2015: Left side
2017, 2021, and 2022: Right side
Diverticulosis / Diverticulitis History
2008 (December): Colonoscopy:
Diverticulosis was first diagnosed following a colonoscopy, and a small benign polyp was removed. Colonoscopy recommended in 3-4 years (i.e., 2011 or 2012).
2012 (November): Colonoscopy
Found mild to moderate diverticulosis in sigmoid colon, and small benign polyp was removed. Colonoscopy recommended in 4 years (i.e., 2016).
2015 (December 19): Diverticulitis flare up / CT scan / Antibiotics
Went to the ER, a CT scan was performed, and I was prescribed ciprofloxacin and metronidazole (which I took).
CT (abdomen and pelvis): Indication: "sharp abdominal pain and tenderness in the left lower quadrant." Diagnosed with: Diverticulitis of large intestine without perforation or abscess without bleeding. The results showed: 1. Acute sigmoid diverticulitis without an evident complication; 2. A 3 mm calculus at the upper pole of the right kidney; 3. Mild hepatic steatosis. "There are multiple colonic diverticula. There is fat stranding adjacent to a diverticulum at the distal sigmoid portion of the colon... The appendix and small bowel appear normal."
2017 (May 26): Diverticulitis flare up / CT scan / No antibiotics
Went to TCC Immediate Care right before trip to Eastern Oregon. A CT scan (abdomen and pelvis) was performed. Complaint was abdominal pain in the right lower area. "he has had somewhat similar symptoms in the past on the left side and been diagnosed with diverticulitis. No previous episodes on the right. Results of CT scan: "No acute appearing process such as diverticulitis or renal obstruction. Significant diverticulosis, both right and left side." Disposition: "After discussing options, we decided to go with a prescription for ciprofloxacin and metronidazole which he will fill and have available. If his symptoms worsen, he will start this medication." I did not have to take the medication.
2017 (September): Colonoscopy
Post op diagnosis: sigmoid diverticulosis mainly, some scattered in right colon. The terminal ileum was normal in appearance. The cecum, ascending colon, transverse colon and descending colon were normal in appearance with exception of scattered diveticulosis in ascending colon. The sigmoid colon was scattered with many diverticula in appearance. In the retroflexion in the rectum, normal appearance was found.
8/6/21: Diverticulitis flare up / No antibiotics
Experienced right lower quadrant abdominal pain. Consulted with Dr. Quiner. He prescribed ciprofloxacin and metronidazole and ordered a CT scan. The pain went away and I did not take the antibiotics. He noted: "he does not need referral to surgery unless episodes become much more frequent, 3-4 times per year. Colonoscopy is not indicated at this time."
8/26/2021: CT scan
Reason: Right lower quadrant pain. History of diverticulitis. FINDINGS: LOWER THORAX: Unremarkable. LIVER: Diffuse low- attenuation of the hepatic parenchyma relative to the spleen indicating steatosis, with patchy geographic areas of fatty sparing adjacent to gallbladder and in the porta hepatis region. No focal hepatic lesion. GALLBLADDER AND BILE DUCTS: Unremarkable. No visualiz ed stones or biliary duct dilatation. SPLEEN: Normal. PANCREAS: Normal. ADRENAL GLANDS: Normal. KIDNEYS AND URETERS: Normal. No renal or ureteral stones. No hydronephrosis or hydroureter. PELVIC ORGANS: The bladder is within normal limits. Unremarkable appearance of the prostate gland and seminal vesicles. PERITONEAL CAVITY/GASTROINTESTINAL TRACT: Colonic diverticulosis without associated focal colon wall thickening or adjacent mesenteric fat stranding to suggest acute diverticulitis. No evidence for bowel obstruction. The appendix is normal. No free fluid or pneumoperitoneum. RETROPERITONEUM: Normal. ABDOMINOPELVIC LYMPH NODES: No mesenteric, retroperitoneal, or inguinal adenopathy. VASCULAR: Normal. BONES: Minimal degenerative changes within the spine. No acute bony abnormality. BODY WALL: Unremarkable. IMPRESSION: 1. No acute inflammatory or obstructive process identified to explain right lower quadrant abdominal pain. 2. Colonic diverticulosis without CT evidence for acute diverticulitis. 3. Steatotic liver.
12/5/22: Diverticulitis flare up / Antibiotics
Consulted with Dr. Quiner. I was experiencing recurrent mild discomfort in my abdomen for the past 3-4 weeks. It has been intermittent, but has become more persistent. It is localized to a spot about 3 inches to the right of my belt buckle. I have diverticulosis, and the sensation is similar to that - although this time the pain level has not escalated and I have not had a fever. He prescribed ciprofloxacin and metronidazole. I took them until 12/16/22. The symptoms did not go away.
12/27/22: Consulted with Dr. David. He ordered a blood test and CT scan.
02/24/23: Colonoscopy