What should be considered when selecting medications for pain management in patients with diverticulitis?

Updated: Aug 06, 2019
  • Author: Elie M Ghoulam, MD, MS; Chief Editor: BS Anand, MD  more...
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Answer

Pain management considerations are as follows:

  • Morphine is preferred, despite theoretical risk of affecting bowel tone and sphincters.

  • Meperidine is associated with adverse effects.

  • Nonsteroidal anti-inflammatory drugs and corticosteroids have been associated with a greater risk of colonic perforation. [5]

  • Acetaminophen and antispasmodics such as dicyclomine are first-line agents for managing pain and cramping in mild to moderate disease. [2]


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