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Suggest Treatment For Smoldering Diverticulitis

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Posted on Tue, 19 Apr 2016
Question: Hi Again,
I was just diagnosed with "smoldering" diverticulitis, and my GI wants me to consult with the surgeon who did my bowel resection in 2013.
The few times I've had this dreaded disease I do not have either a temperature or an elevated white cell count. I have on-going left and right sided lower abdominal pain.
I feel like my life revolves around diverticulitis. Also, I've had way too many CT scans.
My GI really thinks that a bowel resection is the solution to my disease, but of course I'm very concerned that a colostomy will be performed.
Have you ever heard of smoldering diverticulitis.
What do you think of all of this? Would a bowel resection help? I'm so afraid of a colostomy.
Any feedback would be greatly appreciated. I'm scared to death.
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
No need to be afraid of colostomy.

Detailed Answer:
Hello!

Thank you for the query.

Smoldering diverticulitis does not really differ from regular diverticulitis. In simple words your inflammation does not disappear completely for some time. It is constantly present.
Considering that this lasts for a long time and you have had many episodes of diverticulitis, partial large intestine removal is the solution. No doubt in that.

Like we have discussed before, as long as there is no abscess, colostomy wont be done. So there is no reason to be afraid of it. However if you keep waiting and asking here (instead of get scheduled for the surgery), the chance for colostomy rises. You never know when the abscess will appear.

So if you are scared of colostomy, please do not wait with it any longer. The best you can do is actually the surgery.

Hope this helps. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (9 minutes later)
Hi Dr. Stanko,
Thank you so much for your reply - I bet you are glad that I'm not your patient - LOL.

I actually have an apt with a surgeon scheduled for this Monday. He is the same surgeon who did my bowel resection back in 2013.

So I am finally taking steps to resolve this terrible disease.

Just one more question (please) - how would I know if I have an abscess or perforation?

Thanks
XXXX

P.S. I promise to give you an excellent review - you are so patient with me!
doctor
Answered by Dr. Grzegorz Stanko (9 minutes later)
Brief Answer:
Abscess results with fever and night sweating.

Detailed Answer:
Its your right to ask. Its easy to be on my side, and its much harder to be on your side. So this is a very normal thing that you are afraid and have lots of doubts.

Abscess usually gives fever, night sweating, strong abdominal pain. It may lead to generalized infection with accelerated heart rate and low blood pressure. And it does not go away by itself. So in simple words you would be sick and it would be constantly getting worse.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5797 Questions

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Suggest Treatment For Smoldering Diverticulitis

Brief Answer: No need to be afraid of colostomy. Detailed Answer: Hello! Thank you for the query. Smoldering diverticulitis does not really differ from regular diverticulitis. In simple words your inflammation does not disappear completely for some time. It is constantly present. Considering that this lasts for a long time and you have had many episodes of diverticulitis, partial large intestine removal is the solution. No doubt in that. Like we have discussed before, as long as there is no abscess, colostomy wont be done. So there is no reason to be afraid of it. However if you keep waiting and asking here (instead of get scheduled for the surgery), the chance for colostomy rises. You never know when the abscess will appear. So if you are scared of colostomy, please do not wait with it any longer. The best you can do is actually the surgery. Hope this helps. Feel free to ask further questions. Regards.