Mild Sigmoid Diverticulitis: Symptoms, Diagnosis & Management

Diverticula in the sigmoid colon are common with age. Mild diverticulitis implies inflammation without abscess, perforation, or obstruction.

Risk Factors

• Low-fiber diet, obesity, smoking, NSAIDs, steroids, sedentary lifestyle.

Symptoms

• Often asymptomatic; may have LLQ pain, nausea, low-grade fever, bowel habit change.

Diagnosis

CT abdomen/pelvis with contrast is gold standard; labs (CBC, CRP).

Treatment

• Outpatient oral antibiotics (e.g., ciprofloxacin + metronidazole) for 7–10 days.
• Clear liquid diet advancing to high-fiber.
• Analgesia (avoid NSAIDs).

Complications

Abscess, perforation, fistula, obstruction, bleeding – require hospitalization/surgery.