I was diagnosed by a physical exam that i had a mild case of diverticulitis. i had a low grade fever, cramping, bloating, constipation/diarrhea tenderness to the touch in the lower left colon a week ago. i was put on cipro & flagyl for 7-10 days and a 2

Diverticulosis : Diverticulosis is very common - small outpouching of the lining of the large intestine (more often found on the left side of the colon), which are generally asymptomatic unless they become infected. It is found in more than half of americans over age 60. People who eat mostly processed food, as many americans eat, do not get enough fiber in their diet. As a result, constipation and hard stools are more likely to occur - causing people to strain when passing stools. This increases the pressure in the colon or intestines and may cause these pouches to form. Diverticulitis can present with localized pain, fever, diarrhea, but on occasion, if ruptures (like an appendix), can cause peritonitis and abscess formation. In mild cases, antibiotics can soothe the infection. Once better, you should add more fiber to your diet and avoid certain foods, such as nuts and seeds. Eating more fiber can help prevent future attacks. However, if you develop more severe symptoms, or if you have repeated bouts of diverticulitis, you may need to have that segment of large intestine removed. In emergent situations, with abscess and advanced signs of infection, emergency surgery may necessitate the use of a temporary colostomy. I suggest that you see a gastroenterologist, who may do a colonoscopy or barium enema. You may then be referred to a general or colorectal surgeon if surgery is needed.

Sounds Right: In the age of ct scans, more and more people are getting scanned but the reality is that diverticulitis can be diagnosed without a scan. Maintain close follow up with your doctor. The key is, it should only be getting better, even if slowly, but the trend should be improvement. If at any time it is worse, then further work up is warranted.