What is the recommended treatment for a patient with mild acute diverticulitis?

The recommended treatment for a patient with mild acute diverticulitis is to manage the condition in the outpatient setting, which often includes prescribing antibiotics and ensuring that the patient has close follow-up to monitor their progress. This approach is appropriate for mild cases because it allows the patient to recover at home while receiving the necessary medication to combat the infection.

Outpatient management typically involves advising the patient on dietary modifications, emphasizing the importance of a clear liquid diet until symptoms improve, and gradually introducing solid foods. Regular follow-up appointments help to ensure that the patient is responding to treatment, allowing healthcare providers to make timely adjustments if necessary.

In contrast, hospitalization and intravenous antibiotics apply to more severe cases of diverticulitis, where complications such as abscess or perforation may be present, necessitating a more aggressive approach. A colonoscopy is not indicated during an active diverticulitis episode due to the risk of perforation and is generally reserved for evaluating the colon once inflammation has resolved. Thus, outpatient management with antibiotics and monitoring is the safest and most effective strategy for managing mild acute diverticulitis.