What are the treatment options for diverticular disease?

Diverticula are small pouches in the bowel wall. Some people have them without symptoms; others develop abdominal discomfort, altered bowel habits, inflammation called diverticulitis, or bleeding. The treatment choice depends on the pattern, examination findings, and whether there are warning signs.

For ongoing symptoms, a clinician may review fibre, fluids, meal patterns, activity, and medicines. [Nutrition Counselling](/treatments/lifestyle-and-wellness/nutrition-counselling/) can help tailor changes without unnecessary food restrictions. A flare-up may need pain relief, fluids, monitoring, or antibiotics in selected situations. Severe inflammation, an abscess, a blockage, a perforation, or repeated complications may require hospital procedures or surgery.

Book a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) for persistent bowel symptoms, a new change in bowel habit, or repeated episodes of pain. Keep a record of pain location, bowel changes, fever, bleeding, and foods or medicines that affect symptoms. Take prescribed medicines as directed. Do not start leftover antibiotics, and ask before using anti-inflammatory painkillers if you have bowel or kidney concerns.

Seek urgent care for severe or worsening abdominal pain, a hard or swollen abdomen, fever with vomiting, inability to pass stool or gas, faintness, or blood in the stool. Heavy bleeding, collapse, or confusion needs emergency help. These features can signal a complication rather than uncomplicated diverticular symptoms.

Do my symptoms suggest diverticulitis or another bowel problem? Should I change fibre or fluids? Which pain medicines are suitable? Do I need tests or referral? What signs mean I should seek urgent care?