Doctor insights on:
Perforated Diverticulitis 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
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
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 more
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 more
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?
Seriously?: Until it is legalized, no it is illegal. ...Read more
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
Not frequent: If stricture develops may be due to recurrences of disease, balloon dilation may help, will require resection for better outcome. ...Read more
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
Perforation: Acute perforation can be caused by acute diverticulitis or colon cancer. Shen there is a perforation emergency surgery is required and the removal of the perforated segment of colon is reviewed by a pathologist which can help differentiate between colon cancer and diverticulitis. ...Read more
I discharged myself from hospital against medical advice. I have a perforated bowel and diverticulitis what should I do to get better?
Sorry: But you should return to the hospital in order to get better. ...Read more
What could cause my bowel to perforate if it was not diverticulitis. The cat scan was unclear as to why I formed a large 12 CM abcess?
Diverticulitis: The most common cause is diverticulitis, but if there is a large amount of inflammation, it may not be easy to make the diagnosis. Tumors of the colon can also perforate. Usually you will be treated either with antibiotics and have repeat evaluation, or you will be a candidate for a temporary colostomy to allow things to heal. At that time, a definitive diagnosis can be made. ...Read more
Mom's in ICU with diverticulitis perforated colon and septis.kidney failure and not waking up once sedation was stopped.could I loss her?
I am so sorry: I am sorry for your situation. Perforated colon due to diverticulitis causing sepsis and kidney failure is very serious. Has she had surgery? Or are they attempting to treat without surgery. As a specialty surgeon who has managed many of these situations I can tell you it is possible to survive this. Please do not hesitate to make sure all the doctors are communicating with you/your family. ...Read more
Hello. I have a prostate infection and diverticulitis which has perforated my bladder(fistula)is it hard to tell symptoms from PI vs signs of sepsis?
Be evaluated now...: Sigmoid diverticulitis-related fistula to urinary bladder of course leads to persistent urinary tract infection because of its continual feeding bacteria from colon to bladder. Its clinical pictures could be acute or chronic depending on local anatomical variation and personal immunity. Regardless of whatsoever, seek evaluation now. More? Follow: http://formefirst.com/eNewsletter06.html. Best wish ...Read more
Not likely: Diverticulosis is when you have pouches form in the wall of the colon; it usually develops slowly w/ age. It may be genetic, related to constipation or to a low fiber diet. Diverticulitis is when 1 of these pouches gets inflamed & infected, leading to pain, fever, obstruction, bleeding & abscesses. This doesn't usually result from surg trauma, but the symptoms can be similar to a perforation. ...Read more
Why am I still in pain after being in the hospital with diverticulitis, perforation and a severe infection?
You haven't provided: A time line as to how long you have been out of the hospital, how long the antibiotic were given and whether you were told to stay on a low fiber diet. Answers to all of this can impact the explanation, but it can take up to 6 weeks with proper treatment for this to heal. If you are having fever as well you need to return to your doctor or hospital for re-evaluation promptly ...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 more
What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess? Perforation? Diverticulitis? Stage 2a (t3nomo)
Hereditary: Abscesses, perforations, and diverticulitis are not known to cause colon cancer. Colon cancer in a young person may be due to an inherited cancer susceptibility problem like lynch (hnpcc) or gardner's (fap), especially if there is a family history. Genetic counseling and tests can be done to determine if there is a hereditary genetic predisposition. ...Read more
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?
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.
and http://tinyurl.com/ol3z3a2 ...Read more
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
Had perforated colon. 5 inches descending colon removed. Do i still need to follow a diet for diverticulosis?
Eat well...: It's never too late to start eating well. At 45 with a history of diverticulitis, I'd recommend a broad diet with adequate fibre, and try to lower your fat content. It wouldn't hurt to add a cheap bulk laxative. You don't need to avoid seeds or salads, though I do suggest you limit your intake of nuts and popcorn — not an absolute moratorium, just not a daily diet. Good luck. ...Read more
Perforated colon: A perforated colon (pc) is a surgical emergency and needs to be treated as soon as possible. It can lead to death unless treated promptly. The consequences are death and sepsis, infection, due to the release of bacteria in the colon into the peritoneal space. With early repair and appropriate antibiotics, the patient with a PC may recover. Good luck. ...Read more
More info needed: Need additional information: are you referring to a nasal septum or the heart septum (or another septum)? ...Read more
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