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Q
My husband has severe diverticulitus. We have tried diet and various solutions. Some say a diet high in fiber is the answer, but others say that a very bland diet is necessary to clean out the colon. He is in severe pain and I just don't know what to do or to feed him anymore. Anything he eats causes him pain. He has also had heart bypass surgery, is boarderline diabetic, and has gout. Please help me, I am at the end of my rope and he thinks he is going to die.
A
... sorry to hear about your husband's problems.
Last problem first ... there is no need to have to tolerate gout ... relief of the symptoms of an acute occurrence can be achieved in a matter of hours by the appropriate administration of colchicine ... thereafter, daily administration of a drug called allopurinol keeps the blood level of uric acid at a low enough level, that a recurrence is very unlikely.

You don't mention that your husband is under professional medical care ... if not he would be well advised to visit his physician as soon as possible. Diverticulitis develops when particles of undigested food or stool become trapped in a diverticula or small pouch in the colon ... the pouch then becomes inflamed and/or infected causing the pain your husband is experiencing ... usually the infection remains localised, but it is possible for bacteria to break through the colon wall and cause inflammation of the membrane that covers the abdominal organs ... this condition, known as peritonitis, can be life-threatening and requires immediate medical attention.

Treatment varies ... for a mild condition, the physician may prescribe only bed rest, a liquid diet, painkillers and oral antibiotic/s to combat any infection ... in some cases, patients may need hospitalization and intravenous antibiotics ... in more severe cases, surgery may be needed to remove the infected part of the colon and the healthy ends rejoined. While most people recover without surgery, if the inflammation extends throughout the abdomen causing peritonitis,surgery is almost always required.

Current belief is that the incidence and symptomology can be reduced by consuming a high-fibre diet ... the rational is that insoluble fibre, when taken with adequate amounts of water, causes stool to become larger, softer and easier to pass ... recurrence or worsening of symptoms is cause for a visit to the physician. Fibre intake should be increased gradually to give the digestive tract time to adjust to the change ... this helps to prevent diarrhea, discomfort and flatulance ... the day's fibre goal should not be consumed at one meal and it may take several months to reach peak amount of fibre ... fibre absorbs water from the bowel - without adequate amount of fluid, constipation could occur.
Hope this has been of some help. Best wishes to you and your husband.

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