Diverticular disease feels so common place that it’s easy to be slightly nonchalant about it. However, the impact it has on the population is significant and even more so for those patients who develop complicated diverticulosis such as abscesses, fistulae or perforation. Interestingly you are more likely to have these if you smoke or take NSAIDs.

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At a time when the importance of antimicrobial stewardship is increasingly recognised, the decision to prescribe a broad-spectrum antibiotic cannot be taken lightly. Having a solid understanding of the clinical features of acute diverticulitis can help with the decision of when to issue.

The article in this month’s InnovAiT by Dr Whatling gives a fantastic overview for what we all need to know in primary care.

To follow the digestive theme in this edition, there are articles on acute gallbladder disease and benign ano-rectal disorders. Amongst other helpful tips, the latter has a good reminder of haemorrhoid staging and when to refer.