Diverticulosis (cont.)Medical Author:
Jay W. Marks, MD
Jay W. Marks, MDJay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles. Medical Editor:
William C. Shiel Jr., MD, FACP, FACR
William C. Shiel Jr., MD, FACP, FACRDr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology. In this Article
How are the diagnosis of diverticulitis and diverticulosis made?If suspected, the diagnosis of diverticular disease can be confirmed by a variety of tests. Barium X-rays (barium enemas) can be performed to visualize the colon. Diverticula are seen as barium filled pouches protruding from the colon wall. Direct visualization of the inside of the colon and the openings of the diverticula can be done with flexible tubes inserted through the rectum and advanced into the colon. Either short tubes (sigmoidoscopes) or longer tubes (colonoscopes) may be used to assist in the diagnosis and to exclude other diseases that can mimic diverticular disease. In patients suspected of having diverticulitis causing persistent pain, tenderness, and fever; ultrasound and computerized tomography (CT) examinations of the abdomen and pelvis can be done to detect inflammation of the tissues surrounding the ruptured diverticulum or collections of pus. What is the treatment for diverticulitis and diverticulosis?Medical treatment of diverticulitis and diverticulosisPatient Comments on Diverticulitis - Treatment
Comment from: Luvmyrott223, 45-54 Female (Patient)
Published: March 21
I had low abdominal pain for about 3 months but since I am 48 years old and premenopausal I thought it was just from that. On Valentine's evening 2012 I had such low left and right abdominal pain I couldn't stand up straight, the nausea was awful, chills, fever. I thought I had a stomach bug. My husband finally convinced me to go to the Emergency Room and after a CT Scan and pelvic ultrasound I was diagnosed with Diverticulitis and admitted. I spent 3 days on IV only (nothing by mouth not even ice chips) and strong antibiotics Cipro and Flagyl and yes morphine for such extreme pain I couldn't stand it. I improved and was given soft foods and sent home with instructions to eat low fiber diet, decaf only, no alcohol, no spicy foods and no heavy lifting. I was fine for almost a month but now have had my first flare up (severe pain, cramping, diarrhea, gas and low grade fever) so it's back to soft foods for me. I have yet to see the Gastric Doctor as it takes time to get an appointment but I'm going soon. Don't wait to see someone, don't try to sneak foods you can't have, keep a diary of what you eat and how you react to it. This is no disease to play around with. If it gets out of control the poisons released into your body can kill you (peritonitis). Be safe and well. Was this comment helpful?Yes
Comment from: kfed, 35-44 Male (Patient)
Published: March 08
In April 2004, I was sitting in my living room and all of a sudden, I had the worst pain of my life on the lower left side of my abdomen. The pain lasted only about 15 seconds. The next morning, I had a slight fever, dry heaves and mild pain. I never had symptoms of diverticulitis before and mine had perforated. I went to the emergency room after seeing my primary doctor. I was rushed into surgery and spent 15 days in the hospital - including 3 days in the ICU. I had a colostomy for 6 months. Since the colostomy was reversed, I have made sure to eat better. Lots of fresh fruit and veg. plus 1 dose (or 2) of metamucil per day. Was this comment helpful?Yes
Most patients with diverticulosis have minimal or no symptoms, and do not require any specific treatment. A normal fiber diet is advisable to prevent constipation and perhaps prevent the formation of more diverticula. Patients with mild symptoms of abdominal pain due to muscular spasm in the area of the diverticula may benefit from anti-spasmodic drugs such as:
When diverticulitis occurs, antibiotics usually are needed. Oral antibiotics are sufficient when symptoms are mild. Some examples of commonly prescribed antibiotics include:
Liquid or low fiber foods are advised during acute attacks of diverticulitis. This is done to reduce the amount of material that passes through the colon, which at least theoretically, may aggravate the diverticulitis. In severe diverticulitis with high fever and pain, patients are hospitalized and given intravenous antibiotics. Surgery is needed for patients with persistent bowel obstruction or abscess not responding to antibiotics. Reviewed by William C. Shiel Jr., MD, FACP, FACR on 12/13/2012 Patient CommentsViewers share their comments
Diverticulitis (Diverticulosis) - Attack Symptoms
Question: What were the symptoms of your diverticula attack?
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Question: What was the treatment for your diverticulitis?
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Question: What are the causes of your diverticulitis?
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The fatigue and chills came first in mid-June 2011. When I saw my family doctor, he pressed on my abdomen and located the area of diverticulitis. Because of that, I knew what it was when the pain hit that night. I am allergic to Flagyl, so my doctor treated it with large doses of antibiotics. It took three rounds of strong antibiotic pills, with a "booster" shot of antibiotics the second week. It took 3 weeks for me to recover and get back to work. I actually eat pretty healthy, take fiber supplements, and exercise, but that's no guarantee that I will be free of episodes. I've discovered that rich foods (e.g., like real ice cream or things that contain a lot of butter) will cause a round of painful diarrhea and nausea.