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Doctor insights on: Diverticulitis

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Dr. Eric Kaplan
575 Doctors shared insights

Diverticulitis (Overview)

An inflammation or infection in one or more small pouches in the digestive tract.


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For about how long does diverticulitis accumulate in the body?

For about how long does diverticulitis accumulate in the body?

No "accumulation": Diverticuli are little pockets of the colon that are prone to rupture, causing inflammation at the site of perforation, called diverticulitis. This will usually close off without surgical rx, often requiring antibiotics, either "by mouth" or intravenously, depending on the severity of the episode. The length of therapy varies with the severity of the episode, from days to weeks. ...Read more

Dr. Eric Kaplan
575 Doctors shared insights

Diverticulitis (Overview)

An inflammation or infection in one or more small pouches in the digestive tract.


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How common is fever as a symptom for diverticulitis?

How common is fever as a symptom for diverticulitis?

Common.: A low grade temperature (high 99s to 100s) is common with diverticulitis. Usually people have left lower abdominal pain (70% of people). It is sometimes accompanied by nausea and vomiting (20-60%), constipation (50%), or diarrhea (25-35%). However, if you have no fever, but have all the other symptoms, see your doctor, because you can still have diverticulitis without a temperature! Cheers! ...Read more

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Diverticulitis (Tip)

Diverticulitis pts may eat corn, nuts, seeds. More important is 8oz water and 30 gm fiber daily. ...See more

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Managing Diverticulitis (Checklist)

Eat a high-fiber diet
Daily
Drink 80-100 ounces of fluids per day; avoid caffeine and alcohol
Daily
Don't eat nuts, seeds, or popcorn
Once
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What are other conditions with symptoms similar to diverticulitis?

What are other conditions with symptoms similar to diverticulitis?

Crohn's: Diverticulitis has similar symptoms as crohn' s disease and colon cancer. Hence investigations are required to confirm the diagnosis. ...Read more

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Diverticulitis (Tip)

Diverticulosis is different than diverticulitis. Diverticulitis can be an emergency. ...See more

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Mystery upper left abdominal pain for four years. Gallbladder removed, endless dr visits and no diagnosis. Diverticulitis, colitis, gallbladder rem.

Mystery upper left abdominal pain for four years. Gallbladder removed, endless dr visits and no diagnosis. Diverticulitis, colitis, gallbladder rem.

Too complex: This is too complex and too long of a problem to be able to cover in this setting. See your doctor/surgeon. ...Read more

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What diagnostic criteria would a radiologist have to fulfill in order to definitively diagnose diverticulitis on a CT without contrast scan?

Inflammation: Without contrast it is hard, but on occasions they can see the inflammation surrounding the colin and air pockets or diverticuli in the colon around an area of inflammation. ...Read more

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Was given a scope test in colon area. It showed a stricture from earlier surgery 4 diver. Do I need another test to find diverticulitis in same area?

Was given a scope test in colon area. It showed a stricture from earlier surgery 4 diver. Do I need another test to find diverticulitis in same area?

Don't know: I am not sure I understand, but maybe you had colon resection surgery for diverticulitis, and later you had a colonoscopy showing a stricture or narrowing at the surgical site. Unless you are having painful constipation issues, the stricture can be left alone. If the stricture is very narrow, likely your gastroenterologist can dilate it open. I do not know of needing any other tests for this. ...Read more

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Not sure if colitis or diverticulitis. What are the tests?

Not sure if colitis or diverticulitis. What are the tests?

Same work up!: When you have crampy abdominal pain with fevers or chills you can be diagnosed with colitis. Colitis is inflammation of the colon and can be due to infection, inflammatory bowel diseases or blood supply issues. Diverticulitis is caused when a small pocket in the colon pops and bacteria spills outside the wall of the colon. Ct scan is the best diagnostic tool. ...Read more

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Diverticulitis (Tip)

Do not sit at home. Do see your doctor. Do follow-up. ...See more

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Is diverticulitis serious I have diverticulitis and wanted to know if it is serious

Is diverticulitis serious I have diverticulitis and wanted to know if it is serious

Diverticulitis: Diverticulitis can become serious. Inflammation around the colon occurs when small bubbles on the wall of the colon rupture. If the ruptured area does not spread the process is self-limited and the infection that results can be treated with antibiotics, often on an outpatient basis with oral pills. If the ruptured area spills more contaminated material than can be contained, i.e. Spread of infection occurs, serious infection can result and require emergency surgery. Elective surgery should be considered if a patient has more than one or 2 episodes of diverticulitis to avoid the development of an emergency, since emergency colon surgery often leads to the need for a temporary colostomy (bag). Also diverticulitis needs to be confirmed as the diagnosis by studies of the colon, e.g. Colonoscopy, to be certain something else, like colon cancer, is not to blame for the symptoms. ...Read more

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Does holding gas in you body cause diverticulitis?

No: There are no known specific causes of diverticulitis. Diet does not seem to play a role. A high fiber diet is recommended though not proven beneficial. The commonly heard advice to avoid small undigestible foods (such as nuts and seeds) because they may theoretically become lodged in a diverticulum is completely unproven and is probably little more than an old wives' tale. ...Read more

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Diverticulitis (Tip)

Eating a diet high in fiber can help reduce your symptoms and flare-ups. ...See more

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Does pain under ribs from diverticulitis mean it is spreading to intestine?

Does pain under ribs from diverticulitis mean it is spreading to intestine?

No: Not likely. A perforated diverticulitis can cause peritonitis, but this would be more diffuse. ...Read more

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How do you treat diverticulitis

Antibiotics/liquids: Diverticulitis is treated initially with intravenous antibiotics and oral clear liquids with a change to oral antibiotics when the pain is resolving and the signs of infection (fever & elevated white blood count) are improving. A colonoscopy is indicated a few weeks after resolution to be sure there is not a cancer. Cases complicated by perforation may require immediate surgical intervention ...Read more

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Diverticulitis (Tip)

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

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What should I do at home to treat an attack of diverticulitis?

What should I do at home to treat an attack of diverticulitis?

See your doctor.: First and foremost, if you suspect that you are having an episode of diverticulitis, you need to see your doctor to determine if you are a candidate for outpatient treatment. If so, oral antibiotics and a liquid diet are advisable until the pain +/- fever resolves. ...Read more

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How is esophageal diverticulitis treated?

Diverticulitis: Tge esophagus can have diverticuli but usually in one of two locations. They are both treated surgically. Diverticulitis is an infection of the diverticuli and that usually happens in the colon and not the esophagus. May need more details here ...Read more

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What is diverticulitis vs osis?

What is diverticulitis vs osis?

Bad/Not-So-Bad: Diverticulosis is the condition where little pockets form on the colon at natural weak points. This is very common in the western world, presumably secondary to our diet, and increases with age. Diverticulitis is the condition where one of these pockets ruptures, leading to the release of intestinal contents into the abdominal cavity, causing (sometimes severe) inflammation and pain. ...Read more

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What is diverticulitis treatment?

Antibiotics: Usually antibiotics. Severe cases may require surgery. ...Read more

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Can you cure diverticulitis?

Can you cure diverticulitis?

Maybe: Diverticulitis is an infection that occurs in/around a diverticulum (a weakness or blowout of the wall of the colon), usually treated with antibiotics. This may solve the infection, but it can happen again, as the diverticulum is still there, along with others as well, as they are usually multiple. Preventive measures may help diminish more attacks, but surgery may be necessary to 'cure'! ...Read more

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How do I get rid of diverticulitis?

Antibiotics: You should see a doctor to confirm the diagnosis. For uncomplicated diverticulitis, generally it will respond to antibiotic therapy. Severe cases may require urgent surgery. ...Read more

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Is there another drug combination for diverticulitis besides Flagel? I am also taking Bactrim due to allergies to Cipro, (ciprofloxacin) Keflex and Penecillin.

Is there another drug combination for diverticulitis besides Flagel? I am also taking Bactrim due to allergies to Cipro, (ciprofloxacin) Keflex and Penecillin.

Antibiotic allergies: You need the help of an ID doctor-since they are experts in antibiotics. First, I would want to 'define' ur allergies further-because sometimes a patient is labeled as 'allergic' & they aren't really allergic at all. That is really important. If ur truly allergic to penicillin, cephalosporins & cipro (ciprofloxacin) which is a fluoroquinolone, ur options are quite limited for oral therapy. Doxycycline might help. ...Read more

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Diverticulitis, drain tube placed on pelvic, gets 5ml/24h gray foul smelling fluid. Is safe to remove drain tube? What is this fluid?

Diverticulitis, drain tube placed on pelvic, gets 5ml/24h gray foul smelling fluid. Is safe to remove drain tube? What is this fluid?

Do not remove: You likely had an infection due to a diverticulum rupturing, causing localized peritonitis and then abscess. Treatment for this is drainage and antibiotics until the abscess and inflammation resolves. Taking the tube out too early can cause reaccumulation of pus. See a colorectal surgeon following resolution to see whether you should have follow up surgery to removed the diseased segment. ...Read more

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I'm 30, am I in the age group with the greatest risk for diverticulitis and diverticulitis?

Not usually: The 40 and above is the most at risk population but 30 yo's can certainly get diverticulitis. ...Read more

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How can I prevent diverticulitis?

Fiber: There are many dietary recommendations that have been widely disseminated (things to avoid, etc), but recent studies have found no basis for those recommendations. The one thing that has been shown to prevent a second episode of diverticulitis (once someone has has a first episode) is to take a tablespoon of fiber supplementation (phyllium) daily. ...Read more

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Please explain which foods to avoid with diverticulitis?

Please explain which foods to avoid with diverticulitis?

Generally: For acute diverticulitis, I recommend low to no fiber for 4-6 weeks following diagnosis and treatment with antibiotics. Then if surgery not indicated, you may slowly add fiber back into your diet. If you buy the right groceries and order the right food in restaurants I generally do not find fiber supplements necessary. ...Read more

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What is diverticulitis?

Inflammation: It is related to acute inflammation of a diverticulum (a sac-like protrusion of the colonic wall), generally considered to be due to be related to microperforation of a diverticulum. It can present with a wide range of symptoms but most commonly abdominal pain. Other common symptoms are nausea (sometimes with vomiting), constipation, diarrhea, flatulence, and bloating. ...Read more

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Diet for diverticulitis?

Diet for diverticulitis?

Early vs. Late: Acute diverticulitis is associated with swelling of the colon that may create a temporary partial blockage of the colon. Therefore, we often advocate no food or just liquids during the initial phase of treatment. When food is resumed, it is common to recommend a low-residue diet early on. After the inflammation resolves, we often recommend high-fiber diets, which may reduce the risk of recurrence. ...Read more

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Is diverticulitis serious?

Is diverticulitis serious?

Possibly: Diverticulitis is inflammation of the large bowel (also known as the colon). The inflammation results from simple infection to catastrophic perforation with leakage of contents into the abdomen. Most patients experience very minimal symptoms and are easily treated with antibiotics. However, some patients present with life-threatening symptoms, requiring hospitalization and emergency surgery. ...Read more

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Can you cure diverticulitis?

Maybe: Diverticulitis is an infection that occurs in/around a diverticulum (a weakness or blowout of the wall of the colon), usually treated with antibiotics. This may solve the infection, but it can happen again, as the diverticulum is still there, along with others as well, as they are usually multiple. Preventive measures may help diminish more attacks, but surgery may be necessary to 'cure'! ...Read more

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How common is diverticulitis?

How common is diverticulitis?

Not common: Diverticulosis is present in 60% of the population above the age of 60. Diverticulitis is present in a very low percentage of patients. The treatment depends on the severity of the attack ...Read more

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What is diverticulitis vs osis?

Bad/Not-So-Bad: Diverticulosis is the condition where little pockets form on the colon at natural weak points. This is very common in the western world, presumably secondary to our diet, and increases with age. Diverticulitis is the condition where one of these pockets ruptures, leading to the release of intestinal contents into the abdominal cavity, causing (sometimes severe) inflammation and pain. ...Read more

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How do you treat diverticulitis

Antibiotics/liquids: Diverticulitis is treated initially with intravenous antibiotics and oral clear liquids with a change to oral antibiotics when the pain is resolving and the signs of infection (fever & elevated white blood count) are improving. A colonoscopy is indicated a few weeks after resolution to be sure there is not a cancer. Cases complicated by perforation may require immediate surgical intervention ...Read more

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Can you die from diverticulitis?

Can you die from diverticulitis?

It is rare: Diverticulitis has various potential complications which ranges from minor infection which responds well to oral antibiotics, to severe infection and peritonitis caused by spillage of stool from colon into the abdominal cavity. In severe cases it usually needs surgery and in these cases patient may end up having a colostomy. These days it is so rare to die from diverticulitis. ...Read more

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Can diverticulitis be dangerous?

Possibly: Most cases of diverticulitis are mild and readily treated with antibiotics and diet change. However, diverticulitis is a spectrum from mild to severe. The most severe cases require emergency surgery and can result in the need for a temporary colostomy formation. Talk to your physician about when or if you should consider an elective operation for removal of part of your colon. ...Read more