Doctor insights on:
Diverticulitis Symptoms And Treatment
Ab, I've fluids...: Acute diverticulitis commonly presents as left lower abdomen pain, fever, tenderness on exam. Cause is inflammation/infection of a diverticulum, which is a pouch coming off the colon wall (extremely common and no sx). Treatment is bowel rest (clear fluids only perhaps), IV fluids, antibiotics. If mild case, maybe outpt. If severe or abscess forms, possibly surgery. If recurrent x 3, surgery. ...Read more
Diet and fluids: When talking of diverticulosis, eat a high fiber diet and drink a minimum of 80-100 ounces of noncaffeinated, non alcoholic fluid daily, more if you do strenous activity or fly in planes a lot. If you have divertiulitis, ie infected diverticulum low fiber diet and 2 weeks of antibiotics. Maintain low fiber for 4-6 weeks after resolution of symptoms the resume recommendations for diverticulosis. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
2 different answers: Diverticulosis best managed with hi fiber diet and plenty of noncaffeinated fluids, avoiding nuts, seeds, and popcorn. Diverticulitis needs confirmatory diagnostic test which may include ct scan, cbc, physical exam, prior colonoscopy reports and is treated with antibiotics, modified low fiber diet and potentially surgery for recurrent episodes or complications such as abscess, fistula, obstructio. ...Read moreSee 1 more doctor answer
I have mngie disease as well as diverticulitis of the small bowel. Do I have any options for treatment?
Unknown: You have a very rare disorder that's been reported in less than 100 patients. It's associated with neurological conditions as well as GI ones with pathognomonic findings on mri. You would be best followed at an ultra specialized center where they are involved in research. You can find links on the web via the nlm - national library of medicine. ...Read more
Is it possible for diverticulitis to come back in a month after a 2 week antibiotic treatment even if trying to stick to a diet?
Yes: 35 year old gentleman s/p 2 week treatment for diverticular disease now with unknown symptoms recurring. You should contact your treating physician immediately and if you have severe symptoms go to the ER. Diverticulosis is an anatomical problem that can lead to diverticulitis, the infection/abscess associated with the infection can be resistant or recur. Prior CT scan results helpful. Good luck. ...Read more
Can I use an antibiotic that I have in the house to start treatment for diverticulitis? It is clarithromycin 250. I have had bouts of diverticulitis
After my antibiotic treatment of diverticulitis and all pain is gone and im eating more fiber and healthier. Is it okay to smoke marijuna?
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
Is it safe to take a laxitive when taking metronidazole and ciprofloxacin for treatment of diverticulitis?
Ask your doc 1st!: Diverticulitis is a serious infection of the lower intestines. If you cannot have a bowel movement, without a laxative, it may be a sign that your infection is getting worse. Please call your doctor and let him know now. If you have abdominal pain, fever, vomiting, or other worsening symptoms, got to an ER. ...Read more
I was diagnosed with diverticulitis and was started on Flagyl and cipro (ciprofloxacin)? Is that the usual therapy?
Yes, quite common: It sounds like you have uncomplicated diverticulitis, which is most often treated as outpatient with oral antibiotics, often Cipro (ciprofloxacin) and flagyl. Most people get better; most (about 65%) won't have any more episodes. For those who do have another episode, 99% are less serious than the first one. After the acute episode is over, make sure to drink enough water (64 oz/day) and add a fiber supplement. ...Read moreSee 2 more doctor answers
I have been diagnosed with diverticular disease, extensive diverticulosis. Is there any conservative treatment for this? Would like to avoid surgery.
Dr. Rotchford, you say that using medical marijuana for treatment of diverticulitus is dangerous because it's addicting. Can you explain more on that?
Another opinion: I'm not Dr. Rotchford but it is true that marijuana can be addicting. However, the incidence of marijuana addiction is quite rare and the vast majority of marijuana users do NOT become addicted. There is a much higher incidence of addiction to most other drugs including prescription narcotics. See http://tinyurl.com/pqn2ujk and http://tinyurl.com/ol3z3a2 ...Read moreSee 1 more doctor answer
I have been diagnosed with distal colonic diverticulosis without divertiulitis. No adenopathy is evident.What are the treatment options for this?
Take Ranitidine 300, aciphex and carafate liquid for gastritis and diverticulosis. Is this the best treatment options?
No but: if helps go for it, usually a ppi [proton pump inhibitor ] like Prilosec more powerful but if caused it with too much alcohol or pain meds like aspirin or aleve/advil in heavy doses or worst yet smoking stop it all; keep stools soft with prune juice , fruits./dark green vegetables and fiber like raisan bran and coffee to clear the stools good or get worse diverticular. ...Read more
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 moreSee 1 more doctor answer
Yes.: Pain (typically in the left lower abdomen), fever, bloating, and a change in bowel habits are common. The symptoms vary with the severity of the inflammation present but require medical evaluation to help determine if hospitalization, or even emergency surgery, is necessary. ...Read moreSee 1 more doctor answer
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