Mr. Saxena is suffering from diverticulitis
(outpouching of the wall of the large intestine with inflammation of that area). This problem is quite common in elderly patients and can be associated with abscess formation, fistula formation (connection between the intestine and the urinary bladder
) or perforation of the colon.
He has to be started on IV antibiotics (which is he is receiving although Monocef alone will not suffice, he will need Metrogyl for anaerobic organisms and Amikacin
for gram negative organisms). Along with this he will require some form of drainage of this abscess (either open or ultrasound
is also required to assess the extent of problem but should be done under the cover of antibiotics.
Hope he gets well soon