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What causes intense abdominal pain in a person diagnosed with diverticulitis?

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Posted on Mon, 21 May 2018
Question: Hi I went to the ER 2 weeks ago with intense abdominal pain and was diagnosed and put on flagyl and Cipro for one week. Saw my Dr the following week who put me on Levaquin for second week. I took my last Levaquin Friday. I still have pain eating anything solid, usually several hours later as it passes. But within the last 24 hours, I have started hurting immediately after eating, even if it's just chicken noodle soup with crackers and jello, or Greek yogurt, and a protein shake. Pain seems to be both sides of lower adbdomen and goes away after about 1-2 hrs, until I eat again. What is going on? Do I need to go to the ER?
Back story: I have had reflux for years that seemed to improve on amoxicillin two weeks before my ER trip. Doc thought it might be hard pylori (which my son had) so he added a second antibiotic. I had just finished those when I went in for the abdomen pain and CT scan showed the diverticulitis.
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Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Not fully cured diverticulitis.

Detailed Answer:
Hello my dear patient,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
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.
Your symptoms are suggestive of recurrence of diverticulitis.
Aa you have already taken a first line therapy for diverticulitis cipro and metro.I would suggest you to go for a stool culture and sensitivity test.Sometimes fewstrains of bacteria and prtozoans are resistant to baseline medicines therefore there is a flare up.
This test would tell whether the bacteria is resistant or sensitive to main stream antibiotics.
I would suggest you to go for this test and start taking clindamycin 600 mg in prescribed doses with Metrolgyl 800 mg thrice for 10 days.
Secondly VSL# 3 probiotic should be used twice daily for 14 days to replete good bacterias in gut.

A visit to ER would be appreciated.
Discuss the option with them and get a reeferrel for a Gastro.

Regards!
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2465 Questions

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What causes intense abdominal pain in a person diagnosed with diverticulitis?

Brief Answer: Not fully cured diverticulitis. Detailed Answer: Hello my dear patient, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. 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. Your symptoms are suggestive of recurrence of diverticulitis. Aa you have already taken a first line therapy for diverticulitis cipro and metro.I would suggest you to go for a stool culture and sensitivity test.Sometimes fewstrains of bacteria and prtozoans are resistant to baseline medicines therefore there is a flare up. This test would tell whether the bacteria is resistant or sensitive to main stream antibiotics. I would suggest you to go for this test and start taking clindamycin 600 mg in prescribed doses with Metrolgyl 800 mg thrice for 10 days. Secondly VSL# 3 probiotic should be used twice daily for 14 days to replete good bacterias in gut. A visit to ER would be appreciated. Discuss the option with them and get a reeferrel for a Gastro. Regards!