Initiate Treatment with Intravenous Antibiotics
Patients with signs of significant inflammation should be hospitalized for bowel rest and administered intravenous fluids and a broad-spectrum intravenous antibiotic, such as cefoxitin. If pain medication is required, meperidine is an appropriate analgesic because it had been shown to decrease intraluminal pressure. Unless there is a significant ileus or obstructive component, nasogastric suction is usually not required.
Sarah J. Thompson, MD
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