Treatment FAQ

what treatment for diverticulosis

by Antonina Aufderhar Published 2 years ago Updated 1 year ago
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Diverticulitis is treated using diet modifications, antibiotics, and possibly surgery. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs.Jun 21, 2021

Medication

In the past, doctors recommended that people with diverticulitis avoid eating nuts, popcorn, and most seeds. It was thought that the tiny particles from these foods might get lodged in the pouches and lead to an infection.

Therapy

On a clear liquid diet, you can eat:

  • Clear broths (not soup).
  • Clear, pulp-free juices (such as apple and cranberry juice).
  • Jell-O.
  • Popsicles.
  • Water.

Self-care

Home remedies for diverticulitis

  • Liquid diet. For an acute episode of diverticulitis, your doctor may recommend a liquid diet. ...
  • Over-the-counter medications. Over-the-counter (OTC) medications, such as acetaminophen (Tylenol), may help relieve some of your pain.
  • Probiotics. ...
  • High-fiber diet. ...
  • Aloe. ...
  • Digestive enzymes. ...
  • Herbs. ...
  • Acupuncture. ...
  • Essential oils. ...

Nutrition

You may be asked:

  • When did you first begin experiencing symptoms, and how severe are they?
  • Have your symptoms been continuous or occasional?
  • What, if anything, seems to improve or worsen your symptoms?
  • Have you had a fever?
  • What medications and pain relievers do you take?
  • Have you had any pain with urination?

More items...

What are foods to eat and not to eat with diverticulitis?

What to eat when recovering from diverticulitis?

Which home remedies can help treat diverticulitis?

What antibiotics are best for diverticulosis?

See more

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What is the best medicine for diverticulosis?

Antibiotics are utilized for treating infections that can occur in acute diverticulitis. Ciprofloxacin, levofloxacin, metronidazole, amoxicillin-clavulanic, and moxifloxacin are typically prescribed to treat infection related to diverticulitis.

What is the main cause of diverticulosis?

Doctors believe the main cause is a low-fiber diet. Most people with diverticulosis don't have symptoms. Sometimes it causes mild cramps, bloating or constipation. Diverticulosis is often found through tests ordered for something else.

Can diverticulosis go away?

Once the sacs develop, they don't heal on their own, and they don't go away. We can cure diverticulosis by performing surgery to remove the sacs. But if you don't have symptoms and an infection doesn't develop, there's no reason to treat the condition at all, much less undergo surgery.

How long does it take diverticulosis to go away?

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.

What foods should you avoid if you have diverticulosis?

Foods to avoid with diverticulitis include high-fiber options such as:Whole grains.Fruits and vegetables with the skin and seeds.Nuts and seeds.Beans.Popcorn.

What does poop look like with diverticulitis?

Diverticulitis stool characteristics Color: The stool may be bright red, maroon, or black and tarry, which indicates the presence of blood. Stools may contain more mucus than normal. Odor: The stool odor may be increasingly foul compared to the typical smell.

What foods heal diverticulosis?

Examples of low-fiber foods include:Canned or cooked fruits without skin or seeds.Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)Eggs, fish and poultry.Refined white bread.Fruit and vegetable juice with no pulp.Low-fiber cereals.Milk, yogurt and cheese.More items...

Does diverticulosis affect bowel movements?

It is possible that some people with diverticulosis experience bloating, abdominal cramps, or constipation due to difficulty in stool passage through the affected region of the colon.

Is diverticulosis a serious condition?

Diverticulitis can be a serious, and even a potentially life-threatening complication. Health problems that can arise from diverticulitis include: Rectal bleeding. Abscesses and fistulas.

How do you keep diverticulosis under control?

The best way to help prevent diverticulitis is to keep diverticulosis under control. That means eating a high fiber diet – which requires 20 to 35 grams of fiber each day. Fiber is found in grains, vegetables, and fruits.

What are the early warning signs of diverticulitis?

Common signs of diverticulitis include:Abdominal cramping.Abdominal bloating, pain, and tenderness.Chills and/or fever.Constipation or diarrhea.Frequent urination.Nausea and vomiting.Rectal bleeding.

Do probiotics help diverticulosis?

Since diverticulosis is associated with low fiber diet, dysbiosis is probably common in patients with diverticular disease. Probiotics may restore the balance of gut flora by decreasing pathogenic gram negative bacteria [Bengmark, 1998] and have been proposed to be used in diverticular disease to prevent inflammation.

How to treat diverticulitis with no other symptoms?

If you have diverticulitis with mild symptoms and no other problems, a doctor may recommend that you rest, take oral antibiotics. NIH external link. , and follow a liquid diet for a period of time. If your symptoms ease after a few days, the doctor will recommend gradually adding solid foods back into your diet.

What to do if your large intestine is blocked?

If your large intestine is completely blocked, you will need emergency surgery, with possible colon resection. Partial blockage is not an emergency, so you can schedule the surgery or other corrective procedures.

What is the procedure for a colon resection?

Colon resection. If your bleeding does not stop, a surgeon may perform abdominal surgery with a colon resection. In a colon resection, the surgeon removes the affected part of your colon and joins the remaining ends of your colon together. You will receive general anesthesia.

What to do if you have a perforation in your colon?

If you have a perforation, you will likely need surgery to repair the tear or hole. Additional surgery may be needed to remove a small part of your colon if the surgeon cannot repair the perforation.

Can a colon resection be done right away?

In some cases, during a colon resection, it may not be safe for the surgeon to rejoin the ends of your colon right away. In this case, the surgeon performs a temporary colostomy. Several months later, in a second surgery, the surgeon rejoins the ends of your colon and closes the opening in your abdomen.

Can probiotics help with diverticulosis?

Some studies show that probiotics#N#NIH external link#N#may help with diverticulosis symptoms and may help prevent diverticulitis. 5 However, researchers are still studying this subject. Probiotics are live bacteria like those that occur normally in your stomach and intestines. You can find probiotics in dietary supplements—in capsule, tablet, and powder form—and in some foods, such as yogurt.

Does fiber help with diverticulosis?

Although a high- fiber diet may not prevent diverticulosis, it may help prevent symptoms or problems in people who already have diverticulosis. A doctor may suggest that you increase fiber in your diet slowly to reduce your chances of having gas and pain in your abdomen. Learn more about foods that are high in fiber.

What antibiotics are prescribed for diverticulitis?

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®).

What is a diverticula?

Overview. Diverticula are tiny pockets that form in the wall of your colon. They can become inflamed and infected, causing symptoms and sometimes serious problems including bleeding, blockages and abscesses.

What is the name of the disease that occurs in the large intestine?

Diverticulosis and diverticulitis are two conditions that occur in your large intestine (also called your colon). Together they are known as diverticular disease. Both share the common feature of diverticula. Diverticula are one or more pockets or bulges that form in the wall of your colon.

How long does it take for diverticulitis to heal?

Most people who have diverticulitis will recover with about a seven to 10-day course of antibiotics and rest. Severe complication of diverticulitis occur in about the following percent of people: perforation of the colon (1% to 2% of patients), obstruction (rare), fistula (14%) or abscess (30%).

What is the difference between diverticulosis and diverticulitis?

Diverticulosis is “the presence of” and diverticulitis is “inflammation and infection of” one or more diverticula (bulges in your colon wall). Diverticulosis is common , doesn’t cause symptoms or need treatment . Mild diverticulitis is treated with antibiotics. Surgery is needed if problems develop. A high fiber diet, exercise and drinking lots of water can help prevent.

Why does diverticulitis start?

Again, scientists aren’t sure what causes diverticulitis, but they think the infection starts due to the bacteria in stool that gets pushed into the diverticula. Another theory is that the walls of the diverticula itself erode from the increased pressure on the colon walls.

Where is diverticulitis most common?

If the affected area of your colon is removed, another surgery is usually not needed. The most common location for diverticulitis is the sigmoid colon, which is the S-shaped near end portion of your colon. Although this is the most common location, it’s possible for diverticula to form in other areas of your colon.

How to get rid of gas in stomach?

This will depend on how much your doctor thinks fiber (or the lack of it) might play into your condition. Fiber-rich foods reduce gas and pain in your stomach.

What is the term for a pouch that forms in the walls of the digestive tract?

What Is Diverticulosis ? Diverticulosis is when pockets called diverticula form in the walls of your digestive tract. The inner layer of your intestine pushes through weak spots in the outer lining. This pressure makes them bulge out, making little pouches.

Can a muscle spasm cause diverticulosis?

Doctors aren’t sure. Some think muscle spasms or strain (like when you have a bowel movement) make pressure build in your colon and push against the lining. In the past, most experts thought not eating enough fiber -- which is found in many fruits and vegetables, grains, and beans -- led to diverticulosis.

Can you eat sunflower seeds with diverticulosis?

But recent research shows these foods don’t harm people with diverticulosis.

Can probiotics help with diverticulosis?

Research is still being done on how probiotics -- live bacteria that live in your stomach and intestines -- can help fight diverticulosis symptoms. Yogurt and supplements are good sources. It’s important to check with your doctor before taking supplements of any kind.

How to reduce the chances of getting diverticulitis?

You can minimize the chances of developing an infection by modifying your diet. If you have a mild case of diverticulosis, your doctor may have you eat a high-fiber diet to make sure the bowels move regularly and to reduce the odds of getting diverticulitis.

How to diagnose diverticulitis?

If you think you have either diverticulosis or diverticulitis, talk to your doctor. Your doctor can perform tests to diagnose the conditions including: 1 A series of contrast images from a CT scan or from X-rays that then are processed and viewed on a computer to see the intestines and surrounding tissue and bones 2 Colonoscopy, a test in which a flexible lighted tube is used to examine the inside of the intestines

What are the factors that contribute to diverticulosis?

Aging and heredity are primary factors in the development of diverticulosis and diverticulitis, but diet also plays a role. Eating a diet low in fiber and high in refined foods may increase the risk. Indeed, in Western societies, an estimated 10% of people over 40 eventually develop diverticulosis; the figure reaches at least 50% in people over 60.

Can a colonoscopy injure the intestine?

Colonoscopy, a test in which a flexible lighted tube is used to examine the inside of the intestines. If you have an acute case of diverticulitis, a colonoscopy can injure your intestine. Instead, your doctor may recommend only a CT scan, which can help confirm the diagnosis of diverticulitis.

Can diverticulitis be reversed?

Depending on the success of recovery, this procedure may be reversed during a second operation. If you have several attacks of acute diverticulitis, your doctor may want to remove the affected section of the intestine when you are free of symptoms.

How long does it take to get antibiotics for diverticulitis?

Oral antibiotics are often the first line of therapy once you’re diagnosed, and your doctor may prescribe one of the following for 7 to 10 days: ( 6, 7, 8) Flagyl (metronidazole)

What does it mean when you have diverticulitis?

In other words, diverticulitis means inflamed diverticulosis, ” explains Will Bulsiewicz, MD, a gastroenterologist and gut health expert in Mount Pleasant, South Carolina. “People who develop diverticulitis will have pain in the left lower abdomen, and many will also have nausea with vomiting, fever and a change in bowel habits.”.

What is the purpose of colon surgery?

The purpose of surgery is to remove sections of the colon affected by the condition. One option is a primary bowel resection, which removes the diseased section of the colon and reconnects healthy sections so that you can retain normal bowel function.

How to keep your bowels functioning properly?

Diet can play a role in treating and preventing attacks. So to keep your bowels functioning properly, you may need to drink more fluids and add more fiber. (5) “In one study, there was a 42 percent reduced risk of developing diverticulitis among high-fiber consumers compared to low-fiber consumers,” says Bulsiewicz.

What to do if you can't keep fluids down?

1. Intravenous Antibiotic/Pain Therapy. If you can’t keep fluids down or if you have a weak immune system, your doctor may recommend being admitted to the hospital. You’ll receive pain medicine and antibiotics intravenously while in the hospital, which involves connecting a tube to your vein.

Can you take augmentin with diverticulitis?

Augmentin (clavulanate) But while antibiotics can stop or slow the growth of bacteria and help clear infections, they’re not always necessary for mild attacks. ( 9) In fact, Dr. Bulsiewicz says patients with uncomplicated diverticulitis might even consider forgoing antibiotics.

Can diverticulitis be treated with antibiotics?

Copy Link. Medically Reviewed. Diverticulitis can be treated with medication, liquid diet, and intravenous antibiotics. Shutterstock (3) Everyone experiences tummy issues at one point or another. Whether caused by gas, constipation, the stomach flu, or milk a few days past its expiration date, sudden stomach pain can knock you to your knees ...

How to prevent diverticulosis?

Talk to your provider about these or other things you can do to prevent problems that may occur with diverticulosis. Exercise regularly. Ask your healthcare provider about the best exercise plan for you. Exercise can help you have regular bowel movements. Get 30 minutes of exercise on most days of the week.

What is the condition that causes small pockets called diverticula to form in your intestine?

What is diverticulosis ? Diverticulosis is a condition that causes small pockets called diverticula to form in your intestine. These pockets make it difficult for bowel movements to pass through your digestive system.

How to get rid of bloating and gas?

Ask your healthcare provider how much fiber you need. Increase fiber slowly. You may have abdominal discomfort, bloating, and gas if you add fiber to your diet too quickly. You may need to take a fiber supplement if you are not getting enough fiber from food. Medicines to soften your bowel movements may be given.

What is the purpose of a colonoscopy?

It will then be moved forward into your intestine. A colonoscopy is used to look at your whole colon. A scope (long bendable tube with a light on the end) is used to take pictures.

Can you get diverticulitis from smoking?

Nicotine and other chemicals in cigarettes increase your risk for diverticulitis. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.

Does fiber help with diverticulosis?

Fiber helps give your bowel movements more bulk so they are larger and easier to move through your colon. The following may increase your risk of diverticulosis: A history of constipation. Age 40 or older. Obesity.

What is the best diet for diverticulitis?

Dietary changes: A fiber - and nutrient-rich, soft diet helps manage diverticulitis. Foods that are beneficial are as follows: Antibiotics: These are used to fight infection and treat abscess formation if any. Antispasmodic medications: These medicines work on pain and cramps in the tummy.

What is the term for a bulging bowel that pushes out through the colon?

These pockets or diverticula push out through the weak spots in the colon.

Why do you need surgery for a hole in your gut?

They also improve resistance to infections. Surgery: In cases where there is a hole in the gut due to a severe infection or an injury, an operation may be required.

What is the term for a small hole in the colon?

Perforation: It refers to a small hole or tear in the colon. Peritonitis: It is the inflammation or infection of the lining of the abdomen. It presents as fever and severe abdominal pain. Fistula: It refers to an abnormal passage between two organs or between an organ and the outside of the body.

What to eat for a tummy cramp?

Hot cereals, such as oatmeal, farina, and cream of wheat. Quinoa. Whole-grain breads such as whole wheat or whole rye bread. Antibiotics: These are used to fight infection and treat abscess formation if any. Antispasmodic medications: These medicines work on pain and cramps in the tummy.

Can diverticulitis cause fever?

Diverticulitis needs treatment through medications and, in some cases, surgery as it can lead to many dangerous complications: Abscess: It is a painful, swollen, infected, and pus-filled area just outside the colon wall. It may cause fever with chills, nausea, vomiting, and severe abdominal pain.

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