In the examination of the data fom January 2004 to June 2005 of 796 consecutive patients referred for total colonoscopy to 17 physicians included age, gender, presence and localization of diverticula. This population was compared with a cohort of 133 consecutive patients who were admitted for colonic diverticular bleeding, showed that the prevalence of colonic diverticula increased from less than 10% in adults under 40 to about 75% in those over 75 years. Of these patients, nearly one third presented with right-sided involvement(1).
B. In Herbal medicine perspective
1. L. usitatissimum (flaxseed/linseed)
The fixed oil of L. usitatissimum (flaxseed/linseed) inhibited PGE2-, leukotriene-, histamine- and bradykinin-induced inflammation. Dual inhibition of arachidonic acid metabolism, antihistaminic and antibradykinin activities of the oil could account for the biological activity and the active principle could be alpha-linolenic acid an omega-3 (18:3, n-3) fatty acid, according to the study by the Allahabad Agricultural Institute-Deemed University(61).
2. Mexican yam did not inhibit radical generation by inflamed biopsies. Slippery elm, fenugreek, devil’s claw, tormentil
Herbal remedies used by patients for treatment of inflammatory bowel disease include slippery elm, fenugreek, devil’s claw, Mexican yam, tormentil and wei tong ning, a traditional Chinese medicine. According to the study by the Queen Mary’s, School of Medicine and Dentistry, All six herbal remedies have antioxidant effects. Fenugreek is not a superoxide scavenger, while Mexican yam did not inhibit radical generation by inflamed biopsies. Slippery elm, fenugreek, devil’s claw, tormentil and wei tong ning merit formal evaluation as novel therapies in inflammatory bowel disease(62).
3. Aloe vera gel, wheat grass juice, Boswellia serrata
Several types of medications are used to control the inflammation or reduce symptoms used to treat UC, may be used to treat diverticulitis. Herbal medicine includes a wide range of practices and therapies outside the realms of conventional Western medicine. However, there are limited controlled evidences indicating the efficacy of traditional Chinese medicines, such as aloe vera gel, wheat grass juice, Boswellia serrata, and bovine colostrum enemas in the treatment of UC(63).
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