Diagnosing and treating XXXX .

@entity1 @entity32 @entity295 @entity66 @entity548 @entity344 @entity7261 @entity490 @entity4436 @entity158 @entity1443
It is important to distinguish between @entity7261 , the presence of asymptomatic @entity7261 , and @entity66 which refers to symptomatic cases which can present with acute or chronic symptoms. Chronic symptoms range from mild intermittent abdominal cramps to the more severe picture of chronic @entity490 and occasional @entity548 . In contrast, acute @entity4436 refers to acute @entity32 in the @entity7261 . Low dietary fibre intake is reported to increase the risk of @entity66 . In the UK, the prevalence rises from approximately 5% of @entity1 in their 40s to almost 50% of those above the age of 80. It is estimated that 20% of @entity1 with @entity7261 will develop symptoms at some point in their lifetime. @entity66 can be confirmed radiologically or endoscopically. Referral of @entity1 with symptomatic @entity66 to secondary care is not indicated unless: the symptoms affect their quality of life; the @entity158 is not controlled by @entity1443 ; new symptoms develop which require further investigation; there are concerns about the possibility of an alternative diagnosis or @entity1 develop red flag symptoms. Even in @entity1 with established @entity7261 , a change in the clinical picture with development of red flag symptoms warrants urgent referral to rule out lower @entity344 . @entity1 with suspected uncomplicated acute @entity4436 should be assessed according to their level of @entity158 and associated systemic features of @entity295 . In those where @entity158 is controlled and there are no signs of @entity295 or multiple comorbidities, the @entity1 may be treated in primary care.
