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Antibiotics are a common treatment for diverticulitis depending on the severity of the symptoms. It is the severity of the inflammation and infection that will determine which antibiotic is the most appropriate for the patient to be prescribed.
Diverticulitis that has few complications and patients who are stable enough to ingest fluids are usually treated as an outpatient and put on broad spectrum antibiotics. Some of the antibiotics available to these patients are Bactrim, Flagyl, Augmentin and Septra. Patients on these antibiotics for mild diverticulitis should also be on a clear liquid diet during the recovery phase.
These antibiotics, along with the diet recommendations, will have the patient showing improvement in 48 to 72 hours. Antibiotic treatment should be ongoing for at least 7 to 10 days. At the completion of treatment the patient needs to consult with their doctors and work towards controlling any further occurrences through diet and lifestyle changes.
Patients that are hospitalized due to age and significant inflammation are usually unable to take oral fluids and oral antibiotics. Their course of treatment is usually IV fluids and intravenous antibiotics. Antibiotics for inpatient care are usually Cleocin, Cefoxitin or Cefotan. Their diverticulitis may also be treated with a combination of Unasyn and Timentin. They may also be treated with Demerol as this opiate often decreases intraluminal pressure.
If the patient shows improvement after 48 to 72 hours, they are put on a diverticulitis diet and then can be discharged and switched to oral antibiotics. At this point a discussion with their doctor and possibly a dietitian should be initiated in order to get the patient started on lifestyle and diet changes that will need to be implemented in order to try and avoid an occurrence.
In conjunction with antibiotic treatment, your doctor will also put you on a diverticulitis diet that will help you to feel better. A diverticulitis diet enables your digestive system to rest so that the healing process can start.
Usually you start on clear liquids and then gradually add low fiber foods. Starting with broth and clear soda you then can work your way up to fruit juices that are pulp free, plain gelatin and gradually to tea and coffee.
As your system recovers you gradually add low fiber foods that may include canned fruit, desserts that are seed and nut free, eggs, bread and low fiber cereal with milk. If your system tolerates these well you can then try foods such as yogurt, meat, fish and poultry with some white rice or plain pasta. Vegetables that are well cooked and easy to digest can also be added. At this time no skins or seeds are permitted.
Once your doctor feels that you have recovered he will probably recommend that you start a high fiber diet. Starting with a little fiber you can gradually increase it if you tolerate it well and your body adjusts. Your goal should be 25 to 30 grams of fiber daily for women and 35 to 45 grams per day for men.
There are some risks involved with a diverticulitis diet. You can not stay on a clear liquid diet for more than a few days as you will become weak and your body will not receive enough nutrients. You need to be able to change over to a low fiber diverticulitis diet after a few days. Should you experience problems doing this you need to consult your doctor as soon as possible.
