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What Is Diverticulosis?

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Posted on Sat, 15 Nov 2014
Question: hi I was just diagnosed with diverticulosis I am sure spelling is wrong, my Dr gave me a rx for flagyl. my question is can someone explain to me what exactly this is and is it something to be concern about? also I do have a history of epilepsy my last seizure was in 2005 after I got off medicines is this antibiotic safe for me to take
doctor
Answered by Dr. Ivo Ditah (1 hour later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (1 hour later)
Ty for answering back., I always had stomach problems since I was a baby but nothing ever told to me. and I don't have constipation. I do suffer from horrible stomach pains that started back in 2005 off and on then after my last c section and got worse in Aug. now I deal with pain everyday I will be calling my Dr for report
doctor
Answered by Dr. Ivo Ditah (8 hours later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (18 minutes later)
how do I continue to talk to u? do I just leave this open for now without accepting answer?
doctor
Answered by Dr. Ivo Ditah (12 minutes later)
Brief Answer:
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!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (3 minutes later)
I'm calling tomorrow to get report and I will send u report along with my results from Aug that way u may have a better look at things if that's ok with u
doctor
Answered by Dr. Ivo Ditah (9 minutes later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (44 hours later)
just to follow up still waiting for my dr to give report for some reason they not really wanting to return my call . question though I started antibiotics today and after taking second dose my stomach became more swollen than it has been and pains started again. I also woke up this morning spotting but not sure if this is my cycle trying to start
doctor
Answered by Dr. Ivo Ditah (36 minutes later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (1 minute later)
Ty very much
doctor
Answered by Dr. Ivo Ditah (19 minutes later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (57 minutes later)
should I be on a certain diet for right now sry I'm just lost on all this and scared
doctor
Answered by Dr. Ivo Ditah (5 hours later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (2 days later)
hi I finally got it couldn't upload it though but copied and paste the findings I am also attaching work that was done one aug 3rd right after all this pain started and on sept 4th with previous cat scan,so so much info at once but I just thought if I give you a little history of whats been going on you may be able to get a little better picture, also I talked to you the other day about me spotting and I have not started cycle still kinda spotting but that's it really only happens when I go to the bathroom and my normal date to start was the 25th of this month, thanks so much for your time and any further question please ask!
(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
doctor
Answered by Dr. Ivo Ditah (4 hours later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (3 hours later)
hi I am still having pains and spotting its looks more like old blood though, not sure if this means anything I have degenerative disk and 4 bulging disk I was diagnosed with a few years ago. only other way I can describe how my stomach feels besides pain is swells up feels heavy and as crazy as it may sound feels like something in my back would be all pushed in my stomach, my stomach goes down from time to time and I don't think itms weight because scale doesn't move I having been weighing same since 2005 the most I lose r gain is 3 to 5 lbs I'm going to call my gyn this morning. I had a pap few months ago came back normal do u recommended anything I should ask gyn
doctor
Answered by Dr. Ivo Ditah (21 hours later)
Brief Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (17 minutes later)
I went to regular doctor yesterday because pain got bad and wouldn't stop he did more lab work, he put me on medicine to coat my stomach my gyn can't see me til the, 12th . I noticed last night on toilet paper it looks kinda like brown color of a coffee filter after u make coffee not as dark as that, dr wants me to see gastrointerolgist only problem is I have no insurance so I would have to pay for everything.question I noticed on cat scan report that the gfr is at 56 and also the bun and creatine went up since Aug. does this mean anything
doctor
Answered by Dr. Ivo Ditah (17 hours later)
Brief Answer:
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.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

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What Is Diverticulosis?

Brief Answer: 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.