Diverticulitis treatment

Posted by trishplace @trishplace, Oct 1, 2021

I’ve been battling diverticulosis/diverticulitis for a long time now and this past June got horrible cramps in the lower abdominal area. After many phone calls to my gastroenterologist, where I didn’t feel like I was being taken seriously, she finally put me on Augmentin and I ended up taking it for 6 weeks and then had a colonoscopy. The findings were inflammation and spasms in the sigmoid colon area and diverticulosis throughout the colon.

In asking her about diet, she gave the “standard” answer of stay on low fiber for a couple more weeks (I’ve been doing this for a couple months now), slowly add in fiber. I’m so frustrated with that and I want to know what to eat and if there are supplements that will help with inflammation and healing. She took some biopsies and it will be another week before I get the results. She’s already suggested the possibility of a colon resection which seems a bit overkill at this point.

What I’m dealing with right now are multiple bowel movements throughout the morning, and frequent urination because of the inflammation. What’s frustrating is not being able to just get out and do “normal” day to day activities. Any suggestions on diet, etc. would be greatly appreciated!

Interested in more discussions like this? Go to the Digestive Health Support Group.

Profile picture for rosemaryhow @rosemaryhow

I am very interested to listen to both of your stories. I have had GERD for years, doing ok, then suddenly diagnosed with this thing called LPR. I loved my previous GI doc, as he always spoke to me like I have a brain, but unfortunately has retired. I have a large Left Inguinal hernia, and have as he had told me, diverticulosis. I have in the past 2yrs had 3 terrible episodes that were very scary, and painful, but not sure of what was happening. First one, doubled over with pain,low grade ttemp, and vomiting. I thought it was eating something "spoiled" Could not eat for sweveral days, but little by little started to eat. Second one no apparent temp, but terrible pain and bloating like I was hiding a basketball in my PJ's. Also vomiting, but no stool for 3 days. The last one was waking up at 130 am so nauseated and abd. bloating, I ran to the BR and broke out in a cold sweat, but could not vomit, and no stool. I had trouble breathing because I was wretching continuously. For a moment I thought I was going to die. Same recovery--could not eat for days, but eventually I began with toast and oatmeal. Saw the PA at a new office, and she said I was probably just constipated, so up my fiber. Also, that I should have gone into ER for an X-ray. Does this sound like Diverticulitis ? I do not look forward to another attack like this.

Jump to this post

Yes, this possibly could be a flare of diverticulitis. With those symptoms I went to ER. They would do a CT and determine if it was. After several flares, I knew if it was. Usually, the lower left side hurts and bloating and pain. I suggest when you have this you should get it checked out because you don’t want it to perforate.
Also, a colonoscopy would be a good idea. My last colonoscopy couldn’t be completed due to abscess… that’s when colon resection was scheduled.
Benefiber and Miralax are good friends. Also, when not in a flare up monitor your fiber intake. Read labels.. average a day should be about 25 gr… and water:fluids…

REPLY
Profile picture for rosemaryhow @rosemaryhow

I am very interested to listen to both of your stories. I have had GERD for years, doing ok, then suddenly diagnosed with this thing called LPR. I loved my previous GI doc, as he always spoke to me like I have a brain, but unfortunately has retired. I have a large Left Inguinal hernia, and have as he had told me, diverticulosis. I have in the past 2yrs had 3 terrible episodes that were very scary, and painful, but not sure of what was happening. First one, doubled over with pain,low grade ttemp, and vomiting. I thought it was eating something "spoiled" Could not eat for sweveral days, but little by little started to eat. Second one no apparent temp, but terrible pain and bloating like I was hiding a basketball in my PJ's. Also vomiting, but no stool for 3 days. The last one was waking up at 130 am so nauseated and abd. bloating, I ran to the BR and broke out in a cold sweat, but could not vomit, and no stool. I had trouble breathing because I was wretching continuously. For a moment I thought I was going to die. Same recovery--could not eat for days, but eventually I began with toast and oatmeal. Saw the PA at a new office, and she said I was probably just constipated, so up my fiber. Also, that I should have gone into ER for an X-ray. Does this sound like Diverticulitis ? I do not look forward to another attack like this.

Jump to this post

My first diverticulitis event was four years ago. I thought I was just having a bad ibs-d flare up. But when it lasted several days and I started having severe lower abdomen pain I decided to go to the ER.
A CT scan was done and it showed diverticulitis.
Cipro and Flagyl and liquid diet got me back on track but the Flagyl was terrible and I didn’t finish it all. Cipro I could finish.
Three years later I had my second diverticulitis flare up. I knew this time it was not my ibs d. my symptoms when I am starting to get a diverticulitis flare up are chills and nausea before during and after a BM. Cipro and Flagyl and liquid diet again. Worked but I can only finish the Cipro not all the Flagyl.
A year passed and again I just had my third flare up in four years. Liquid diet and Cipro and Flagyl again worked but as usual I can only finish the Cipro.
Flagyl not only has the horrible metallic taste that lingers but I started having insomnia and confusion. Stopped the Flagyl those symptoms went away.
I’m supposed to have a colonoscopy every five years.
If the antibiotics ever stop working for me then my doctor wants another CT scan.
I appreciate everyone sharing their experiences.
Good luck to everyone.

REPLY
Profile picture for donna2023 @donna2023

HiI have diverticulitis, ibsd, and acid reflux. My first diverticulitis flare up was four years ago. Had another three years later, and another last month. The liquid diet for three days and then small amounts of white rice and boiled chicken help. I also take Cipro and Flagyl for seven days. I get very weak from not eating and very very bloated from the Cipro and Flagyl. The Flagyl causes insomnia and of course horrible metal taste in my mouth. This last flare up I could not even switch to rice and chicken after seven days because of lack of appetite. I was still on liquids the entire course of the antibiotics. Now after being off the antibiotics for 24 hours my bloating has calmed down and the metabolic taste is gone. I’m starting to eat solid bland foods again fortunately.My question is: has anyone had luck with any other antibiotics paired up with Cipro? Flagyl has so many side effects that I can’t take the full dose for seven days. I am okay with the Cipro for seven days even with the bloating. Flagyl is my problem.By the way, when I am starting to get a flare up my signs are: diarrhea, chills and nausea before during and after a BM.With my ibsd, I only have diarrhea.The chills and nausea before during and after the BM are how I know it’s diverticulitis flare up again.Has anyone had similar symptoms and has anyone had luck with some other antibiotics besides flagyl?Thanks for all your help 🙂

Jump to this post

Thankyou all so much for sharing. Now I am pretty convinced that this was a bout of diverticulitis. My problem is that I am 76yr.old, with no family near by, and I would have to drive myself to an ER which is quite far away. If during the day, I may or may not be able to do this. But I will have to see what the future brings. And yes I am concentrating daily on fiber.

REPLY
Profile picture for donna2023 @donna2023

HiI have diverticulitis, ibsd, and acid reflux. My first diverticulitis flare up was four years ago. Had another three years later, and another last month. The liquid diet for three days and then small amounts of white rice and boiled chicken help. I also take Cipro and Flagyl for seven days. I get very weak from not eating and very very bloated from the Cipro and Flagyl. The Flagyl causes insomnia and of course horrible metal taste in my mouth. This last flare up I could not even switch to rice and chicken after seven days because of lack of appetite. I was still on liquids the entire course of the antibiotics. Now after being off the antibiotics for 24 hours my bloating has calmed down and the metabolic taste is gone. I’m starting to eat solid bland foods again fortunately.My question is: has anyone had luck with any other antibiotics paired up with Cipro? Flagyl has so many side effects that I can’t take the full dose for seven days. I am okay with the Cipro for seven days even with the bloating. Flagyl is my problem.By the way, when I am starting to get a flare up my signs are: diarrhea, chills and nausea before during and after a BM.With my ibsd, I only have diarrhea.The chills and nausea before during and after the BM are how I know it’s diverticulitis flare up again.Has anyone had similar symptoms and has anyone had luck with some other antibiotics besides flagyl?Thanks for all your help 🙂

Jump to this post

Wishing you good luck.

REPLY
Profile picture for rosemaryhow @rosemaryhow

I am very interested to listen to both of your stories. I have had GERD for years, doing ok, then suddenly diagnosed with this thing called LPR. I loved my previous GI doc, as he always spoke to me like I have a brain, but unfortunately has retired. I have a large Left Inguinal hernia, and have as he had told me, diverticulosis. I have in the past 2yrs had 3 terrible episodes that were very scary, and painful, but not sure of what was happening. First one, doubled over with pain,low grade ttemp, and vomiting. I thought it was eating something "spoiled" Could not eat for sweveral days, but little by little started to eat. Second one no apparent temp, but terrible pain and bloating like I was hiding a basketball in my PJ's. Also vomiting, but no stool for 3 days. The last one was waking up at 130 am so nauseated and abd. bloating, I ran to the BR and broke out in a cold sweat, but could not vomit, and no stool. I had trouble breathing because I was wretching continuously. For a moment I thought I was going to die. Same recovery--could not eat for days, but eventually I began with toast and oatmeal. Saw the PA at a new office, and she said I was probably just constipated, so up my fiber. Also, that I should have gone into ER for an X-ray. Does this sound like Diverticulitis ? I do not look forward to another attack like this.

Jump to this post

Yes. If you have another one pay attention to fever and sickness as you will want to go to ER

REPLY
Profile picture for donna2023 @donna2023

Thank you for sharing your story.

Jump to this post

I’ve had diverticulitis since 2015. I could not take Flagyl and Cipro either… The one doctor in my practice suggested I just take Augmentin and that seems to work well for me. I don’t have to take the other two I just take that for 10 days.

REPLY

I'm very new to finding i have diverticulitis. How do I take the Augmentin with food, if maintaing clear liquids? I guess just have to eat something more solid?
Thanks,
Bev.

REPLY
Profile picture for ashum1 @ashum1

I'm very new to finding i have diverticulitis. How do I take the Augmentin with food, if maintaing clear liquids? I guess just have to eat something more solid?
Thanks,
Bev.

Jump to this post

Hi, @ashum1. Welcome to Mayo Clinic Connect. You'll note I moved your post here to an existing discussion on diverticulitis treatment so you could meet members such as @kendra1129
@rosemaryhow @donna2023 @alh4 and others. I'd also like to introduce you to @jlharsh. I believe some of them will have input on how to take Amoxicillin/Clavulanic acid (Augmentin).

When were you diagnosed, @ashum1? What symptoms were you experiencing prior to your diagnosis?

REPLY
Profile picture for Lisa Lucier, Moderator @lisalucier

Hi, @ashum1. Welcome to Mayo Clinic Connect. You'll note I moved your post here to an existing discussion on diverticulitis treatment so you could meet members such as @kendra1129
@rosemaryhow @donna2023 @alh4 and others. I'd also like to introduce you to @jlharsh. I believe some of them will have input on how to take Amoxicillin/Clavulanic acid (Augmentin).

When were you diagnosed, @ashum1? What symptoms were you experiencing prior to your diagnosis?

Jump to this post

One evening, about 2 weeks ago, I had a slight low back ache, then at 3am I woke up to entire abdominal cramping pain. It blossomed into a rate of 10/10. I went to ER, had a cat scan, was told probable gastroenteritis. No fever, diarrhea, constipation, or nausea. One week later the pain returned 5/10. Had a Cat scan of abdomen & pelvis, with oral barium, IV contrast, & without Infusion. Pain remained on/off, mostly left lower.
Thanks,
ashum1

REPLY
Profile picture for ashum1 @ashum1

One evening, about 2 weeks ago, I had a slight low back ache, then at 3am I woke up to entire abdominal cramping pain. It blossomed into a rate of 10/10. I went to ER, had a cat scan, was told probable gastroenteritis. No fever, diarrhea, constipation, or nausea. One week later the pain returned 5/10. Had a Cat scan of abdomen & pelvis, with oral barium, IV contrast, & without Infusion. Pain remained on/off, mostly left lower.
Thanks,
ashum1

Jump to this post

Hi @ashum1. You are having a rough time, I am sorry!

I do not have diverticulitis. Actually, diverticulosis was found on my first colonoscopy 8 or 9 years ago and I think it acts up some. Nothing like what you have going on. It sounds like you are cutting back to only liquids to hopefully come out of a flare.

I think I would eat a saltine cracker just before taking Augmentin. Maybe others that have taken Augmentin specifically will comment more ideas for you.

Are you working with a doctor? What is next?

REPLY
Please sign in or register to post a reply.