If antibiotics are given for uncomplicated diverticulitis, consider amoxicillin/clavulanic acid or an oral cephalosporin plus metronidazole if the patient can take oral therapy. If intravenous therapy is needed cefazolin, cefuroxime, or ceftriaxone, all plus metronidazole or ampicillin/sulbactam alone can be used.
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®).
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.
Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs.
Other pain relievers might be your preferred drugs of choice. But when it comes to diverticulitis, acetaminophen is your best bet. This is because ibuprofen and aspirin can cause abdominal pain and make an already upset stomach feel worse.
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.
If antibiotics are given for uncomplicated diverticulitis, consider amoxicillin/clavulanic acid or an oral cephalosporin plus metronidazole if the patient can take oral therapy. If intravenous therapy is needed cefazolin, cefuroxime, or ceftriaxone, all plus metronidazole or ampicillin/sulbactam alone can be used.
Medications: Some drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and steroids may weaken or irritate the colon wall. Lack of exercise: Working out regularly seems to decrease the odds of developing diverticulitis.
Treatment includes bowel rest. This involves having a low fibre or a fluid-only diet. Sometimes your doctor may prescribe antibiotics. You can also take mild pain-relief medicines if needed.
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.
Doctors often diagnose diverticulitis using a computed tomography (CT) scan of your abdomen and pelvis. It is best to perform the scan with intravenous (IV) contrast when possible. Many centers will also ask that you drink a form of oral contrast. Both contrast materials make the intestinal tract easier to see.
Several drugs are associated with an increased risk of diverticulitis, including steroids, opioids and nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve).
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.
“While antibiotics have long been first-line therapy for acute uncomplicated diverticulitis, recent evidence suggests there is no benefit in immunocompetent patients with mild acute uncomplicated diverticulitis,” the report states.
Mild colonic diverticulitis can be treated without antibiotics.
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.
While the cause of diverticular diseases is unknown, several studies associate the conditions with low fiber intake, excessive alcohol use, anti-inflammatory medications, steroids, obesity, and smoking.
The prevalence of diverticulitis and diverticular bleeding has also been increasing[4]. Diverticulosis of the colon is often diagnosed during routine screening colonoscopy.
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.
Eat more fiber.
A high-fiber diet decreases the risk of diverticulitis. Fiber-rich foods, such as fresh fruits and vegetables and whole grains, soften waste material and help it pass more quickly through your colon. Eating seeds and nuts isn't associated with developing diverticulitis.
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.
High fiber vegetables such as broccoli, cabbage, and artichokes are high in fiber and can be difficult to digest. Eating them may cause gas and bloating. People with diverticulitis may not digest lactose well.