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Colitis Flareup or Diverticular Problem

Diagnosed with colitis 10 years ago and latest colonoscopy about a two months ago indicated begining signs of diverticulitis.  Doctor did not seem too concerned, and indicated that he did not see anything abnormal with the exception of seeing some signs of slight inflamation in lower colon and rectum.  A few days ago, I woke up in the moring with a mild to moderate pain in lower left abdomin.  Bowel movement was painful and unproductive.  The next morning i woke with a fever of 100, with chills and body aches.  Pain was no worse, and acually pain felt a little better.  Next day fever gone, and pain only when I press down on the area, but am now constipated.  Tried calling doctor's office, but nobody there due to holidays.

Could this be just a colitis flareup, of something related to diverticulitis?  My concern is whether I have an infection that needs an antibiotic or since my fever is gone, just need rest and Milk of Magnesia for the constipation?
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Hi Acarr101,

You have said that you suffer from colitis and diverticulitis.The symptoms you developed a few days ago are -

1.Mild to moderate pain in the left lower abdomen
2. Painful unproductive bowel movement
3. Fever with chills and body ache
4. Constipation

Many of these symptoms are common to bothe flare up of colitis and diverticulitis.
But there is one symptom which is making the difference - painful unproductive bowel movement. This indicates proctitis which means your rectum is inflammed.

So between the two, you appear to have more of a flare up of colitis.

Consult your physician for proper evaluation.
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.

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