How is diverticulitis treated? If your diverticulitis is mild, your healthcare provider will prescribe an oral antibiotic, such as metronidazole (Flagyl®), trimethoprim-sulfamethoxazole (Bactrim®), ciprofloxacin (Cipro®) or amoxicillin and clavulanic acid (Augmentin®).
Mild cases of diverticulitis are usually treated with antibiotics and a low-fiber diet, or treatment may start with a period of rest where you eat nothing by mouth, then start with clear liquids and then move to a low-fiber diet until your condition improves. More-severe cases typically require hospitalization.
Over-the-counter (OTC) medications, such as acetaminophen (Tylenol), may help relieve some of your pain. Nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin) aren't recommended because they increase the risk of bleeding and other complications.
The over-the-counter painkiller paracetamol is recommended to help relieve your symptoms. Painkillers known as non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, are not recommended because they may upset your stomach and increase your risk of internal bleeding.
Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Severe or recurring diverticulitis may require surgery.
In about 95 out of 100 people, uncomplicated diverticulitis goes away on its own within a week. In about 5 out of 100 people, the symptoms stay and treatment is needed. Surgery is only rarely necessary.
Actually, no specific foods are known to trigger diverticulitis attacks. And no special diet has been proved to prevent attacks. In the past, people with small pouches (diverticula) in the lining of the colon were told to avoid nuts, seeds and popcorn.
Diverticulitis can usually be treated at home with antibiotics prescribed by a GP. You can take paracetamol to help relieve any pain. Talk to a GP if paracetamol alone is not working. Do not take aspirin or ibuprofen, as they can cause stomach upsets.
According to research, a low FODMAP diet may help prevent high pressure in the colon, thus preventing or correcting diverticulitis. You should avoid the following foods: certain fruits, such as pears, apples and plums. dairy foods, such as milk, yogurt, and ice cream.
Stay with liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce) until you are feeling better. Then you can return to regular foods and slowly increase the amount of fibre in your diet. Use a heating pad set on low on your belly to relieve mild cramps and pain.
Rest, taking over-the-counter medications for pain and following a low-fiber diet or a liquid diet may be recommended until your symptoms improve. Once your symptoms improve, you can slowly return to soft foods, then a more normal diet, which should be one that includes many high-fiber foods.
Treatment for Diverticulitis
Symptoms should improve in 2-3 days, and the diet can be slowly advanced. Communication with your health care provider is important if symptoms worsen or do not improve. Treatment of moderate to severe symptoms of diverticulitis occurs in the hospital.
The doctor also may suggest taking a fiber product, such as Citrucel® or Metamucil®, once a day. Your doctor may recommend a low- or high-fiber diet depending on your condition. Listed below are high-fiber food options for diverticulosis and low-fiber food options for diverticulitis.
Percutaneous therapy
However according to the American Society of Colon and Rectal Surgeons (ASCRS) radiologically guided percutaneous drainage is usually the most appropriate treatment for patients with a large diverticular abscess as it avoids the need for emergency surgery and possibility of a colostomy34.
A mild case of diverticulitis may go away on its own without any treatment. When treatment is necessary, antibiotics and a liquid or low-fiber diet may be all that is necessary to resolve symptoms.
It is possible that stress plays a role in the development of diverticulitis as it is estimated that in 60 percent of cases the condition occurs due to environmental causes. Stress on the digestive system commonly experienced because of low fiber diets. Diets high in fat may also cause diverticulitis.
You have about five feet of colon, and most patients can live a normal, healthy life without the sigmoid section, which is about one foot long.
CAUSES. The most commonly accepted theory for the formation of diverticulosis is related to high pressure within the colon, which causes weak areas of the colon wall to bulge out and form the sacs. A diet low in fiber and high in red meat may also play a role.
The prevalence of diverticulitis and diverticular bleeding has also been increasing[4]. Diverticulosis of the colon is often diagnosed during routine screening colonoscopy.
Untreated, diverticulitis can be serious, leading to issues such as bowel obstruction and fistula. Get the information you need to lower your risk for these problems and other comorbidities. Diverticulitis is a form of colitis that can be serious and lead to other health complications if not caught early and treated.
This occurs when diverticula (pouches) become inflamed and infected causing significant lower abdominal pain. It is thought an infection develops when a hard piece of stool or undigested food gets trapped in one of the pouches. This gives bacteria in the stool the chance to multiply and spread, triggering an infection.
How long does a diverticulitis flare-up typically last? After starting treatment, most people should start to feel better in two or three days. If symptoms don't start to get better by then, it's time to call a healthcare provider and get instructions on what to do next.