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How to Treat Diverticulosis?


Things to note:
  • Increase unprocessed foods in diet.
  • Supplement with bran.

Medical Treatment:
Localised diverticulitis:
  • Amoxicillin/clavulanic acid, oral, 875/125 mg 12 hourly.
Severe disease:
  • Ampicillin, IV, 1 g 6 hourly.
PLUS
  • Gentamicin, IV, 6 mg/kg daily.
PLUS
  • Metronidazole, IV, 500 mg 8 hourly.


When to refer:
  • Clinical deterioration or failure to improve.
  • Peritonitis
  • Fistulae
  • Strictures
  • Massive haemorrhage