. The presence of pouches in the large intestine is known as diverticular disease or diverticulosis, but when the pouches are inflamed, it becomes diverticulitis and poses an issue. “ Diverticulitis is when the lining of the colon becomes inflamed and infected at the area where there are some small outpouchings called diverticula,” says Ellen Stein, MD, a gastroenterologist at Rutgers Health in New Jersey.
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Option 2: Introducing Asynchronous Messaging Using Queues For example, write a Java class which accepts the order, and does all of the processing itself. One way to design this application would be to have a single component that accomplishes all this functionality. Option 1: Single Component for All Processing Call the PackageService to start delivery.Send communication to the user through the EmailService and SMSService.It needs to send a request to the StockService.Microservices Best Practices: Why Do You Build a Vertical Slice?Ĭonsider the simple example of an ordering service:Ī customer places an order through the OrderService. Microservices Architectures: Event Driven Approach The 12 Factor App: Best Practices in Cloud Native Applications and Microservices This is the fourth article in a series of six articles on best practices with cloud and microservices. 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