Stomach pain. Minimul sigmoid colonic diverticulosis. Had MRI, CT scan, virtual colonoscopy. Help?
Patient: For past 10 years when I push my lower right side of stomach I get pain only when I press with fingers.I am 53 years male, had mri, ct scan , test for kidney stone , hernia , appenidix and all of them were ruled out . Yet sometimes I get same side lower back pain, and kiddney pain at least that s how it seems. Had also virtual colonoscopy using a siemens sensation 4 multi-slice CT scanner, spiral CT images were obtained of the abdomen her eare findingds The colon is well distended. Evaluation of the colon is limited die to mild diffuse residual colonic fluid and stool. The well distended and evacuated portions of the colon are without stricture, obstruction, constricting lesion, definitive evidence of significant gross focal mass freater than 1 cm, or evidence of diverticulitis. The appendix is normal ther eis ill-defined focul soft tissue present in the cecum adjacent tot he ileocecal volave which liekly represents reidual adherent stool, though a small polyp cannot be entirely excluded. Minimul sigmoid colonic diverticulosis is present Is there a natural way of diet to get rid of these possibilities? Doctor: Hello  Thanks for the query. You Report is suggestive of mild sigmoid diverticulosis Diverticulosis of the colon affects nearly one-half of individuals older than age 60 years. Fortunately, only 20% of patients with diverticulosis develop symptomatic disease. Asymptomatic diverticular disease discovered on imaging studies or at the time of colonoscopy is best managed by diet alterations. Patients should be instructed to eat a fiber-enriched diet that includes 30 g of fiber each day. Fiber softens the stool and helps prevent constipation. It also can help decrease pressure in the colon and help prevent flare-ups of diverticulitis. High-fiber foods include: Beans and legumes,Bran, whole wheat bread and whole grain cereals such as oatmeal Brown and wild rice,Fruits such as apples, bananas and pears Vegetables such as broccoli, carrots, corn and squash. Drink at least 8-10 cups of fluid daily. Fluid will help soften your stool. Exercise also promotes bowel movement and helps prevent constipation. The incidence of complicated diverticular disease appears to be increased in people who smoke. Therefore avoid smoking.  Symptomatic uncomplicated diverticular disease with confirmation of inflammation and infection within the colon should be treated initially with antibiotics and bowel rest.  Patients should remain on a limited diet until their pain resolves. For long-term medical management of uncomplicated diverticular disease, rifaximin (a poorly absorbed broad-spectrum antibiotic), is associated with 30% less frequent recurrent symptoms from uncomplicated diverticular disease. Furthermore, the use of probiotics has been shown to decrease the incidence of recurrent attacks. Hope I have answeres all your queries.