A member asked:

Please share an interesting fact about dealing with diverticulitis.

18 doctors weighed in across 59 answers

Ignore: Can be very serious requiring emergency surgery . Eat high fiber diet , like metamucil.

Answered 3/16/2014

4.3k views

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Dr. Stephen Jarrard answered

Specializes in General Surgery

Ignore: Ensure you consume a high fiber diet to minimize occurrences and severity.

Answered 5/26/2014

4.1k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Ignore: Most people with diverticulosis do not get the inflammatory diverticulitis.

Answered 6/18/2014

4k views

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Dr. Bradford Romans answered

Specializes in Internal Medicine

Ignore: High fiber diet helps to prevent recurrences .

Answered 6/18/2014

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Ignore: Recent studies suggest you don't need to give up your favorite nuts-they're not triggers after all!

Answered 6/25/2014

3.9k views

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Dr. K. Mujib Haque answered

Specializes in Internal Medicine

Ignore: Few weeks after an acute diverticulitis attack you might need colonscopy.

Answered 7/1/2014

3.9k views

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Dr. Leila Hashemi answered

Specializes in Internal Medicine

Ignore: Prevent constipation, eat high fiber diet and stay hydrated,.

Answered 7/19/2014

3.9k views

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Dr. Enrique Molina answered

Specializes in Gastroenterology

Ignore: Take your antibiotics as prescribed. liquid diet until pain is improved.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

People: People can develop little bulging pouches in the lining of the large intestine called diverticula.

Answered 7/24/2014

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Dr. John Munshower answered

Specializes in Family Medicine

When: When intestinal pouches become inflamed or infected, it leads to a painful condition-diverticulitis.

Answered 7/24/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Diverticulitis: Diverticulitis pt's may experience pain, nausea, vomiting, bloating, fever, constipation or diarrhea.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Many: Many experts believe that a low-fiber diet can lead to diverticulosis and diverticulitis.

Answered 7/24/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Eating: Eating more fiber rich foods will help!

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

People: People in Asia and Africa, where the diet tends to be higher in fiber, have less diverticulosis/itis.

Answered 7/24/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Diverticulosis: Diverticulosis usually causes few symptoms; leaving many people unaware that they even have the Dx.

Answered 7/24/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Diverticulitis: Diverticulitis may need to be treated with antibiotics or, in severe cases, surgery.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

If: If you're experiencing severe symptoms from diverticulitis, your doctor may recommend a liquid diet.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Fiber: Fiber softens and adds bulk to stools, helping them pass more easily through the colon.

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Many: Many studies show that eating fiber-rich foods can help control diverticular symptoms.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Fiber: Fiber rich foods help: Whole-grain breads, pastas, cereals, Beans, fresh fruits and vegetables.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Your: Your doctor may also recommend a fiber supplement to take 1-3 times a day.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Drinking: Drinking enough water and other fluids throughout the day will also help prevent constipation.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Controversial: Controversial but Generally, avoid hard-to-digest foods such as nuts, corn, popcorn, and seeds.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Uncomplicated: Uncomplicated diverticulitis is successfully treated in 70-100% of patients with conservative Tx.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Acute: Acute diverticulitis tends to be more severe in very elderly and/or debilitated people.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

People: People with comorbid conditions, such as diabetes and renal failure are more likely to get it.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Tx: Treatment is often a clear liquid diet and 7-10 days of oral broad-spectrum antimicrobial therapy.

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Proper: Proper treatment and diet should result in improvement within 48-72 hours.

Answered 8/5/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

A: A typical oral antibiotic regimen is a combination of cipro (ciprofloxacin) (or bactrim) and metronidazole.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Hospitalization: Hospitalization is required with evidence of severe diverticulitis.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Severe: Severe may need IV hydration and broad IV antibiotic coverage until culture results come back.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Pain: Pain management is important.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

NSAID's: NSAID's and corticosteroids have been associated with a greater risk of colon perforation.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

An: An increasing number of studies have reported the efficacy of regimens of anti-inflammatory agents.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Education: Education and knowing the disease is important to decreasing chances of flare ups.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

15-25%: 15-25% of patients presenting with a first episode of acute complicated diverticulitis need surgery.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

15-30%: 15-30% of patients admitted for management of diverticulitis will need surgery.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with free-air perforation with fecal peritonitis.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with suppurative peritonitis secondary to a ruptured abscess.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with uncontrolled sepsis.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with abdominal or pelvic abscess (unless CT-guided aspiration is possible).

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with fistula formation.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery may be required with the inability to rule out carcinoma.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with intestinal obstruction.

Answered 7/24/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery is required with failing medical therapy.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery may be required with an immunocompromised status.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery may be required with extremes of age.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

2-stage: 2-stage surgical approach is the most common surgical procedure performed today for emergent Tx.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

After: After one attack, about 33% of patients will have a later second attack of acute diverticulitis.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Most: Most patients who present with complicated diverticulitis do so at the time of their first episode.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

1-stage: 1-stage surgical approach w resection and primary anastomosis is often possible in elective settings.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

For: For diffuse peritonitis, an appropriate initial empiric antibiotic regimen is needed.

Answered 9/14/2015

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Obstruction: Obstruction needs to be differentiated from carcinoma.

Answered 9/29/2016

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Dr. John Munshower answered

Specializes in Family Medicine

Abscesses: Abscesses without peritonitis may be amenable to percutaneous drainage with an elective 1-stage oper.

Answered 9/29/2016

3.9k views

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Dr. M. Hytham Beck answered

Specializes in Surgery

Ignore: Keep bowel soft and regular. Avoid food with nuts and seeds, like tomato, strawberries, and peanuts.

Answered 3/23/2022

3.8k views

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Dr. John Choi answered

Ignore: Sometimes changing antibiotics may help improve your symptoms.

Answered 3/5/2015

3.1k views

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Dr. Zbigniew Moszczynski answered

Specializes in General Surgery

Ignore: Majority of first time acute diverticulitis without perforation can be treated with antibiotics.

Answered 9/14/2015

2.3k views

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High: High fiber diet for diverticulOSIS, but low fiber diet with diverticulITIS.

Answered 2/23/2016

1.6k views

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Dr. Jacob Petrosky answered

Specializes in General Surgery

Ignore: Diverticulosis is different than diverticulitis. Diverticulitis can be an emergency.

Answered 1/18/2019

771 views

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