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How can diverticulitis be treated despite being on Cipro and Flagyl?

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Posted on Sat, 8 Feb 2020
Question: I recently completed a 10 days diverticulitis treatmnet with Cipro and flagyl, but it is starting up againwhat should I do
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Answered by Dr. Panagiotis Zografakis (8 minutes later)
Brief Answer:

Investigation is required

Detailed Answer:

Hello,

How was diverticulitis diagnosed? Was it a clinical diagnosis only or you did a CT-scan as well?

Most cases of diverticulitis resolve completely after 10 days of Ciprofloxacin 500mg bid and metronidazole 500mg tid.

If the symptoms recur (fever, diarrhea, pain) then a CT-scan is necessary to exclude the formation of an abscess or alternative diagnoses. Lab tests may provide additional help.

A complete blood count (to check for white blood cell count elevation) and C-reactive protein are useful tools to monitor disease activity.

A high CRP and high WBC count indicate ongoing infection and would require continuation of treatment and new assessment both clinical and radiological.

Hope I have answered your query.

Take care

Regards,
Dr Panagiotis Zografakis, Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3700 Questions

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How can diverticulitis be treated despite being on Cipro and Flagyl?

Brief Answer: Investigation is required Detailed Answer: Hello, How was diverticulitis diagnosed? Was it a clinical diagnosis only or you did a CT-scan as well? Most cases of diverticulitis resolve completely after 10 days of Ciprofloxacin 500mg bid and metronidazole 500mg tid. If the symptoms recur (fever, diarrhea, pain) then a CT-scan is necessary to exclude the formation of an abscess or alternative diagnoses. Lab tests may provide additional help. A complete blood count (to check for white blood cell count elevation) and C-reactive protein are useful tools to monitor disease activity. A high CRP and high WBC count indicate ongoing infection and would require continuation of treatment and new assessment both clinical and radiological. Hope I have answered your query. Take care Regards, Dr Panagiotis Zografakis, Internal Medicine Specialist