Hi,
I have just read your query, the most acute bacterial infections that affect the stomach will generally resolve within a matter of few days to a week. If chronic stomach pain and
nausea present then it implies some other pathology. Regarding diverticulosis:
1) It means nothing but the formation of outpouching/outpockets known as diverticulum it usually won't cause any symptoms.
2) However, when it becomes inflamed its called as "diverticulitis" which is painful and causes various symptoms.
If it is a diverticulosis you need to make the following dietary changes in your lifestyle. The diet is aimed at giving a rest to your digestive system:
1) High fiber diet. Diet rich in fiber is advised.
2) Adequate fluid intake. Drink ample amount of water.
3) Supplement yourself with probiotics.
4) Do mild to moderate exercise every day.
5) Prescription antibiotics if infected.
Most diverticulosis symptoms will ward off with this measures however if you get a fever, constantly increasing
abdominal pain or
vomiting you should ideally consult a medical or a surgical gastroenterologist. The surgical options are:
1) Resection and
anastomosis. Where the segment of the infected colon is removed and then anastomosed with the
rectum. Sometimes your surgeon may prefer to have a
colostomy done where a small hole is attached for the stool to pass through a bag. Since its embarrassing, at times people may prefer anastomosis.
2) Loop
ileostomy. This also involves removal of the infected segment of colon and a temporary hole is made in the stomach for the stools to pass through. A few months later the stoma (opening) will be closed.
3) Laparoscopic washout. It is a newer technique your surgeon will examine the stomach and colon, drain any swelling and pus, and wash the abdomen. This can kill the infection, prevent the abdomen from swelling, and remove the need for a resection. But recurrence can occur.
Surgery can be done either open or through laparoscopic method to minimize incision.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Moses John Wesley,
General & Family Physician