Doctor insights on:
What Can I Do For My Diverticulitis To Avoid Needing Surgery
Take care of it: First and foremost take good care of your colon. This usually entails a high fiber diet with a lot of fresh fruits and vegetables. Avoid dehydration. Drink a lot of water. Keep your stools bulky and on the soft side. Your colon will be happy. Fiber supplements like metamucil might be needed. ...Read moreSee 2 more doctor answers
Diverticulitis is inflamation and/or infection of diverticuli, almost exclusively of the colon. The most common place is in the sigmoid colon, low on the left side. Symptoms are pain and tenderness of the left lower abdomen. They can be mild to severe. Sometimes worse with ...Read more
Need To See Surgeon: Factors that contribute to the decision to undergo elective colon resection for diverticular disease include the number and severity of prior attacks, patient age and overall health, and extent of diverticuli. In general, one has to balance the benefit of reducing the chance for future attacks with the risk of major abdominal surgery. This decision is best made with a general surgeon. ...Read moreSee 1 more doctor answer
What are the common complications of diverticulitis, and how often do people need to have surgery for it?
Multiple: Perforation, obstruction, abscess and fistula formation. On occasion bleeding and stricture formation can complicate it. If a patient keeps having recurrent attacks requiring IV antibiotics and hospitalization, than surgery should be considered as an option to resolve the problem. ...Read moreSee 1 more doctor answer
How do u get diverticulitis, how do u know if u need surgery to cure it? What happens during surgery, how does it cure it?
Infection: Small out-pouches form on the outside of the colon, most often in the left lower abdomen. Infection of these pouches is diverticulitis. Prevent by eating high fiber foods, avoid junk foods, avoid constipation, drink plenty of liquids, take fiber supplements such as metamucil. Surgery to remove part of the colon is only for multiple episodes of recurrent infections, colon stricturing, bleeding. ...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
MAY cause bowel perf: Just like a 'ruptured appendix' is bad, so is a perforated bowel from diverticulitis. If the bowel contents (stool, bacteria) gets out of the intestine and into the 'body cavity' it can cause near-fatal peritonitis, sepsis (blood infection), shock , and eventual death. It is better to remove the appendix and/or the diverticular abcess before 'it's too late!'. ...Read moreSee 1 more doctor answer
Elective?Emergency?: Surgery for diverticulitis may be performed emergently (to treat an active episode) or electively (to prevent future episodes). In the former situation, one may be quite ill and the operation is usually "open" with a colostomy, all leading to a prolonged convalescence. When elective, this is usually laparoscopic and w/o a stoma; people are home in 2-3 days and back to work in 2-3 weeks. ...Read moreSee 1 more doctor answer
Sometimes: It depends on if this is your first episode of diverticulitis and successfully treated with antibiotics, then no surgery indicated. If you had complicated diverticulitis with significant abscess or rupture, then surgery is more likely indicated. If you have had repeated episodes of diverticulitis requiring medical treatment, more than 2 to 3 episodes, then surgery may be indicated. ...Read moreSee 1 more doctor answer
4-6 weeks: Depending on whether the surgery is laparoscopic or open changes the recovery. Typically my patients are home after 4-5 days and back doing usual activity 3 weeks later. If the surgery was open - requiring an old fashioned incision - the stay is 5-7 days and it is 4-6 weeks of recovery. ...Read moreSee 1 more doctor answer
Yes it can recur : Surgery usually involves a resection of the part of the colon infected so that a recurrence can occur in another part of the colon. As far as diet is concerned the diverticular diet was devised in the 1920s and excluded all seeds, etc.(things that dont get digested) however in more recent years these things do not seem to be a cause of diverticulitis. In the 1920s a physician found a seed in the. ...Read moreSee 1 more doctor answer
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