Treatment of diverticulitis will depend on the severity of signs and symptoms, as it can be classified as acute, un complicated or complicated diverticulitis.
In the case of acute and un complicated diverticulitis, depending on the situation, treatment can be done at home, from where the doctor indicates in the field medications to treat the infection, but also some changes in the diet to facilitate bowel deflation. He knows more about diverticulitis.
- However.
- In the event of a complicated diverticulitis attack.
- With abscess formation.
- Fistula.
- Or bowel obstruction.
- For example.
- The general surgeon.
- The coloproctologist may indicate the completion of surgery to drain secretion and remove the inflamed part of the intestine.
Treatment of acute diverticulitis in complicated cases involves the indication of antibiotics to fight and control infection, usually if drugs such as metronidazole or ciprofloxacin are used for a period of 7 to 10 days.
In addition to antibiotics, your doctor may guide the use of anti-nausea medications, such as metoclopramide, and for abdominal pain, medications such as hyposcin or dipirone.
In addition, it is important to change the consistency of the diet, so during the first days of the day, a diet of clear liquids, it is necessary to consume contaminated fats, liquid yokes and diluted fruits glued as pear, apple or peach. , chamomile and liquid gelatin. Once a person tolerates the oral route and inflammation decreases, the consistency of the diet increases through a normal diet.
When symptoms aren’t very severe and there’s no suspicion that diverticulitis may get complicated, your doctor may recommend treatment at home, if symptoms such as abdominal pain and abdominal pain become very severe during treatment, you will need to return to the hospital.
Complicated acute diverticulitis is treated in the hospital with intravenous antibiotics and in the most severe cases, in cases of large abscesses, fistula, heavy bleeding, perforation or intestinal obstruction, for example, surgery may be needed to remove the inflamed part of the intestine.
In cases where an abscess forms, the surgeon may indicate the drainage of the secret accumulated by a puncture.
Complications of diverticulitis, as this usually occurs when there is a delay in starting treatment, when it is not done correctly Some people may not have severe symptoms because they may occur in older people, it is difficult to diagnose the disease and track the start of treatment.
Surgery to remove part of the colon for diverticulitis is indicated if:
Complicated acute diverticulitis;
Recurrent diverticulitis, i. e. it occurs more than once in person;
Diverticulitis in people with weakened immune systems, such as transplants, people with HIV or kidney failure, for example, because new infections can be life-threatening.
Surgery may be performed by laparoscopy or conventional open surgery, performed in a surgical center and under general anesthesia. Learn more about laparoscopy: who it is for, how it works, and how it works.
The time of surgery is very variable and depends on the degree of inflammation of diverticulitis and the degree of intestinal withdrawal, usually the person is discharged for about 3 days, having to recover at home, with medications to relieve pain and discomfort, such as Dipirona, prescribed by the doctor and following a diet guided by a clinical nutritionist.
In case of a diverticulitis attack, the diet is guided by a doctor or nutritionist, since during the first few days it is necessary to perform a diet of clear liquids for 1 or 2 days to demonstrate oral tolerance. As the person tolerates diet, he goes from consistency to a liquid diet low in fluids to avoid stimulating the intestine and helping to reduce inflammation, to move to a soft diet and a full diet.
After treatment and crisis of the past, the person must follow a diet that promotes the proper functioning of the intestine, rich in whole foods, fruits and vegetables; In this way, in addition to preventing the formation of new diverticules in the intestine, it also helps prevent further inflammation.
Also, an excellent natural treatment for people with diverticules, but without being in a crisis of diverticulitis, and increasing the consumption of probiotic foods such as yogurt, Activia, Yakult or Kefir, for example, to protect the intestinal lining, regulate the intestine and strengthen the immune system.
See more details on dieting during a diverticulitis attack.