What is the Treatment and Prognosis for Diverticulitis?

GENERAL RECOMMENDATIONS FOR DIVERTICULA PATIENT
- Focus on fibrous foods. These are cereals, bran, fresh fruits and vegetables. Your daily fiber need is 20-30 grams. One serving of legumes + one apple provides 10-15 grams of fiber. Avoid chips and nuts.
- Consume plenty of water. In order not to become constipated, it is essential to have fibrous foods.
- Go to the toilet as soon as you need it. Do not postpone it. A liquid or low-fiber diet is recommended for the first few days. Then cereals, fruits and vegetables are added to the diet. Drug treatment should be administered for about a week. Painkillers and factors that may cause constipation should be avoided.

If the attack is severe or there is a recurrent diverticulitis attack, hospitalization may be required. In case of severe peritoneal inflammation, oral food intake is stopped and intravenous antibiotic treatment is administered. If an abscess develops, it may be necessary to drain the abscess by placing a thin tube (drain) under ultrasound or tomography guidance.

WHAT ARE THE COMPLICATIONS OF DIVERTICULITIS? 
- Inflammation of the abdominal membranes (peritonitis). The finger-like protrusions may be punctured and urgent intervention may be required.
- Bleeding from the anus
- Callus formation and stenosis in the intestinal wall
- Abscess formation in the finger-like processes
- Formation of inflammatory tunnels (fistula) between the intestines and surrounding organs
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DOES SURGERY REQUIRE FOR DIVERTICULITIS? In cases of recurrent diverticulitis, resistant abscess, intestinal perforation or inflammatory tunnel (fistula), surgical intervention is required. The type of surgery varies depending on the severity of the inflammation at the time of intervention.

During a period when the attack is mild or relatively subsided, the part of the intestine with diverticula is removed and the remaining ends are joined. If surgery is necessary when the attack is severe, joining the ends of the intestine may not be possible at that time. In this case, the leading end of the intestine protrudes into the abdominal wall into the bag. It should be. A few months later, the end of the intestine is connected with a second surgery and normal functioning is achieved.

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