Q: More than 25 years go a doctor suggested I take Pepto Bismol about three times each day during those periods when I was coming down with diverticulitis. I have found it to be a great solution to my problem. Prior to this remedy, I would have serious problems and even had to take antibiotics at times to get the episodes under control. I have never read or heard any other doctor recommend this remedy so I thought you might consider passing it on to your readers.
A: Diverticulitis is a condition in which one or more diverticula in the digestive tract become infected or inflamed. Diverticula are small pouches that can form throughout the digestive tract, from the esophagus to the intestines. When an individual has diverticula, he or she is known to have diverticulitis. The cause for this condition is not fully understood.
Symptoms of diverticulitis may include severe pain on the lower left side of the abdomen, bloating, constipation, fever, changes in bowel habits, and more. Risk factors that have a bearing include having too little fiber in the diet, little to no exercise, obesity, the aging process, and the habit of smoking. Diets high in fiber keep stool soft. Unfortunately, Americans are prone to consuming a diet high in refined carbohydrates but low in fiber. A lack of exercise is associated with the development of diverticula and coupled with obesity, the combination increases a person’s chances of developing the condition. The aging process also enters the picture. Diverticulitis is more likely to occur after the age of 40, perhaps because of a decrease in the strength of the bowel wall. And lastly, the habit of smoking increases the risk as well.
There are a number of conditions that must be ruled out before diverticulitis occurs. For example, irritable bowel syndrome, colon or ovarian cancer, and ischemic colitis can all present in a similar fashion. Therefore, in order to make a correct diagnosis a physician may have to order lab work to check white blood cells for signs of infection and order a CT or other imaging testing that will identify the inflamed or infected pouches. Diverticula that are not inflamed are often discovered during colonoscopy.
Treatment will depend on the severity of the condition. If symptoms are mild, a liquid diet, additional rest and antibiotics (if appropriate) for several days may bring things under control. This can likely be followed by a gradual addition of a high fiber diet rich in whole grains, fruits and vegetables. Mild to moderate pain may respond well to over-the-counter acetaminophen or stronger pain medication. Acetaminophen does not cause constipation; however, your Pepto Bismol use may — and probably does — cause constipation to occur. The downside of pain medication in general is that it has the potential for causing constipation that can aggravate an already difficult situation. Severe attacks that could be an indication of peritonitis or obstruction may require hospitalization and potential surgery.
Some researchers endorse probiotics that contain beneficial bacteria that will help restore a person’s natural balance; however, there are no clinical studies to indicate this is the correct approach. Speak with your physician for his or her input prior to making any changes.
Lastly, the Pepto Bismol your physician recommended is to treat diarrhea and gastrointestinal upset. It may have some antibacterial action but that is not considered one of its first-line purpose. Its purpose is to slow the growth of bacteria that might cause diarrhea. It should not be used if a person has an ulcer, fever or blood in the stools, as these conditions could be an indication of serious medical concerns. And, because manufacturers make ingredient changes, it is recommended users read the label prior to taking the product. Be sure to contact your physician if your condition worsens.
