Conversation: The conversation between human and AI assistant.
[|Human|] Lower abdominal pain working its way through the left side. Sharp pain when lifting left leg or sudden twist of waist. Some nausea, no vomiting or fever. I have been diagnosed with diverticulie a few years ago. Pain has been persistent for over a month
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. With a history of diverticulosis and the present abdominal pain with nausea and vomiting, I would presume it to be an attack of diverticulitis (bacterial infection of the diverticula) and start a bland diet regimen, a broad spectrum antibiotic along with an anaerobic coverage, an anti-inflammatory and a proton pump inhibitor with a probiotic. This might take a few days for your symptoms to improve, and a close watch on the symptoms with physical findings on examination of the abdomen would be required. In case there was no relief or if the symptoms increase in intensity, I would advise you to report to an ER of the nearest hospital for a possible admission and putting you on nil orally, and IV antibiotics and other related Chat Doctor.  Further management would depend on the type of response obtained on the above regimen. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.