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  1. #1

    while recovering from an episode of diverticulitis

    so last week i was constipated but i went to the grocery store and bought a bunch of high fiber foods and have had two really good bowel movements yesterday and this morning....but i have this pain in my lower left abdomen, i thought it was just a UTI until i went to urgent care to get an antibiotic. They said there was very little protein and white blood cells in my urine, but they are going to culture it and give me an antibiotic anyway. They also said where the pain is it could be diverticulitis. They also put me on the antibiotic for diverticulitis. Now what my question is, they said i should not eat fiber for 3 days to let things settle...im worried that if i dont keep my high fiber diet that i will get constipated all over again. Is it really that neccessary to change my high fiber diet for the first three days of being on the antibiotic? (got back from urgent care a couple of hours ago).

  2. #2
    Have you had a colonoscopy, abdominal ultra sound, or a CT scan to absolutely diagnose diverticulitis?

    Here are some symptoms of and treatment information for Diverticulosis and Diverticulitis (http://digestive.niddk.nih.gov/ddise...erticulosis/):

    Diverticulosis
    Most people with diverticulosis do not have any discomfort or symptoms. However, some people may experience crampy pain or discomfort in the lower abdomen, bloating, and constipation. Other conditions such as irritable bowel syndrome and stomach ulcers cause similar problems, so the symptoms do not always mean a person has diverticulosis. People with chronic symptoms should visit their doctor or health care provider.

    Diverticulitis
    The most common symptom of diverticulitis is abdominal pain. The most common sign on examination is tenderness in the lower left side of the abdomen. Usually, the pain is severe and comes on suddenly, but it can also be mild and become worse over several days. The intensity of the pain can fluctuate. A person may experience cramping, nausea, vomiting, fever, chills, or a change in bowel habits.


    How is diverticular disease treated?
    A high-fiber diet and pain medications help relieve symptoms in most cases of diverticulosis. Uncomplicated diverticulitis with mild symptoms usually requires the person to rest, take oral antibiotics, and be on a liquid diet for a period of time. Sometimes an attack of diverticulitis is serious enough to require a hospital stay, intravenous (IV) antibiotics, and possibly surgery.

    Diverticulosis
    Increasing the amount of fiber in the diet may reduce symptoms of diverticulosis and prevent complications such as diverticulitis. Fiber keeps stool soft and lowers pressure inside the colon so that bowel contents can move through easily. The American Dietetic Association recommends consuming 20 to 35 grams of fiber each day. The table “What foods have fiber?” shows the amount of fiber in some foods that a person can easily add to the diet.

    The doctor may also recommend taking a fiber product such as methylcellulose (Citrucel) or psyllium (Metamucil) one to three times a day. These products are available in powder, pills, or wafers, and provide 2 to 3.5 grams of fiber per dose. Fiber products should be taken with at least 8 ounces of water.

    Avoidance of nuts, popcorn, and sunflower, pumpkin, caraway, and sesame seeds has been recommended by physicians out of fear that food particles could enter, block, or irritate the diverticula. However, no scientific data support this treatment measure. Eating a high-fiber diet is the only requirement highly emphasized across the medical literature. Eliminating specific foods is not necessary. The seeds in tomatoes, zucchini, cucumbers, strawberries, and raspberries, as well as poppy seeds, are generally considered harmless. People differ in the amounts and types of foods they can eat. Decisions about diet should be made based on what works best for each person. Keeping a food diary may help identify what foods may cause symptoms.

    If cramps, bloating, and constipation are problems, the doctor may prescribe a short course of pain medication. However, some pain medications actually cause constipation.

    Diverticulitis
    Treatment for diverticulitis focuses on clearing up the inflammation and infection, resting the colon, and preventing or minimizing complications.

    Depending on the severity of symptoms, the doctor may recommend bed rest, oral antibiotics, a pain reliever, and a liquid diet. If symptoms ease after a few days, the doctor will recommend gradually increasing the amount of high-fiber foods in the diet.

    Severe cases of diverticulitis with acute pain and complications will likely require a hospital stay. Most cases of severe diverticulitis are treated with IV antibiotics and a few days without food or drink to help the colon rest. In some cases, surgery may be necessary.


    Hope this helps in sorting out the treatment that has been suggested.

    All the best,
    GJ

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