Diverticular Disease Medicine

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Uncomplicated diverticulitis is usually treated with multiple antibiotics, such as metronidazole (Flagyl, Metric, Protostat) and ciprofloxacin (Cipro), or sulfamethoxazole plus trimethoprim (Bactrim, Co-trimoxazole, Septra), depending on your individual tolerance to these drugs. Be aware that if you must take antibiotics, you should take a probiotic supplement to reestablish normal bowel flora.

If the disease becomes acutely painful, hospitalization and treatment with intravenous (IV) fluids and antibiotics may be required. If the bowel is obstructed, it may be necessary to insert a tube that runs from the nose down to the stomach to suction out fluids so they do not accumulate at the site of the obstruction.

If divericulitis does not respond to antibiotic treatment surgery may be required. An estimated 20 to 30 percent of people hospitalized for diverticulitis require surgery to remove the diseased section of the colon. The remaining sections of the colon are then joined together. In some cases, a temporary colostomy may be necessary. If peritonitis develops, emergency surgery to remove the diseased section of the intestine is required, followed by aggressive antibiotic therapy.

If diverticular is not well developed, you may be able to avoid surgery by increasing the amount of fiber and water in your diet. Bulking agents, such as psyllium and oat bran, may be recommended. Because ingesting too much fiber all at once can cause gas and bloating, your physician will probably tell you to start with a small amount and gradually increase your intake over a period of three to four weeks.

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