What is the most effective treatment for acute diverticulitis?

Doctor's Answer

Photo of Dr Wai Leong Quan
Dr Wai Leong Quan

Gastroenterologist

Acute Diverticulitis happens when there is an infection or inflammation of the diverticulum, located in the digestive tract. The most widely accepted principle in treating acute diverticulitis is the control of any infection and watching out for possible complications. Acute diverticulitis may present in a few different ways including:

  • Localized pain
  • Abdominal pain
  • Fever
  • Diarrhea
  • Bleeding from the digestive tract

Most doctors will administer antibiotics especially if there is fever and raised white blood cells. This is to prevent any infection from getting worse resulting in a perforation.

In mild cases, conservative management with pain killers and adequate rest is all we need.

In extreme cases, CT scan and surgery may be required.

Diverticulitis may result in bleeding from time to time and endoscopic treatment or radiological intervention may be required to stop the bleeding.

Unfortunately, there is no conclusive way to prevent acute diverticulitis. Good dietary habits, adequate fluid intake and exercise to ensure regular bowel habits should not harm. Do watch out for significant, progressive and localized pain or blood in your stools especially when associated with unexplained fever. Consult your doctor if you are not sure.

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