What Is Colonic Diverticulosis Singapore?

Colonic diverticulosis refers to the presence of small pouches, called diverticula, that form in the wall of the colon. In Singapore, these pouches are increasingly common, especially among older adults and those with higher body mass index (BMI). Interestingly, unlike in Western populations where left-sided disease is typical, colonic diverticulosis Singapore often presents on the right side of the colon.

While most people with colonic diverticulosis Singapore remain symptom-free, complications can arise. When these pouches become inflamed or infected, the condition progresses to diverticulitis, which can cause significant discomfort and even require urgent medical attention.

Recognising Diverticular Disease Pain

Diverticular Disease Pain Location

The classic diverticular disease pain location is the lower left side of the abdomen. However, in colonic diverticulosis Singapore, pain may also occur on the right side due to the regional pattern of the disease. This pain can be persistent or come in waves, sometimes worsening during meals and easing after passing stool or gas.

Diverticular Disease Pain After Bowel Movement

Many patients report that diverticular disease pain after bowel movement tends to subside. This is because the act of passing stool or gas relieves the pressure in the colon, reducing discomfort.

Symptoms and When to Seek Help

Some individuals may experience:

• Persistent abdominal pain (often lower left or right)
• Bloating and abdominal distension
• Changes in bowel habits—constipation, diarrhoea, or alternating patterns
• Fever, nausea, or vomiting (especially during acute inflammation)
• Blood in the stool (rare, but can signal a complication)

If you experience severe pain, fever, or notice blood in your stool, seek medical attention immediately. These could be signs of a serious complication like perforation or significant bleeding.

Diverticular Disease Pain Treatment

Conservative Management

For most cases, diverticular disease pain treatment starts conservatively:

• Dietary changes: Increase fibre intake through fruits, vegetables, and whole grains to reduce pressure in the colon and prevent new diverticula from forming.
• Medications: Pain relief, stool softeners, and sometimes antibiotics if mild inflammation is present.
• Hydration: Drink plenty of fluids to support bowel health.

Diverticular Disease Treatment During Acute Flares

When diverticulitis develops, treatment may escalate:

• Mild cases: Managed at home with clear liquids and oral antibiotics.
• Moderate to severe cases: Hospitalisation may be required for intravenous antibiotics, fluids, and bowel rest.

After recovery, a colonoscopy is often recommended to assess the extent of disease and rule out other conditions.

Type of Surgery in Diverticular Disease

Surgery is reserved for those with recurrent, severe, or complicated diverticular disease. The most common type of surgery in diverticular disease involves removing the affected segment of the colon (often the sigmoid or left colon) and reconnecting the healthy ends. Recovery is generally good, and normal bowel function typically resumes within a few weeks.

Why Is Colonic Diverticulosis Singapore on the Rise?

Several factors contribute to the increasing prevalence:

• Aging population: Risk rises steeply with age, affecting up to 65% by age 85.
• Dietary habits: Low-fibre, high-processed food diets increase risk.
• Genetic factors: Higher rates observed in Chinese men compared to other ethnic groups.

Take Action: Prevention and Management

• Eat more fibre: Aim for at least 25–30g of fibre daily.
• Stay hydrated: Water helps keep stools soft and easy to pass.
• Exercise regularly: Physical activity supports healthy bowel function.
• Monitor symptoms: Don’t ignore persistent abdominal pain or changes in bowel habits.

Expert Help for Colonic Diverticulosis Singapore

If you’re experiencing symptoms or have concerns about colonic diverticulosis Singapore, consult a specialist for tailored advice and care. Early intervention can prevent complications and improve quality of life.

For more information or to schedule a consultation, visit Ark Surgical Practice’s Diverticular Disease Service—your trusted partner in managing diverticular disease pain, treatment, and surgical care in Singapore.