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Suggest Treatment For Diverticulitis While On Flagyl And Avelox

Posted on Thu, 28 Jan 2016

Question: About 3 weeks ago, I was diagnosed with diverticulitis - needed to be hospitalized for IV Keflex and flagyl after failing Levaquin/Flagyl for 5 days and Avelox for 8 days
I just had a CT Scan which showed mild mesenteric stranding within the right lower quadrant which may represent sequel of residual mild diverticulitis. No fistula or abscess to suggest complication.
I'm still having some pain in this area
How concerned should I be?
I'm still on oral Keflex and flagyl for another 7 days

Answered by Dr. Dr. Klerida Shehu (1 hour later)

Brief Answer:
Following advice.

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

First of all as long as the CT scan doesn't show any sign of complicated diverticulitis (no abces or bowel fistula) you shouldn't worry for the moment. Actual findings are compatible with mild (uncomplicated) diverticulitis.

Secondly you should continue with antibiotics for another 1or 2 weeks and then you should continue with dietary and lifestyle changes.

If you were my patient I would recommend to do the following dietary and lifestyle changes:
- Eat a liquid diet
- Use prebiotics
- Eat low fibers foods such as Poultry, milk and diary products.
- white rice, pasta and well refined bread

At least once that your symptoms will be improved you may gradually start a more solid diet.

Hope this will be of help!
Wish you health!
Dr. Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (10 minutes later)

Thank you for your response.

You are scaring me when you say "worry for the moment." What does this specifically mean, Dr. Klerida?

Thanks
xxxxxxx

Answered by Dr. Dr. Klerida Shehu (13 minutes later)

Brief Answer:
Nothing to be worried. ...

Detailed Answer:
Hi back XXXXXXX
Sorry if I made you scared.

What I want to say is that since you are not camplicated and is only mild diverticulitis than there is nothing to be worried.

Happy New Year.
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (23 hours later)

I'm still having aching no severe lower right abdominal pain. Is this all just part of my recovery from this terrible bout of diverticulitis

Answered by Dr. Dr. Klerida Shehu (19 hours later)

Brief Answer:
please follow...

Detailed Answer:
Hi back
your currently symptoms like lower right abdominal pain is related with diverticulitis.
You will feel it for a couple of days or few weeks.
Don't worry it will pass.
Wish you health
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (24 hours later)

I ended up in the ER yesterday due to severe lower right abdominal pain. I had a blood work up all normal and a repeat ct scan which showed that my diverticulitis has resolved despite my pain. Also a GI X-ray series to rule out obstruction also normal

Over the last two days I've noticed that my stools have looked somewhat like coffee grounds or light diarrhea. I've read a bit about the stool coffee ground thing - do I need to be alarmed especially since I just had a normal GI work up?

I read that a long use of antibiotics - been on for one month - can cause this because of the altered probiotic state of my intestines? I just started taking probiotics along with flagy and keflex - still on for one more week

Should I be concerned? Back to the ER?

Answered by Dr. Dr. Klerida Shehu (18 hours later)

Brief Answer:
Ovarian issues should be ruled out...

Detailed Answer:
Hi back

You are reporting to have had severe lower abdominal pain and that all the exams show that diverticulitis has resolved.
This is why I suspect that your pain is not related with diverticulitis especially severe pain.
It's true that antibiotic use can cause gut bacterial flora misbalance and diarrhea but not a severe pain ended in ER like at your case.

At this situation I would recommend to consult gynecologist to rule out ovarian issues like cyst. Ovarian issues can mimic your symptoms.

Meantime I suggest to continue probiotics up to 4 weeks and start to use pain killers and anti spastic drugs like Nospa to get relief from abdominal pain.
Hope it was helpful to you!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (27 hours later)

Dr. Klerida,
Thanks for getting back to me.

One last question - how do I prevent diverticulitis from coming back?

Thanks
xxxxxxx

Answered by Dr. Dr. Klerida Shehu (12 hours later)

Brief Answer:
Please follow. .

Detailed Answer:
Hi back

With regards to diverticulitis prevention I would suggest to use lifelong reach fiber diet and plenty of water.

Hope it was helpful to you.
Dr. Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar