A 54-year-old woman was being treated for hyperthyroidism, meanwhile, she got diarrhea with mucus many times. Suggest the line of treatment.
hyperthyroidism leads to an overactivity of the sympathetic system. It also goes on to mention that this sympathetic hyperstimulation in the gut leads to increased motility leading to diarrhea and malabsorption. ??? Ulcerative Colitis. Rx. Cap.Rifaximin 400 mg. Tab.Eusspas/Meftal spas. Tab.Metrogyl 400 mg. Vizylac cap. Mucaingel if needed.
Pt of hyperthyroidism are known to have pain abdomen and loose motions as IBS Put her on rifaximin or racecordil with meteronidazole Review the doses of neomercazole
Metrogyl 400mg bd. Maintain electrolytes and fluids balance. Meftal spas SOS. Avoid oily spicy and fast food. Improve general health and personal hygiene.
Diarrhoea is common in hyperthyroidism. But sudden onset and presence of mucus ion stools is suggestive of colitis . Cefixime + Tinidazole + probiotics suggested . Good hydration . Observation . Stool exam
ENTEROCOLITIS TAB. SATROGYL-O BD CAP PANTOCID DSR OD TAB. RIFAXIMIN BD CAP RADOTIL BD LIQ. ENTEROGERMINA BD MANTAIN ELECTROLYTES ORALLY OR IV IF NEEDS
* SATROGYL-O.. * ANTISPASMOTIC.. * RIFAMAX .. * PROBIOTICS.. * ORS ..ELECTROL..RTD..
SUGGESTIVE OF INTUSSUSCEPTION... AND RESULTANT SPURIOUS DIARRHEA..
Colitis
Spurious diarrhoea due to intussusception.
Ibs Need Fibre diet Liquid diet Tab .cibis 2 times a day Tab.oflox 200 mg daily 2 times a day. Sompraz40 2 times a day . Tab.levosulpride 25 mg daily one before dinner . In hyperthyroidism diarrhea is common but it is ibs
Cases that would interest you
- Login to View the image
A 20 year female, came with c/o lower abdomen pain for 1 week, associated with 4 episodes of bleeding per rectum n multiple episodes of vomiting. No diarrhoea. Pt. s a student, Lives in hostel. Normal menstrual cycle but din get her menses dis month. Given symptomatic treatment. Her CBC was normal. Referred to surgery. Der dey hav given treatment for PUD. But Pt. Was suffering a lot. No improvement. And so ,pt. S shifted to higher Institute for further management. Der Pt. Was admitted for 2 weeks. Finally done all d test. Reports attached. And found to hav UTI. And now she s on medication n planned for discharge but, still Pt. Says tat she Has no improvement. Wat else can b done??????? Kindly giv me guidance doctors.......
Dr. Mage Kuzhandai Velu3 Likes32 Answers - Login to View the image
A 17yrs male patient presented with pain in right ilacfossa, vomiting, fever ,taken antibiotics out side after which, pt developed bloody diarrhea, investigation showed neutrophil leukocytosis ultrasound report attached what are the differential diagnosis and what treatment u will advise
Dr. Chapparam Srinivasarao2 Likes24 Answers - Login to View the image
A 4 years old boy, complaining č severe pain abdo. with continuing vomiting. Rectal bleeding č fever č xerostomia. O/E Temperature 103° Pulse 110 bpm R/R 28 bpm Spo2 84% Chest B/L clear
Dr. Maqusud Ansari2 Likes14 Answers - Login to View the image
recurrent . heals by steroid but reoccurring . surprisingly no pain . what are D/D ? please help
Dr. Diganta Das6 Likes51 Answers - Login to View the image
middle aged women with c/o poly artheralgia for 3to4years weakness feeling like feverish dysponea or breathlessness on exertion. also c/o frequent motions in a day for more than 6 months but not loose rather semisolid in consistency. o/e afebrile pulse 74/ mt bp120/80 non diabetic bsl f 97 pp 103 hba1c6.3% eag136 vit d 5.03 ng tft normal 3 samples of stool normal study no occult blood and insignificant. her crp is 3.83 negative and Aso titre is negative but RA F IS 86.6% urine is nad no signs of sle.open for discussion.xray chest is wnl.
Dr. Shivraj Agarwal7 Likes20 Answers
2 Likes