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