What is the latest treatment for diverticulitis?

What is the latest treatment for diverticulitis?

Currently there is no medication available to prevent recurrence of diverticulitis. Although multiple studies have examined rifaximin, probiotics, and 5-aminosalicylic acid (mesalamine) on diverticulitis recurrences, both AGA and ASCRS found insufficient evidence to support their use.

Can you use clindamycin for diverticulitis?

Various antibiotics are used in the treatment of acute diverticulitis. Patients with severe or complicated disease are commonly treated with ampicillin, gentamicin, metronidazole, piperacillin, clindamycin, third-generation cephalosporins (e.g. ceftazidime, cefotaxime and ceftriaxone) or tazobactam[31-33].

Is there a maintenance drug for diverticulitis?

Meperidine (Demerol) is the drug of choice, because it has been shown to decrease colonic pressure. NSAIDs and steroids should be avoided, because they may cause GI bleeding and perforation. Steroids may also mask the symptoms of diverticulitis.

How is diverticulitis treated at the Mayo Clinic?

Treatment 1 Uncomplicated diverticulitis. If your symptoms are mild, you may be treated at home. 2 Complicated diverticulitis. If you have a severe attack or have other health problems, you’ll likely need to be hospitalized. 3 Surgery. Primary bowel resection. 4 Follow-up care.

What kind of food can you eat with diverticulitis?

A liquid diet for a few days while your bowel heals. Once your symptoms improve, you can gradually add solid food to your diet. An over-the-counter pain reliever, such as acetaminophen (Tylenol, others). This treatment is successful in most people with uncomplicated diverticulitis.

Do you need antibiotics for uncomplicated diverticulitis?

Antibiotics may not be necessary in patients with uncomplicated diverticulitis who are being treated in the outpatient setting. Computed tomography–guided percutaneous drainage of abscesses should be considered in patients with diverticulitis.

What kind of CT scan is used for diverticulitis?

Many different pathologies can mimic diverticulitis symptoms, including ischemic colitis, inflammatory bowel disease and visceral hypersensitivity. The AGA recommends CT scan as the best imaging modality to assess for the presence and severity of diverticular disease.