A patient with diverticulosis presents with localized left lower quadrant discomfort and mild leukocytosis. What is the appropriate management option?

In the case of a patient with diverticulosis presenting with localized left lower quadrant discomfort and mild leukocytosis, the appropriate management option is to provide clear liquids and antibiotics.

Diverticulosis often leads to diverticulitis, which is an inflammation or infection of the diverticula. The presence of mild leukocytosis indicates some level of inflammatory response, but if the patient is stable and not exhibiting severe symptoms (like significant pain, fever, or signs of perforation), they can usually be managed as an outpatient.

Starting the patient on a clear liquid diet helps to reduce bowel bulk and allows the digestive system to rest while still providing necessary hydration. Simultaneously, antibiotics are indicated to manage any potential bacterial infection related to the diverticulitis. This conservative approach is often effective for mild cases and aligns with current guidelines recommending outpatient management for uncomplicated diverticulitis.

In contrast, a barium enema is contraindicated in the setting of diverticulitis due to the risk of perforation, and nothing by mouth (NPO) without further intervention may deprive the patient of necessary fluids and nutrition. A low-fiber diet is not recommended during an acute diverticulitis flare, as a low-fiber diet could exacerbate the condition