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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Multiple Diverticule In Left Colon

Hi, may I answer your health queries right now ? Please type your query here.I vomited and there were traces of blood.In my stool ,there was blood.My age is 70 years My Haemoglobin dropped to 4.7 then I was given three units of blood .Now it rose to 12.0 .I consulted an G.I. Expert and Endoscopy was done.It was almost ok and no bleeding point could be diagnosed.Ultrasound was done and doctor said the report is almost normal.Later Colonoscopy was done and multiple diverticule in left colon was detected.Now doctor says there is no medicinal cure for it .I will have to wait till I bleed next .It will have to be operated at that point.I am really afraid.Please guide me.
Wed, 7 Mar 2018
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Internal Medicine Specialist 's  Response
Hello,

In case of heavy bleeding, it may need surgery otherwise nothing to worry. Do not worry nothing will happen. Here are the few indications for surgery:

1. Free-air perforation with fecal peritonitis.
2. Suppurative peritonitis secondary to a ruptured abscess
3. Uncontrolled sepsis
4. Abdominal or pelvic abscess (unless CT-guided aspiration is possible)
5. Fistula formation
6. Inability to rule out carcinoma
7. Intestinal obstruction
8. Failing medical therapy
9. Immunocompromised status
10. Extremes of age.

70 to 80% may recover with diet modifications and medical therapy. So, avoid spicy food and alcohol, avoid smoking. At the time of acute episode, use antibiotics with only liquid diet.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu
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Suggest Remedy For Multiple Diverticule In Left Colon

Hello, In case of heavy bleeding, it may need surgery otherwise nothing to worry. Do not worry nothing will happen. Here are the few indications for surgery: 1. Free-air perforation with fecal peritonitis. 2. Suppurative peritonitis secondary to a ruptured abscess 3. Uncontrolled sepsis 4. Abdominal or pelvic abscess (unless CT-guided aspiration is possible) 5. Fistula formation 6. Inability to rule out carcinoma 7. Intestinal obstruction 8. Failing medical therapy 9. Immunocompromised status 10. Extremes of age. 70 to 80% may recover with diet modifications and medical therapy. So, avoid spicy food and alcohol, avoid smoking. At the time of acute episode, use antibiotics with only liquid diet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu