DiseaseFeaturesTreatment
AsymptomaticDiverticula in the absence of clinical symptomsHigh-fiber diet
SymptomaticDiverticula and abdominal pain, with or without change in bowel habits; no inflammationHigh-fiber diet
Diverticulitis: uncomplicated (in stable patients)Abdominal pain, fever, leukocytosis; able to tolerate oral fluidsOral antibiotics (to cover anaerobes and gram-negative rods); clear liquid diet; avoid morphine (Duramorph) if possible because of risk of increasing intracolonic pressure
Diverticulitis: uncomplicated (in older or ill patients)Abdominal pain, fever, leukocytosis; able to tolerate oral fluids, or patient is older than 85 yearsIV antibiotics (to cover anaerobes and gram-negative rods); IV fluids; bowel rest, nothing by mouth; meperidine (Demerol)
Diverticulitis: complicatedAbdominal pain, fever, leukocytosis; with or without sepsis, perforation, abscess, fistula, obstructionStabilization with fluids and antibiotics; surgical consultation; percutaneous drainage