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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Cipro For Diverticulitis. Having Tailbone Pain And Pressure. Could This Be Early Signs Of A Perforation?

I am a GI nurse and have been dx with Diverticulitis, I have been on Augmentin 875mg bid x 6 days and the pain became worse then my doctor put me on Cipro 500mg bid and Flagyl tid, I have been on that course for 2 days, I know have bad tailbone pain and pressure. I am afebrile, no vomiting, just the increased tailbone and inguinal pain. Could this be early signs of a perforation?
Tue, 19 Nov 2013
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General & Family Physician 's  Response
Welcome to Healthcare-Magic
Greetings of the day

Even localised fecal peritonitis secondary to rupture diverticula will present with high grade fever and pain. It's unlikely to be perforation in your case. Get a abdominal ultrasound done if the symptoms persists.

Take care
Regards
Dr T Shobha
MBBS MD
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Radiologist Dr. Indu Kumar's  Response
Hello
Thanks for writing to HCM

Pain abdomen is associated with perforation and it starts from the site of perforation then spread all over abdomen.But it is not the only sign.
Patient also has card board rigidity of abdomen and rebound tenderness.After some time,intestine becomes silent and stop passing gas and stool.
X-ray of abdomen in erect posture should be done.CT Scan of abdomen can also be done for confirmation.

Take Care
Dr.Indu Bhushan
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On Cipro For Diverticulitis. Having Tailbone Pain And Pressure. Could This Be Early Signs Of A Perforation?

Welcome to Healthcare-Magic Greetings of the day Even localised fecal peritonitis secondary to rupture diverticula will present with high grade fever and pain. It s unlikely to be perforation in your case. Get a abdominal ultrasound done if the symptoms persists. Take care Regards Dr T Shobha MBBS MD