게실염 (Diverticulitis) - 의학 (Medicine)

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====== [Diverticulitis]======

Most patients with diverticulosis have minimal or no symptoms, and do not require any specific treatment. A normal fiber diet is advisable to prevent constipation and perhaps prevent the formation of more diverticula.

Patients with mild symptoms of abdominal pain due to muscular spasm in the area of the diverticula may benefit from anti-spasmodic drugs such as:

* chlordiazepoxide (Librax),
  * dicyclomine (Bentyl),
  * atropine, scopolamine, phenobarbital (Donnatal), and
  * hyoscyamine (Levsin).
When diverticulitis occurs, antibiotics usually are needed. Oral antibiotics are sufficient when symptoms are mild. Some examples of commonly prescribed antibiotics include:

* ciprofloxacin (Cipro),
  * metronidazole (Flagyl),
  * cephalexin (Keflex), and
  * doxycycline (Vibramycin).
Liquid or low fiber foods are advised during acute attacks of diverticulitis. This is done to reduce the amount of material that passes through the colon, which at least theoretically, may aggravate the diverticulitis. In severe diverticulitis with high fever and pain, patients are hospitalized and given intravenous antibiotics. Surgery is needed for patients with persistent bowel obstruction or abscess not responding to antibiotics.

* [[http://search.medscape.com/reference-search?newSearch=1&queryText=diverticulitis|Medscape: Diverticulitis]]
  * http://www.medicinenet.com/diverticulosis/page4.htm#medical_treatment_for_diverticulitis_and_diverticulosis

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