Doctor insights on:
Bactrim For Diverticulitis
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
I just finished bactrim (sulfamethoxazole and trimethoprim) ds for inflamed cyst, I also have been having chronic diverticulitis can these antibiotics treat diverticulitis same time?
Possibly: However if it is going to work you actually must have a confirmed diagnosis of acute diverticulitis, not chronic diverticulosis. You would need 14 days of antibiotics and a 6 week course of low/no fiber diet. My preference is to confirm diverticulitis by labs, exam and possible CT scan, then initiate the above treatment if confirmed. I prefer levaquin/metronidazole as a more effective antibiotic ...Read more
Taking bactrim (sulfamethoxazole and trimethoprim) and flagyl for diverticulitis. Horrible nasuea, headache and chest discomfort, body aches and just feel sick. Should I stop the med?
No: While nausea is a common adverse effect of almost any medication, the other symptoms you describe are not likely to be caused by these antibiotics. They could be caused by worsening infection, but an exam is necessary to make that determination. Seeing a doctor (preferably the prescribing doc) without delay is important in this situation. ...Read more
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
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
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
Probably ok: True acute diverticulitis is an infection requiring antibiotics for treatment. During acute diverticulitis one may be directed to eat lighter, smaller, softer, low fiber foods. As the infection resolves, eventually a high fiber diet would then be recommended to help prevent recurrences. Corn bread by itself, in moderation, should have no affect on diverticulitis. Drink plenty water too. ...Read more
Inflamed pocket: Diverticulosis is thin walled pockets in wall of colon. Diverticulitis: inflammation of pockets. Not caused by something getting stuck in them, but from increased pressure in bowel: weakest link, so small perforation, with spasm, inflammation. Mild: outpt rx, oral antibiotics; more so: inpatient abs; severe: surgery for drainage, inpt abs. Hi fiber diet may help prevent. Itis: no fiber initially. ...Read more
No: While there are many different antibiotics that can be used to treat diverticulitis, and taking a regular fiber supplement may reduce the likelihood of further episodes, the only cure for diverticulitis is to remove the diseased portion of the colon. This is commonly done as a laparoscopic operation. It represents major surgery and is only indicated under certain circumstances. ...Read more
Not sure what asking: Inflamed diverticuli may affect adjacent tissues with the inflammation of these producing a wide spectrum of symptoms. They may perforate and produce localized abscesses, peritonitis, sepsis, formation of fistulous tracts to other organs, scarring and adhesions may create intestinal obstruction. If appropriately managed, however, these are uncommon. ...Read more
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
No.: Diverticuli are small, typically pea-sized pockets that are very common in western societies, likely related to our high red meat, low fiber diets. The presence of these pockets is called diverticulosis and is very, very common, and may cause bleeding. Diverticulitis is inflammation of the colon brought about by rupture of one of these pockets; it generally does not cause bleeding. ...Read more
Depends: There are two schools of thought. And u guessed it, some say u can and others u can't! personally I feel that the biggest thing is formed soft bm. If ur stool is not hard, small pellets and u don't have to strain, eating seeds in moderation should b fine. Key is fiber fiber fiber and lots of water. ...Read more
No: Once you develop acute diverticulitis you should stop eating blueberries and other foods which contain significant amounts of fiber. With these symptoms you need a a clear liquid diet which does not leave residue for your colon to digest. Please consult further with a gastroenterologist. I wish you well with your health! ...Read more
When complicated: Most diverticulitis is successfully treated with antibiotics. Indications for surgery include free perforation with sepsis, an abscess that can't be treated with percutaneous drainage, fistulas to other organs, strictures or obstruction, and occasionally numerous recurrent episodes of diverticulitis. ...Read more