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 Janell, Volunteer Mentor @jlharsh

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?

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Yes Thank You so much 🙂 my primary care Dr. diagnosed and I have a GI appointment Oct. 14th. I have a plain water cracker with Augmenting, or at my “meal time” / also am now able to eat a plain baked chicken filet and plain white bread, clear broth. Trying plain low-fat yogurt to promote the good bacteria / 1 Tbl. so far. I think I’ll wait a couple more days to progress food. I’ve had a trip to Rome planned since February, and still going to try to go. Just need to watch diet, and rest well. Cross my fingers!

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Profile picture for ashum1 @ashum1

Yes Thank You so much 🙂 my primary care Dr. diagnosed and I have a GI appointment Oct. 14th. I have a plain water cracker with Augmenting, or at my “meal time” / also am now able to eat a plain baked chicken filet and plain white bread, clear broth. Trying plain low-fat yogurt to promote the good bacteria / 1 Tbl. so far. I think I’ll wait a couple more days to progress food. I’ve had a trip to Rome planned since February, and still going to try to go. Just need to watch diet, and rest well. Cross my fingers!

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@ashum1, great plan! Rome will be wonderful.

I am interested to hear what you learn at your October 14 doctors appointment. I hope you come back here and post an update.

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Profile picture for Janell, Volunteer Mentor @jlharsh

@ashum1, great plan! Rome will be wonderful.

I am interested to hear what you learn at your October 14 doctors appointment. I hope you come back here and post an update.

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@jlharsh I thank you sincerely. I am a retired nurse, and the advice I gave over my career included diverticulitis. However, it doesn’t compare to experiencing it,

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had another attack last week-I get flare ups often ( but no antibiotics-just self manage with heat and antispasmotics)--but had to take meds this week ECH!-doctors differ in how long, and how much!! I also get other side effects like yeast and body aches from the meds!
So meds Cipro and Flagel for 7 days? 5 days? 10days?
(no Augmentin--gave me C-Diff last time)
What do you do?

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Profile picture for mtpeony @mtpeony

had another attack last week-I get flare ups often ( but no antibiotics-just self manage with heat and antispasmotics)--but had to take meds this week ECH!-doctors differ in how long, and how much!! I also get other side effects like yeast and body aches from the meds!
So meds Cipro and Flagel for 7 days? 5 days? 10days?
(no Augmentin--gave me C-Diff last time)
What do you do?

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@mtpeony - I moved your post here so that you could talk to many others already talking about diverticulitis treatments, like @ashum1 @jlharsh @alh4 @donna2023 and others.

I'm sorry to hear you had another attack last week and are getting differing input from doctors on how long to take medications and how much to take. How confusing. Having to deal with side effects like body aches also is unpleasant.

When you mention that doctors differ in their prescriptions for meds for a diverticulitis flare up, mtpeony, do you mean a difference between your primary care doctor and your gastrointestinal specialist? Or your previous and current gastrointestinal specialists?

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Profile picture for Lisa Lucier, Moderator @lisalucier

@mtpeony - I moved your post here so that you could talk to many others already talking about diverticulitis treatments, like @ashum1 @jlharsh @alh4 @donna2023 and others.

I'm sorry to hear you had another attack last week and are getting differing input from doctors on how long to take medications and how much to take. How confusing. Having to deal with side effects like body aches also is unpleasant.

When you mention that doctors differ in their prescriptions for meds for a diverticulitis flare up, mtpeony, do you mean a difference between your primary care doctor and your gastrointestinal specialist? Or your previous and current gastrointestinal specialists?

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@lisalucier
hi--protocol from differnt gastro doctors and on line with sites like "Annals of Gastroenterology" etc !!! Very unsettling that there has been no definitive approach or research.

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Thanks for the tag @lisalucier. Hi, @mtpeony. It sure sounds like you are having a difficult time managing your diverticulitis.

I initially had difficulties being consistent with lifestyle, food as medicine and staying active. However, I am doing better and now realize just how much I would prefer taking opportunities to improve, manage well during my stable times so I don’t have to spend my life managing a crisis. Either way, it’s a lot of work! Once I had this down it became much easier for my GI to make treatment recommendations. The pain and swelling in my sigmoid area has sure improved.

I am not sure what all I have going on in my gut but we are figuring it out. I am learning that once I finally have started feeling better I can better tell what helps, what hurts. Until then, nothing I did seemed to help. It took a while of doing what my doctors recommended before I felt tons better. I spent quite a bit of time blending my food or skipping meals to feel better. Now I eat tons of whole grains, fruits and veggies. I was told 30 minutes of exercise daily is what my gut needs to get things moving and funny thing is, I can routinely tell it takes 25.

Here is what I found from Mayo Clinic:
- Your healthcare professional is likely to recommend a liquid diet. When symptoms begin to improve, you can gradually increase solid food, beginning with low-fiber foods. When you're fully recovered, you can resume a regular diet with high-fiber foods. A fiber supplement may also be recommended.
- Exercise regularly.
- Eat a high-fiber diet. A high-fiber diet improves the movement of waste through the colon. Fiber-rich foods include fruits, vegetables, whole grains, seeds and beans. Cut back on red meats and sweets.
- Maintain a healthy weight.
- Drink plenty of fluids. Fiber works by absorbing water and increasing the soft, bulky waste in your colon. Drinking fluids improves the movement of waste and prevents constipation.
- Quit smoking and limit alcohol use. Smoking and heavy alcohol.

What symptoms do you experience during your flares? How well do feel like your bowels move food through your system?

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I just joined this forum and I am in my fifth week of recovery with diverticulitis of the ascending:. Are you progressing? Have you had to have surgery?

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Profile picture for ashum1 @ashum1

Yes Thank You so much 🙂 my primary care Dr. diagnosed and I have a GI appointment Oct. 14th. I have a plain water cracker with Augmenting, or at my “meal time” / also am now able to eat a plain baked chicken filet and plain white bread, clear broth. Trying plain low-fat yogurt to promote the good bacteria / 1 Tbl. so far. I think I’ll wait a couple more days to progress food. I’ve had a trip to Rome planned since February, and still going to try to go. Just need to watch diet, and rest well. Cross my fingers!

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@ashum1 my doctor did not give me a diet to follow when I saw him almost 3 weeks after my initial diagnosis. When he learned I was still on a liquid diet, he told me to start including 3 to 5 g of fiber. So I ate chicken soup, which contained carrots and celery. Those are fibrous materials and it set me back a great deal. After that, I went to AI and asked if I could find a meal plan and a way to eat so that I know what I’m doing and not just guessing at what food to eat how much and when.

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Profile picture for trishplace @trishplace

I'm giving an update on my diverticulitis and digestive issues. Although the diverticulitis and inflammation has settled down, I'm now having upper abdominal gas and burning in the gallbladder area, even though I had the gallbladder removed over a year ago. Doesn't matter what I eat, it's a constant. I'm still have problems, at times, with frequent urination.

I had requested an appointment at the Mayo clinic in Rochester (closest to me) and my gastroenterologist had sent her referral and then records. I received a letter from Mayo that stated they had reviewed my information to determine if they could add further value or treatment options.... unfortunately, we are unable to offer you an appointment at this time.

I have added a really good probiotic into my daily diet, also Kombucha and yogurt. The frequent bowel movements, for the most part, are down to 2 or 3 throughout the day, so that's an improvement.

Lots of anxiety over this because I never know if I'm going to have a "good day" and can go out and do things, or what's going to happen. I'm seeing a therapist and I'm just starting Lexipro. I really don't know if my gastroenterologist is going to be much more help. I feel like I've been abandoned and am now just doing research on my own via the internet.

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@trishplace
Have you thought of going to Google AI and asking for a meal plan or a way to use nutrition as a way to help you recover? I have done just that with good results.

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