
What Is Diverticulosis?

You at safe taking flagyl!
Detailed Answer:
Hi and thank you so much for this query.
Diverticulosis means that there are protrusions(outpouchings) from the center of the intestines, most common in the colon(left side) to the outside. This is most commonly caused by increased pressure in the lumen as often observed in elderly who are often constipated and consume very low levels of fibers. If it gets infected, it would be called diverticulitis. Because your doctor gave an antibiotics, this could have been diverticulitis and not diverticulosis.
At your age, this diagnosis seems uncommon. I will like you to double check with your doctors to make sure this is what you have. You should eat enough vegetable, fruits, drink much water and increase your fiber intake. Regular sporting exercises would help reduce constipation and improve transit.
Flagyl is safe for persons with epilepsy and persons with past history of epilepsy. feel safe and free taking this medication.
I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be.


Calll him up and consult a gastroenterologis
Detailed Answer:
Hi and thanks for following up with me.
I will suggest that you demand more answers from your doctor. Also, request for a GI consult for evaluation and management of any possible digestive disease. When you must have obtained some more information, please keep me updated so that together we would be able to identify solutions to help you overcome this.
I hope to hear from you. I wish you well.


Leave it open for now!
Detailed Answer:
Hi,
Leave it open for now and only get back to me when there is some more information you want to share with me. Should you close the discussion, you would always have the opportunity to reopen it if need be in future.
I hope this helps. Hope to hear from you not in a too distant future!


I will look at them as soon as they are uploaded!
Detailed Answer:
I am fine with that.
I will take a look and get back to you as soon as I get the report uploaded. The link to upload a file is on the ride side on your dashboard.
Until then, I wish you well.


Monitor to see if this is menses.
Detailed Answer:
Hi and sorry for the delay.
I will not understand why your tummy would swell after taking your drugs. This is unlikely and I would like you to monitor and see if this is for real.
For the spotting, treat it as your menses and we would be able to tell in the days ahead if this is true. Spotting has no relationship with diverticulosis and this is not the origin of the blood you observed.
I hope this helps and I wish you well.


Thank you, too!
Detailed Answer:
Thanks for your kind words. A humbled by them.
Update me when you obtain more information from your doctor.
Until then, I wish you well.


Diet rich in fiber, vegetables and fruits!
Detailed Answer:
Hi and thanks for this follow up question.
Eating healthy is a good habit. Diet rich in vegetables, fruits, and fiber would help in assuring a good transit. This is capital as constipation is a cause and aggravating factor of diverticulosis.
For now, be calm. Obtain more information from your doctor and we shall work on this together when we get there.
I wish you well.


(Radiology) CT Abd/Pelvis ---- 10/20/2014 8:58 AM
Diverticulosis without diverticulitis. bilateral ovarian cysts (benign). Normal findings otherwise. If still having abdominal pain, start
flagyl 500 mg PO TID x 7 days. --JA
EXAM: CT Abdomen/Pelvis W & WO
HISTORY: Mid epigastric pain, nausea, headaches, decreased urine output, right flank pain,
microhematuria
FINDINGS: ISTAT was performed with BUN of 17, creatinine of 1.2, and estimated GFR of 56.
Study performed pre-and post 100 cc Omnipaque-300 administration. Oral contrast was also
administered. No prior study is available for comparison at this time. Visualized lung bases
demonstrate mild dependent atelectasis. The liver, gallbladder, spleen, pancreas, adrenal glands,
and kidneys have an unremarkable appearance. Small extrarenal pelvis is noted bilaterally. No
renal or urinary calculus or hydronephrosis is seen. Tiny phlebolith is seen within the pelvis on the
left.
There is no evidence of bowel obstruction or free intraperitoneal air. There are a few scattered
colonic diverticula. The appendix has an unremarkable appearance. No significant free fluid is seen
within the pelvis. Minor cystic changes are seen within each ovary. Mild endometrial prominence is
likely physiologic. There is no significant lymphadenopathy. Scattered subcentimeter short axis
lymph nodes are seen within the abdomen and pelvis.
IMPRESSION:
1. A few scattered colonic diverticula.
2. Otherwise essentially unremarkable CT of the abdomen and pelvis.
ua test on 10/07/14
Test name Result Flag Reference Range
Urine Color Yellow
Urine App Clear Appearance
Urine Sp. Gravity 1.010 SG
Urine PH 6.0
Urine Protein Negative Protein
Urine Ketones Negative Ketones
Urine Glucose Negative Glucose
Urine Bilirubin Negative Bilirubin
Urine Blood Trace Blood
Urine Nitrite Nitrite Negative
Urine Leukocytes Negative Leukocytes
Urine WBC
Urine RBC
Urine Bacteria
Urine Epis
AUG.3RD,2014
UA Protein
Date:Aug 03, 2014 04:46 p.m. CDT
Result:Negative (Normal) Normal:Negative
UA Glucose
Date:Aug 03, 2014 04:46 p.m. CDT
Result:Negative (Normal) Normal:Negative
UA Urobilinogen
Date:Aug 03, 2014 04:46 p.m. CDT
Result:1.0 (Normal)
UA Appear
Date:Aug 03, 2014 04:46 p.m. CDT
Result:CLOUDY (Normal)
UA Spec Grav
Date:Aug 03, 2014 04:46 p.m. CDT
Result:1.016 (Normal) Normal:1.000 - 1.032
UA Leuk Est
Date:Aug 03, 2014 04:46 p.m. CDT
Result:Negative (Normal) Normal:Negative
UA Ketones
Date:Aug 03, 2014 04:46 p.m. CDT
Result:Negative (Normal) Normal:Negative
UA WBC
Date:Aug 03, 2014 04:46 p.m. CDT
Result:NONE SEEN /HPF (Normal) Normal:0 /HPF - 3 /HPF
UA Nitrite
Date:Aug 03, 2014 04:46 p.m. CDT
Result:Negative (Normal) Normal:Negative
UA Color
Date:Aug 03, 2014 04:46 p.m. CDT
Result:YELLOW (Normal)
UA Bili
Date:Aug 03, 2014 04:46 p.m. CDT
Result:Negative (Normal) Normal:Negative
UA Squam Epithelial
Date:Aug 03, 2014 04:46 p.m. CDT
Result:7 /HPF (Normal) Normal:0 /HPF - 4 /HPF
UA Blood
Date:Aug 03, 2014 04:46 p.m. CDT
Result:3+ (Normal) Normal:Negative
UA pH
Date:Aug 03, 2014 04:46 p.m. CDT
Result:8.0 (Normal) Normal:5.0 - 9.0
UA Bacteria
Date:Aug 03, 2014 04:46 p.m. CDT
Result:NONE SEEN /HPF (Normal)
UA RBC
Date:Aug 03, 2014 04:46 p.m. CDT
Result:5 /HPF (Normal) Normal:0 /HPF - 2 /HPF
eGFR-NAA
Date:Aug 03, 2014 04:36 p.m. CDT
Result:> 60 mL/min/1.73 m2 (Normal)
eGFR-AA
Date:Aug 03, 2014 04:36 p.m. CDT
Result:> 60 mL/min/1.73 m2 (Normal)
Neutro Auto
Date:Aug 03, 2014 04:36 p.m. CDT
Result:58 % (Normal) Normal:47 % - 80 %
Total Protein
Date:Aug 03, 2014 04:36 p.m. CDT
Result:7.4 gm/dL (Normal) Normal:6.4 gm/dL - 8.2 gm/dL
Potassium
Date:Aug 03, 2014 04:36 p.m. CDT
Result:4.8 mmol/L (Normal) Normal:3.5 mmol/L - 5.1 mmol/L
Basophil Auto
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0 % (Normal)
Chloride
Date:Aug 03, 2014 04:36 p.m. CDT
Result:108 mmol/L (Normal) Normal:98 mmol/L - 107 mmol/L
Eos Auto
Date:Aug 03, 2014 04:36 p.m. CDT
Result:3 % (Normal)
CO2
Date:Aug 03, 2014 04:36 p.m. CDT
Result:26.0 mmol/L (Normal) Normal:21.0 mmol/L - 32.0 mmol/L
MPV
Date:Aug 03, 2014 04:36 p.m. CDT
Result:10.1 fL (Normal) Normal:9.4 fL - 12.4 fL
Hct
Date:Aug 03, 2014 04:36 p.m. CDT
Result:37.5 % (Normal) Normal:37.0 % - 47.0 %
Mono Auto
Date:Aug 03, 2014 04:36 p.m. CDT
Result:9 % (Normal)
Abs Eos
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.2 x10(3)/mcL (Normal) Normal:0.0 x10(3)/mcL - 0.9 x10(3)/mcL
Globulin
Date:Aug 03, 2014 04:36 p.m. CDT
Result:3.80 gm/dL (Normal) Normal:2.40 gm/dL - 3.50 gm/dL
Lymph Auto
Date:Aug 03, 2014 04:36 p.m. CDT
Result:30 % (Normal) Normal:13 % - 40 %
Abs Neutro
Date:Aug 03, 2014 04:36 p.m. CDT
Result:4.68 x10(3)/mcL (Normal) Normal:2.10 x10(3)/mcL - 9.20 x10(3)/mcL
WBC
Date:Aug 03, 2014 04:36 p.m. CDT
Result:8.1 x10(3)/mcL (Normal) Normal:4.5 x10(3)/mcL - 11.5 x10(3)/mcL
Hgb
Date:Aug 03, 2014 04:36 p.m. CDT
Result:11.9 gm/dL (Normal) Normal:12.0 gm/dL - 16.0 gm/dL
Sodium
Date:Aug 03, 2014 04:36 p.m. CDT
Result:137 mmol/L (Normal) Normal:136 mmol/L - 145 mmol/L
Platelet
Date:Aug 03, 2014 04:36 p.m. CDT
Result:224 x10(3)/mcL (Normal) Normal:130 x10(3)/mcL - 400 x10(3)/mcL
AST
Date:Aug 03, 2014 04:36 p.m. CDT
Result:16 unit/L (Normal) Normal:15 unit/L - 37 unit/L
Bili Direct
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.00 mg/dL (Normal) Normal:0.00 mg/dL - 0.50 mg/dL
Alk Phos
Date:Aug 03, 2014 04:36 p.m. CDT
Result:96 unit/L (Normal) Normal:38 unit/L - 126 unit/L
Lipase
Date:Aug 03, 2014 04:36 p.m. CDT
Result:120 unit/L (Normal) Normal:73 unit/L - 393 unit/L
RBC
Date:Aug 03, 2014 04:36 p.m. CDT
Result:3.91 x10(6)/mcL (Normal) Normal:4.20 x10(6)/mcL - 5.40 x10(6)/mcL
Glucose
Date:Aug 03, 2014 04:36 p.m. CDT
Result:77 mg/dL (Normal) Normal:74 mg/dL - 106 mg/dL
MCV
Date:Aug 03, 2014 04:36 p.m. CDT
Result:95.9 fL (Normal) Normal:80.0 fL - 94.0 fL
Amylase
Date:Aug 03, 2014 04:36 p.m. CDT
Result:46 unit/L (Normal) Normal:25 unit/L - 115 unit/L
Bili Total
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.2 mg/dL (Normal) Normal:0.2 mg/dL - 1.0 mg/dL
Abs Mono
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.7 x10(3)/mcL (Normal) Normal:0.1 x10(3)/mcL - 1.3 x10(3)/mcL
ALT
Date:Aug 03, 2014 04:36 p.m. CDT
Result:32 unit/L (Normal) Normal:12 unit/L - 78 unit/L
A/G Ratio
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.9 ratio (Normal) Normal:1.1 ratio - 2.0 ratio
Abs Lymph
Date:Aug 03, 2014 04:36 p.m. CDT
Result:2.4 x10(3)/mcL (Normal) Normal:0.6 x10(3)/mcL - 4.6 x10(3)/mcL
Abs Baso
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.0 x10(3)/mcL (Normal) Normal:0.0 x10(3)/mcL - 0.2 x10(3)/mcL
Albumin
Date:Aug 03, 2014 04:36 p.m. CDT
Result:3.60 gm/dL (Normal) Normal:3.40 gm/dL - 5.00 gm/dL
BUN
Date:Aug 03, 2014 04:36 p.m. CDT
Result:9.0 mg/dL (Normal) Normal:7.0 mg/dL - 18.0 mg/dL
Bili Indirect
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.20 mg/dL (Normal) Normal:0.00 mg/dL - 0.80 mg/dL
Calcium
Date:Aug 03, 2014 04:36 p.m. CDT
Result:8.5 mg/dL (Normal) Normal:8.5 mg/dL - 10.1 mg/dL
RDW
Date:Aug 03, 2014 04:36 p.m. CDT
Result:14.4 % (Normal) Normal:11.5 % - 17.0 %
MCHC
Date:Aug 03, 2014 04:36 p.m. CDT
Result:31.7 gm/dL (Normal) Normal:33.0 gm/dL - 36.0 gm/dL
MCH
Date:Aug 03, 2014 04:36 p.m. CDT
Result:30.4 pg (Normal) Normal:27.0 pg - 31.0 pg
Creatinine
Date:Aug 03, 2014 04:36 p.m. CDT
Result:0.86 mg/dL (Normal) Normal:0.60 mg/dL - 1.30 mg/dL
But for blood in urine, all seems well!
Detailed Answer:
Hi and thanks for this follow up query.
I am wondering why there is blood in urine and you have recently reported spotting. This is means there is some form of minor vaginal bleeding going on. I will suggest that you follow up with your OBGYN to get a comprehensive evaluation of the vaginal and cervix. I really hope there is nothing major going on there that we are not getting.
All other blood tests are normal at this time and need no further action at this time.
The CT concluded on a diverticulosis. That is totally justified and they found no signs in favor of an infection. Am pretty sure flagyl was more as a precautionary measure than real diverticulitis. How are you feeling now?
I hope this helps. I wish you well. Thank you so much and feel free to keep the discussion going on if need be.


Ask Gyn what is the origin and cause of spotting!
Detailed Answer:
Hi and thanks for this follow up information. It is very informative.
I will suggest you ask the gyn very specific questions so that he/she can provide satisfactory answers.
1. What is the cause and origin of this bleeding
2. What options are you looking at for management.
With these, we would be able to investigate, provide answers and propose a solution to you on this.
I hope this helps. I wish you well and keep me posted when you must have spoken to your OBGYN doctor.


BUN/Creatine all within normal interval!
Detailed Answer:
Hi and thanks for following up with me.
Though BUN and creatine increased, they are all within expected normal limits. This means that there is no reason to worry about now.
Have you been talking of vaginal spotting or possible blood from the digestive tract? If the answer is after wiping the anus after stools, I will suggest that you see a gastroeneterologist. If it is clearly from the vaginal, seeing a gynecologist would be the best thing to do. Because you have no insurance, see these doctors one at a time and only see the subsequent if your problem is not resolved in order to minimize cost.
I hope this helps. I wish you well. Let me hear from you should you have any doubts.

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