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I went into what is probably way too much detail in my profile. So rather than re-do that here, I think you can view my history and current circumstances there. At 23 days I think it is way too soon to know if the sigmoidectomy helped. And to clear, my diverticulitis was "not that bad". I put quotes on that because it probably seem counter intuitive since I had surgery for it. What I mean is that my 11-12 flareups in as many years were, on average, not that bad:

- Fever and chills - yes but I got more proactive, maybe too proactive at times, about getting on antibiotics;
- Pain - yes, but even in my worst flareups there wasn't too much pain if I wasn't pressing on "the spot". When I'd go to the ER or Urgent care they of course always ask what your pain level is. My answer was usually something like - "Right now as I sit/lie here, it's not bad, maybe a dull ache level 1 or 2. But if you push on "the spot" I may involuntarily punch you". I hear of people having bend-over pain constantly during flareups so I always counted myself lucky that I didn't have that.
- Nausea & Diarrhea - never. Again, I hear others have different experiences so I counted myself lucky.
- Recovery - Easy and quick. Once on antibiotics it was 10-14 days later and I was good to go, back to normal.

So you may ask why have surgery? Well, first I'll note that I did get hospitalized once, early on at about episode 3, when I waited too long to go in. 2 or 3 nights on antibiotics via IV and a little longer recovery and I was good to go. But that was 1 of many. I remember a surgeon coming in my last day, with a bunch of med students in-tow; and saying well, this is your 3rd and it's 3 strikes-you're out. You should get surgery. And I was shocked. Obviously I put my head in the sand at that point and drove on for many more years like that. Second, my frequency was 14-16 months and with quick healing my plan was just to live with it, it's not bad enough to get surgery. But then I had a 2 month, low-grade, of what I'd call a smoldering episode, in early 2025 and also started a round of consults with GI docs and surgeons. That increased my knowledge of the disease and potential elevated risks of waiting for a surgery, and the fact that none of the docs were even close to saying you should wait and see. And finally, I had another 2-month smoldering episode in Nov-Dec - but that was when surgery was already scheduled. It wasn't part of the decision making process, but it definitely helped solidify my confidence in my decision and realization that I probably waited too long and was lucky to get it done electively.

I go through all of that for some perspective as I gauge how I'm going to consider if my sigmoidectomy "helped". Since my symptoms "weren't that bad", I don't think I have as high of an improvement bar to clear as many patients do because mine wasn't a horrible case to begin with. Now, I am confident that my improvement bar may have been raised if I waited for surgery for another 2, 3, 10 years because I may have and likely would have seen my symptoms and complications start to ramp up. I mean I already had 11-12 episodes, what happens when I reach 20?

That's the long answer, more than you likely wanted. But you never know who may read someone else's experience and learn from it. - Regards.

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Replies to "I went into what is probably way too much detail in my profile. So rather than..."

@bc321 Something I left out from my 2025 timeline was that between the Jan-Feb and Nov-Dec smoldering episodes, I also had a 'traditional' flareup with infection in Sep25. The ER doc did a scan to rule out a perforation but did say that it was "angry enough" down there that he wanted to give me a bag of IV antibiotics before sending me home with augmentin pills. So my episode frequency was picking up dramatically as well. Again, the decision for surgery had already been made by Sep25, but it just further solidified my decision for the sigmoidectomy.