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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diverticulitis While On Flagyl And Cipro?

Hello , My name is Michelle, Im from Canada ,2 and a half years ago I was hospitalized with Diverticulitis, have not had much trouble with it until this past month, crampy feeling on the right, and crampy down the leg, not much pain, more irritating than anything , went to Emergency, took some blood had an Ultra sound showed a tiny bit of flareup, and white blood cell count was up slightly, gave me Flagly and cipro for one week, felt a bit better, so finished the meds, I went back to E.R 2 weeks later, still bugged me a bit so did another bloo test , and he said still up slightly, and taken the same meds again for 10 days, I drink tons of water, And I love Coffee , almost done the meds , but today , I feel rough, pinchy on the right side again, I don t eat nuts, and popcorn , Im very active, slender, don t drink, don t do drugs, but Im a smoker, I drink tons of water, so what is this pinchy feeling that Im feeling again, can you have a mild flare up while on Flagyl and Cipro, or maybe it wasd something I ate MMMM , lots of water, and IBProfin helps , I felt great yesterday, and today feel really off . any Ideas ??? Thank you , Michelle
Fri, 27 Jan 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
The possible cause would be there may be another reason other than diverticulitis so that the tablets Ciprofloxacin and Metronidazole did not work fully or there is re-infection of the diverticuli.
I would advise you the following:
CT scan of the abdomen to know exact cause to see if there is any abscess formation or any other infection.
Colonoscopy and biopsy may be needed.
Need another higher antibiotic in proper dosages as per the weight.
May need to give rest to the bowel by admission to the hospital, keeping only on liquids and intravenous antibiotics and fluids.
Sometimes surgery to remove the focus of infection may be needed.
Take care, get a proper consultation of the Specialist and follow the advise stringently.
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Suggest Treatment For Diverticulitis While On Flagyl And Cipro?

Hi. Thanks for your query. Noted the history and understood your concerns. The possible cause would be there may be another reason other than diverticulitis so that the tablets Ciprofloxacin and Metronidazole did not work fully or there is re-infection of the diverticuli. I would advise you the following: CT scan of the abdomen to know exact cause to see if there is any abscess formation or any other infection. Colonoscopy and biopsy may be needed. Need another higher antibiotic in proper dosages as per the weight. May need to give rest to the bowel by admission to the hospital, keeping only on liquids and intravenous antibiotics and fluids. Sometimes surgery to remove the focus of infection may be needed. Take care, get a proper consultation of the Specialist and follow the advise stringently.