What is the recommended treatment approach for a patient with diverticulitis?

The recommended treatment approach for a patient with diverticulitis often begins with the management of symptoms and prevention of complications, particularly in cases of acute diverticulitis. The initial strategy generally involves keeping the patient NPO (nothing by mouth), which allows the bowel to rest and reduces the risk of exacerbating inflammation.

Intravenous fluids are typically administered to maintain hydration, especially if the patient is unable to eat or drink due to symptoms such as abdominal pain, nausea, or vomiting. Antibiotic therapy is often implemented to address the infection that can occur with diverticulitis. This combination serves to mitigate symptoms effectively while managing any potential infectious process.

In contrast, a high-fiber diet and oral hydration are usually recommended for maintenance and prevention of diverticulitis but are not appropriate during an acute episode where symptoms are present. Immediate surgery is typically reserved for severe cases, such as those involving complications like perforation or abscess formation. Relying solely on over-the-counter pain relief may not adequately address the underlying condition or prevent further complications. Thus, the multifaceted approach of NPO status, intravenous fluids, and antibiotics addresses both symptomatic treatment and infection management in diverticulitis.