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Diverticulitis; Other names: Colonic diverticulitis: Section of the large bowel (sigmoid colon) showing multiple pouches (diverticula).The diverticula appear on either side of the longitudinal muscle bundle (taenium), which runs horizontally across the specimen in an arc.
Diverticulitis is defined as diverticular disease with signs and symptoms of diverticular inflammation. Clinical features of acute diverticulitis include constant abdominal pain, localized abdominal tenderness in the left lower quadrant of the abdomen, nausea, vomiting, constipation or diarrhea, fever and leukocytosis .
While a low-fiber diet is generally used for acute diverticulitis, the NIH guidelines recommend a high-fiber diet for patients with diverticulosis (a condition that may lead to diverticulitis). [17] A Mayo Clinic review from 2011 showed that a high-fiber diet can prevent diverticular disease. [18]
A combination of probiotic strains has been found to produce better results than therapy with the antibiotic drug metronidazole. [33] [non-primary source needed] An elemental diet has been shown to be highly effective for eliminating SIBO with a two-week diet demonstrating 80% efficacy and a three-week diet demonstrating 85% efficacy.
Currently there is no supported effective treatment for SUDD. Anti-inflammatory agent mesalamine and non-absorbable antibiotic rifaximin might improve symptoms and prevent acute diverticulitis. Probiotics could also be used to reduce symptoms but there is currently insufficient supporting evidence. [6]
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