A 65-year-old female presents with chronic left lower quadrant discomfort and bloating. She also reports altered bowel habits, particularly constipation. On examination, the abdomen is soft with mild tenderness in the left lower quadrant. What might be the issue and how should it be managed?
The patient's symptoms suggest chronic diverticular disease or symptomatic diverticulosis. Management includes dietary modifications, primarily increasing fiber intake, and possibly introducing a fiber supplement. If symptoms persist or worsen, a colonoscopy should be done to exclude other causes of her symptoms.