More intense symptoms are associated with serious complications such as perforation, abscess or fistula formation. Indications are that a low-fiber diet over the years creates increased colon pressure and results in pockets or diverticula. Diverticulosis and diverticular disease are usually treated by diet and occasionally, medications to help control pain, cramps and changes in bowel habits. Diverticulitis requires more intense management. Mild cases may be managed without hospitalization, but this is a decision made by your physician.
Treatment usually consists of oral antibiotics, dietary restrictions and possibly stool softeners.
Severe cases require hospitalization with intravenous antibiotics and strict dietary restraints. Most acute attacks can be relieved with such methods. Surgery is reserved for recurrent episodes, complications or severe attacks when there's little or no response to medication. Complete recovery can be expected. Normal bowel function usually resumes in about three weeks.