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Suggest Remedy For Severe Pain When Suffering From Diverticulitis

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Posted on Thu, 12 Mar 2015
Question: I had diverticulitus XXXXXXX 3rd. Other than diverticulitis in the ct scan my colon looked normal. But since that I have been struggling with a lower left sided pain when I have stool or gas in my colon especially when I lay on that side. A heating pad really helps the pain. My stools are formed and normal size, and have bowel movements every day if not every other day. All of my blood work has come back normal. Im worried about colon cancer. I am 59 yrs. My whole life since I can remember have had irritable bowel syndrome . Could the augmentom they gave me have caused some kind of yeast infection in my bowels, It really gave me a horrible vaginal yeast that has since cleared up.
doctor
Answered by Dr. Michelle Gibson James (43 minutes later)
Brief Answer:
chronic pain may occur with diverticular disease

Detailed Answer:
HI, thanks for using healthcare magic

It is understandable to be concerned but if colon cancer was present, some changes should have shown on the CT.
Colon cancer is a slow growing cancer, this is the reason that the screening tests (except for the stool test) is done ever 5 to 10 yrs depending on the test done.

Changes should have shown on the CT and if you've had any other colonic tests within the last few years that were normal, this further reduces the chance of colonic ca.
This would include barium enema, sigmoidoscopy, colonoscopy.

Augmentin does cause vaginal yeast infections. This is a possible side effect of most antibiotics because they cause a change in the normal vaginal flora.

It does not normally cause a similar reaction in the bowel.

Diverticular disease can be associated with chronic abdominal pain, bloating and a change in bowel habits in some persons.
It is likely that the pain that you are experiencing is the chronic pain that can occur with this condition.

Treatment: (1)Bacterial (not yeast) overgrowth can occur in some persons. Treatment with a specific antibiotic that is not absorbed into the blood but stays in the intestine to work may help

The name of this medication is rifaximin
If the discomfort continues, you can speak to your doctor about this option

(2)probiotics have also been found to be helpful either on their own or in yogurts with probiotics

(3)anti inflammatory medications such as mesalamine have also be studied in diverticular disease .
They help with both the acute (short term breakouts) episodes and also in managing chronic issues that may occur.

I hope this helps , feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (9 hours later)
I do have a colonoscopy scheduled next week. In my cat scan it was noted the caliber of my colon was normal. Can you explain what that means. Does this mean no weak spots in the walls of the colon, or scar tissue, or is the only way to see that is in a colposcopy? Also why do you think heat on my abdomen and relaxation breathing seems to help the pain?
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
colonscopy is gold standard

Detailed Answer:
HI

Yes, the caliber would refer to the continuity and integrity of the structure of the colon.
It appeared intact with no problematic areas except for the diverticular disease.

The colonoscopy is the gold standard, this is the reason, it only needs to be repeated every 10 yrs unless there is a family history.

In terms of the heat and relaxation techniques, heat has an anti spasmodic effect (helps to relax any contraction), if there is still inflammation present then it may be associated with involuntary contraction of any superficial or deeper abdominal muscles or bowel.
The heat may possibly help in this way.

Please feel free to ask any thing else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)
Do you think the prep I have to start monday will irritate and make things worse? Do you think it would help to go on a very bland diet of soft white foods rice, pasta ect. for a while to settle things down. The pain is much lower than where I have the diverticulitus so maybe IBS?
doctor
Answered by Dr. Michelle Gibson James (17 minutes later)
Brief Answer:
it is possible

Detailed Answer:
HI

Yes a bland diet should help, you can also consider the probiotics to see if this would also help you.

IBS is a common cause of persistent abdominal symptoms , it is a possible cause if you meet the criteria for it.

It is diagnosed with the ROME criteria which require the presence of certain symptoms before the diagnosis can be made.
One of the criteria - pain for at least 3 days a month for 3 months associated with other symptoms such as relief of pain with bowel movements, change in appearance of stool, change in the frequency of stool , bloating etc

The colonoscopy would help to confirm that there are no cancerous lesions and would assess the status of the diverticular disease and determine if it is only in the area seen on CT or more extensive.


Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Remedy For Severe Pain When Suffering From Diverticulitis

Brief Answer: chronic pain may occur with diverticular disease Detailed Answer: HI, thanks for using healthcare magic It is understandable to be concerned but if colon cancer was present, some changes should have shown on the CT. Colon cancer is a slow growing cancer, this is the reason that the screening tests (except for the stool test) is done ever 5 to 10 yrs depending on the test done. Changes should have shown on the CT and if you've had any other colonic tests within the last few years that were normal, this further reduces the chance of colonic ca. This would include barium enema, sigmoidoscopy, colonoscopy. Augmentin does cause vaginal yeast infections. This is a possible side effect of most antibiotics because they cause a change in the normal vaginal flora. It does not normally cause a similar reaction in the bowel. Diverticular disease can be associated with chronic abdominal pain, bloating and a change in bowel habits in some persons. It is likely that the pain that you are experiencing is the chronic pain that can occur with this condition. Treatment: (1)Bacterial (not yeast) overgrowth can occur in some persons. Treatment with a specific antibiotic that is not absorbed into the blood but stays in the intestine to work may help The name of this medication is rifaximin If the discomfort continues, you can speak to your doctor about this option (2)probiotics have also been found to be helpful either on their own or in yogurts with probiotics (3)anti inflammatory medications such as mesalamine have also be studied in diverticular disease . They help with both the acute (short term breakouts) episodes and also in managing chronic issues that may occur. I hope this helps , feel free to ask any other questions