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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Pain In Abdomen On The Left Side Be Treated?

I have IBD and a Hiatal Hernia. I experience severe pain and the Colon on the left side gets really big. This time I had a bowel blockage and couldn t go to the bathroom for 4 days and then only after taking Colace stool soffner and Milk of Magnesa an then it wasn t normal. It was hard balls. The pain was so bad and lasted a long time and I threw up yellow for two days. I took Hyosimin and this time it gave me no relief. Any suggestions for something else. I am a 75 year woman about 130 lbs. I ate a little broth with a small amount of rice today, for the first time I ate anything in 3 days. So far, it is staying down. The colon on the left side is so very sore .
Sat, 28 Jul 2018
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General Surgeon,  's  Response
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

This indicates diverticulitis.For acute phase of the recurrent diverticulitis antibiotic therapy is required but once the acute phase settles down severe and drastic lifestyle modificatory changes have to be followed by the patient for many months to avoid recurrent attacks. So I'm sorry my dear but if you are sure its diverticulitis then broad spectrum antibiotic have to be taken for 5 to 7 days. I would suggest you take Clindamycin 600 mg once daily with Metronidazole 400 mg thrice daily for 5 days.They would cover both bacteria as well as protozoa, however, you would need a prescription for the same as antibiotics are not over the counter. Probiotic etc would help but if its diverticulitis then you have to take antibiotics.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Severe Pain In Abdomen On The Left Side Be Treated?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This indicates diverticulitis.For acute phase of the recurrent diverticulitis antibiotic therapy is required but once the acute phase settles down severe and drastic lifestyle modificatory changes have to be followed by the patient for many months to avoid recurrent attacks. So I m sorry my dear but if you are sure its diverticulitis then broad spectrum antibiotic have to be taken for 5 to 7 days. I would suggest you take Clindamycin 600 mg once daily with Metronidazole 400 mg thrice daily for 5 days.They would cover both bacteria as well as protozoa, however, you would need a prescription for the same as antibiotics are not over the counter. Probiotic etc would help but if its diverticulitis then you have to take antibiotics. Hope I have answered your query. Let me know if I can assist you further.