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Suggest Treatment For Abdominal Bloating And Recurring Bouts Of Diverticulitis

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Posted on Thu, 20 Apr 2017
Question: Had 4 bouts of diverticulitis in last 5 months last attack month ago, haven't felt same since.Have gone from constipation to diarrhea to now soft stools. Had bad bloating last week took gas ex and since gone away.I started taking align probiodtics less than week ago. Started feeling better but since starting probodtics im having headache and pains started in lower abdomen right side and lower back today. Almost feels like kidneys at times it may subside for awhile the comes back. No pain or burning when urinate
doctor
Answered by Dr. Ramesh Kumar (25 hours later)
Brief Answer:
Detailed answer below.

Detailed Answer:
Hi,
Thanks for asking your query on HealthcareMagic.

There are two separate things in your case-
First is Diverticulitis.
Second is Pain in right lower abdomen and back from 1 week(Relation to probiotic most likely is a coincidence).

For acute phase of your recurrent diverticulitis antibiotic therapy is required but once the acute phase settles down. Severe and drastic life style modificatory changes have to be followed by patient for many months to avoid recurrent attacks.
Though not asked by you but all your problems from constipation to loose stools to belching and bloating all can be treated only by life style changes. Medicines can help you but can't cure you. So go through each line carefully-


Not exercising enough, not drinking enough water and delaying a bowel movement can worsen your symptoms. The most important factor in curing you is strict adherence to natural and simple diet. This should consist of unrefined food such as whole grain cereals, XXXXXXX honey and lentils; green leafy vegetables, like spinach, beans, lettuce, celery, asparagus, carrot. Adding some fat to meals or increasing the size of a meal such as breakfast can be helpful. Individuals suffering from diverticulitis should increase the amount of plant foods they consume to get more fiber in their diet.
Diverticulitis in lay man's language means small chambers in intestinal tract which are occupied by bacteria. Now role of acute therapy with antibiotics is to kill those bacteria's but once acute phase settles down any thing which is good for bacteria to breed will cause re-attack.Indigestion of food or improper fermentation in intestines creates a atmosphere which is great for bacteria to multiply. So any thing which causes indigestion will increase your symptoms.

Secondly human gastrointestinal tract is colonized by 1013-14 bacteria of 400 different species and subspecies. They are responsible for proper digestion of food. Depletion of this flora due to repeat antibiotic therapy and infection has lead to severe digestive problems in your case.
Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body. The most plentiful and important bacteria in the small intestine is the Lactobacillus species. Lactobacillus helps ferment indigestible carbohydrates. It also helps to stimulate the digestive process and aid the absorption of nutrients,as well as increase the motility of the gastro intestinal tract. I would suggest you to keep taking a good probiotics like Econorm thrice daily for few months .Probiotics are live bacteria and yeasts that are good for digestion. As your gut flora will improve her constipation would be relieved and well formed and digested stools will pass.

Apart from this other recommendations are-
-Linseed: One teaspoon of linseed with warm water should be taken at night for bulk and lubrication.
-Proper chewing: The diet alone is not enough. Food should be properly chewed-each morsel for at least 20 times.(This sounds small but may play wonders).
-Taking a short walk is a good way to get some light exercise. Walking time should be gradually increased until it reaches 20 minutes.
-Drink atleast 8 gses of water daily. Water helps push the food through the intestines and also helps lubricate intestinal tissues.
- Avoiding alcohol and caffeine is also important as these substances contribute to dehydration.
-Use fish oil and castor oil-Fish oil is believed to encourage healthy digestion.
-Fruits and vegetables, which contain high amounts of fiber, aid in alleviating symptoms of constipation,Whole-grain bread, XXXXXXX oatmeal, beans and lentils can also relieve the problem so use it Instead of highly processed rice, eat brown rice, millet or bulgur.
-Eat 2 cups of fruit 3 cups of vegetables and about 35 grams of fiber per day
fruits: Generally all fruits are good for you..
-While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement.

Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre sachets both contain the active ingredient ispaghula husk, which is a type of medicine called a bulk-forming laxative. Ispaghula is a type of fibre. It swells when it comes into contact with fluid in the gut and thus increases the volume of the faeces.t increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass. Psyllium, one type of bulk-forming laxative.

Follow this for 3 months and see the difference yourself There is no magical formula to cure you so have a practical approach these things will help you a lot in long term.
Now lets come to your chief complaint, see most likely relation to robodtics intake is a matter of co incidence. most like it is UTI infection. ts not necessary that burning or pain is always there In UTI or Nephrolithiasis.
Don't Panic too much
Initially go for a test called urine routine and microscopy.
A ultra sound abdomen can be done to be on safer side.
Drink plenty of water till that times.
Over counter alkaliser containing Dihydrogen citrate can be taken.
Antibiotics should be started only after investigations. It can even be a sign of mild diverticular attack. Ultrasound will make picture much clear.
Please message me,
Your diet plan?(food habits).
Do you like junk foods?
Any history of hard or tight stools?
A feeling of incomplete evacuation?
Your smoking and alcohol habits?
How much water do you drink in a day?

Waiting.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Treatment For Abdominal Bloating And Recurring Bouts Of Diverticulitis

Brief Answer: Detailed answer below. Detailed Answer: Hi, Thanks for asking your query on HealthcareMagic. There are two separate things in your case- First is Diverticulitis. Second is Pain in right lower abdomen and back from 1 week(Relation to probiotic most likely is a coincidence). For acute phase of your recurrent diverticulitis antibiotic therapy is required but once the acute phase settles down. Severe and drastic life style modificatory changes have to be followed by patient for many months to avoid recurrent attacks. Though not asked by you but all your problems from constipation to loose stools to belching and bloating all can be treated only by life style changes. Medicines can help you but can't cure you. So go through each line carefully- Not exercising enough, not drinking enough water and delaying a bowel movement can worsen your symptoms. The most important factor in curing you is strict adherence to natural and simple diet. This should consist of unrefined food such as whole grain cereals, XXXXXXX honey and lentils; green leafy vegetables, like spinach, beans, lettuce, celery, asparagus, carrot. Adding some fat to meals or increasing the size of a meal such as breakfast can be helpful. Individuals suffering from diverticulitis should increase the amount of plant foods they consume to get more fiber in their diet. Diverticulitis in lay man's language means small chambers in intestinal tract which are occupied by bacteria. Now role of acute therapy with antibiotics is to kill those bacteria's but once acute phase settles down any thing which is good for bacteria to breed will cause re-attack.Indigestion of food or improper fermentation in intestines creates a atmosphere which is great for bacteria to multiply. So any thing which causes indigestion will increase your symptoms. Secondly human gastrointestinal tract is colonized by 1013-14 bacteria of 400 different species and subspecies. They are responsible for proper digestion of food. Depletion of this flora due to repeat antibiotic therapy and infection has lead to severe digestive problems in your case. Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body. The most plentiful and important bacteria in the small intestine is the Lactobacillus species. Lactobacillus helps ferment indigestible carbohydrates. It also helps to stimulate the digestive process and aid the absorption of nutrients,as well as increase the motility of the gastro intestinal tract. I would suggest you to keep taking a good probiotics like Econorm thrice daily for few months .Probiotics are live bacteria and yeasts that are good for digestion. As your gut flora will improve her constipation would be relieved and well formed and digested stools will pass. Apart from this other recommendations are- -Linseed: One teaspoon of linseed with warm water should be taken at night for bulk and lubrication. -Proper chewing: The diet alone is not enough. Food should be properly chewed-each morsel for at least 20 times.(This sounds small but may play wonders). -Taking a short walk is a good way to get some light exercise. Walking time should be gradually increased until it reaches 20 minutes. -Drink atleast 8 gses of water daily. Water helps push the food through the intestines and also helps lubricate intestinal tissues. - Avoiding alcohol and caffeine is also important as these substances contribute to dehydration. -Use fish oil and castor oil-Fish oil is believed to encourage healthy digestion. -Fruits and vegetables, which contain high amounts of fiber, aid in alleviating symptoms of constipation,Whole-grain bread, XXXXXXX oatmeal, beans and lentils can also relieve the problem so use it Instead of highly processed rice, eat brown rice, millet or bulgur. -Eat 2 cups of fruit 3 cups of vegetables and about 35 grams of fiber per day fruits: Generally all fruits are good for you.. -While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement. Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre sachets both contain the active ingredient ispaghula husk, which is a type of medicine called a bulk-forming laxative. Ispaghula is a type of fibre. It swells when it comes into contact with fluid in the gut and thus increases the volume of the faeces.t increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass. Psyllium, one type of bulk-forming laxative. Follow this for 3 months and see the difference yourself There is no magical formula to cure you so have a practical approach these things will help you a lot in long term. Now lets come to your chief complaint, see most likely relation to robodtics intake is a matter of co incidence. most like it is UTI infection. ts not necessary that burning or pain is always there In UTI or Nephrolithiasis. Don't Panic too much Initially go for a test called urine routine and microscopy. A ultra sound abdomen can be done to be on safer side. Drink plenty of water till that times. Over counter alkaliser containing Dihydrogen citrate can be taken. Antibiotics should be started only after investigations. It can even be a sign of mild diverticular attack. Ultrasound will make picture much clear. Please message me, Your diet plan?(food habits). Do you like junk foods? Any history of hard or tight stools? A feeling of incomplete evacuation? Your smoking and alcohol habits? How much water do you drink in a day? Waiting.