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What treatment is appropriate for a patient with mild acute diverticulitis?

  1. Immediate hospitalization for surgery

  2. Antibiotics in the outpatient setting with close follow-up

  3. High-fiber diet to promote bowel health

  4. Observation without treatment

The correct answer is: Antibiotics in the outpatient setting with close follow-up

In the case of mild acute diverticulitis, the appropriate treatment is antibiotics in the outpatient setting with close follow-up. This approach addresses the inflammation and potential infection associated with diverticulitis while allowing the patient to recover in a comfortable environment rather than requiring hospitalization. Outpatient management typically involves prescribing antibiotics to combat any underlying bacterial infection. Additionally, patients are often advised to consume a low-fiber diet during the acute phase of diverticulitis to reduce bowel movement strain. Once symptoms improve, a gradual reintroduction of a high-fiber diet is recommended to promote bowel health and prevent future occurrences. While hospitalization and surgery may be necessary for severe diverticulitis complications or for patients unable to tolerate oral intake, this is not typically indicated in mild cases. Close follow-up is crucial to monitor the patient’s progress, ensuring that any changes in symptoms warrant further intervention. This collaborative approach aids in efficiently managing the condition while minimizing risks associated with more invasive treatments.