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As of 2017, there are no guidelines available to direct treatment. [6] Treatment may include antibiotics, aminosalicylates, and corticosteroids. Antibiotics include ciprofloxacin and metronidazole, given for 14 days. If symptoms recur after improvement with antibiotics, a second course of antibiotics may be given.
Diverticulitis, also called colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—that can develop in the wall of the large intestine. [1] Symptoms typically include lower abdominal pain of sudden onset, but the onset may also occur over a few days. [1]
In particular, stimulant laxatives should not be used frequently because they can cause dependence in which an individual loses normal colon function and is unable to defecate without taking a laxative. [7] Frequent use of osmotic laxatives should be avoided as well as they can cause electrolyte imbalances. [citation needed]
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A colonoscopy should be performed 4–6 weeks after an acute episode. Contrast CT is the investigation of choice in acute episodes of diverticulitis and where complications exist. MRI provides a clear picture of the soft tissue of the abdomen, however, its expense often outweighs the benefits when compared to contrast CT or colonoscopy.
In addition, a low-residue diet is often prescribed before and/or after abdominal surgery or cancer treatments. A low-fiber diet is a low-residue diet eliminating dietary fiber in particular. The terms are not always distinguished, but when they are, a low-residue diet will include additional restrictions on foods such as dairy products, which ...
A lower anterior resection, formally known as anterior resection of the rectum and colon and anterior excision of the rectum or simply anterior resection (less precise), is a common surgery for rectal cancer and occasionally is performed to remove a diseased or ruptured portion of the intestine in cases of diverticulitis.
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