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I had an episode of diverticulitis two weeks ago and

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Posted on Sun, 31 Mar 2019
Question: I had an episode of diverticulitis two weeks ago and I’m currently finishing a two week course of Flagyl and Cipro while I had diverticulitis I was feverish and was dehydrated I now seem to notice that my bladder has some pain while bouncing or moving around. I feel an urge to go urinate a little more often than normal but nothing crazyand it doesn’t hurt while urinating don’t see any blood I’m trying to drink more water thoughts
doctor
Answered by Dr. Ramesh Kumar (44 minutes later)
Brief Answer:
Very likely Urinarty tract infection secondary to diverticulitis.

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.
As you said that during the last two weeks your hydration was not proper very likely its mild urinary tract infection.Pain in bladder and increase in urge to urinate again suggests that there is mild to moderate inflammation in urinary tract as a result of bacterial infection.Some times a small fistula develops as a result of diverticulitis between the colon and the bladder hence causing the toxic Escherichia coli bacteria's to move to urinary tract which if left untreated may cause severe urinary tract infection.

Recommendation
Get a morning sample of urine tested at laboratory.If pus cells or bacteria's are seen a couse of Nitrfurantoin 100mg twice would be started by your MD.

If you don't want to go for test-
Drink minimum 4 to 5 litres of water daily.Your urine should be crystal clear in color.Your urine pipes are colonisedd by bacteria the more water you would drink faster would they be flushed out
Take any anti inflammatory to reduce inflammation and your urinating urge.
As you are on ciprofloxacin its ok(it covers gram negative bacteria however the concentration in urinary tract is not that high).
Drink cranberry juice.
Take Vitamin C supplement or two oranges a day.

If things starts to worsen up get an ultra sound of abdomen done along with a kidney function and urine test.
Hope you would be fine soon just drink lots and lots of water.
Thank you!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (3 hours later)
Thank you have started water and vitamin c. How soon might I see some improvement. As I said not any pain urinating. The bladder discomfort and urgency. I did not realize how quick a person can become dehydrated. I k ow I did sweat a lot when I had the fever. How soon might I see improvement

Thank you
doctor
Answered by Dr. Ramesh Kumar (15 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hello and thank you for follow up
If you would take anti inflammatory and drink 4 to 5 litres of water improvement should be there in next 24 to 36 hours.
Pain discomfort abnormal sensation all of them can be there and may vary from patient to patient. Text book presentation is rare.
Thanks
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (17 minutes later)
Unfortunately I am not allowed to take anti inflammatory. I had a bleeding ulcer about 7 years ago and have to stay away from nsaids. I guess my discomfort might last a little longer

Thanks
doctor
Answered by Dr. Ramesh Kumar (3 minutes later)
Brief Answer:
Tramadol 50 mg.

Detailed Answer:
Hello again
In that case you can take Tramadol 50 mg twice. It would help you.
Thanks.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (47 hours later)
Another question could the dehydration also cause prostate pain. I had a normal prostate on my visit to doctor a month ago. I am currently drinking the water and vitamin c as suggested. The only discomfort I really feel is when I sit down or bounce around I feel it near my prostate and my bladder. It is not bad pain just discomfort. Might the two be tied together

Thank you
doctor
Answered by Dr. Ramesh Kumar (15 hours later)
Brief Answer:
no

Detailed Answer:
Hello again,
No both of them have no relation my dear patient.
Thank you!
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (18 minutes later)
Ok will continue with lots of water and vitamin c. Pain is maybe a little better and only noticed when putting pressure on bladder or bouncing about

Thanks
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Follow up.

Detailed Answer:
Hello again,
Take an anti inflammatory along with it for faster response.
Thanks
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2463 Questions

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I had an episode of diverticulitis two weeks ago and

Brief Answer: Very likely Urinarty tract infection secondary to diverticulitis. Detailed Answer: Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice. As you said that during the last two weeks your hydration was not proper very likely its mild urinary tract infection.Pain in bladder and increase in urge to urinate again suggests that there is mild to moderate inflammation in urinary tract as a result of bacterial infection.Some times a small fistula develops as a result of diverticulitis between the colon and the bladder hence causing the toxic Escherichia coli bacteria's to move to urinary tract which if left untreated may cause severe urinary tract infection. Recommendation Get a morning sample of urine tested at laboratory.If pus cells or bacteria's are seen a couse of Nitrfurantoin 100mg twice would be started by your MD. If you don't want to go for test- Drink minimum 4 to 5 litres of water daily.Your urine should be crystal clear in color.Your urine pipes are colonisedd by bacteria the more water you would drink faster would they be flushed out Take any anti inflammatory to reduce inflammation and your urinating urge. As you are on ciprofloxacin its ok(it covers gram negative bacteria however the concentration in urinary tract is not that high). Drink cranberry juice. Take Vitamin C supplement or two oranges a day. If things starts to worsen up get an ultra sound of abdomen done along with a kidney function and urine test. Hope you would be fine soon just drink lots and lots of water. Thank you!