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.
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.
Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Severe or recurring diverticulitis may require surgery.
Probiotics combined with mesalazine have also emerged as an alternative potential therapeutic strategy in preventing recurrent attacks of diverticulitis. One series reported that treatment with mesalazine and/or lactobacillus casei induced remission in 88% of their patients at a median follow-up of 2 years.
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.
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.
Can diverticulitis be cured? Diverticulitis can be treated and be healed with antibiotics. Surgery may be needed if you develop complications or if other treatment methods fail and your diverticulitis is severe. However, diverticulitis is generally considered to be a lifelong condition.
If you don't treat it, diverticulitis can lead to serious complications that require surgery: Abscesses, collections of pus from the infection, may form around the infected diverticula. If these go through the intestinal wall, you could get peritonitis. This infection can be fatal.
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.
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).
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.
As you get older, your colon wall can become weaker. This can cause small pockets or pouches to form in weakened areas of your colon. If these pouches get infected, it can cause a diverticulitis attack or flare-up.
Computed tomography (CT) scans are commonly used to diagnose acute diverticulitis, but there are overlapping features between diverticulitis and colorectal cancer (CRC) on imaging studies. Hence, colonoscopy is typically recommended after an episode of acute diverticulitis to rule out underlying malignancy.
You may have heard advice that people with diverticular disease should avoid small, sharp and hard foods such as nuts, seeds and corn. The thinking is that there is a risk of undigested remnants of these foods lodging in the diverticula and causing inflammation.
In serious cases, diverticulitis can lead to bleeding, tears, or blockages. Your doctor will do a physical exam and imaging tests to diagnose it. Treatment may include antibiotics, pain relievers, and a liquid diet. A serious case may require a hospital stay or surgery.
Bed Rest. Along with dietary restrictions, bed rest has been part of the routine treatment of acute diverticulitis.
Blood in your stools. Fever above 100.4°F (38°C) that does not go away. Nausea, vomiting, or chills. Sudden belly or back pain that gets worse or is very severe.
Your doctor may diagnose your condition using: Abdominal and Pelvic CT: A CT scan is the best test to diagnose diverticulitis. It can also help determine the severity of the condition and guide treatment. You may receive an intravenous (IV) injection of contrast material.
Mild colonic diverticulitis can be treated without antibiotics.
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.
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.
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.