Chronic Diarrhoea
A child aged 10 years Chief Complaints Diarrhoea (on/off) Watery Small volume Non bloody (x 1 month) Mild Pain abdomen (x 20 days) Physical Examination Pall (+) P/A - Soft, BS (+) Investigations Hb - 10.3 ESR - 53 CRP - 25 Colonoscopy done showed loss of vascular pattern and superficial ulceration with overlyimg whitish exudate in sigmoid and rectum
It could be infectious colitis But biopsy needs to be done rule out similar colonoscopy features in ulcerative colitis . Treatment- Depends upon the biopsy report ..if infectious then Rifaximin 200 mg T.D.S for 1 month along with a pre- probiotic and a digestive enzyme . If ulcerative colitis- specific treatment is required
POSSIBLY INFLAMMATORY BOWEL DISEASE DD COELIAC ..DISEASE
?IBS And ulcerative colitis
ULCERATIVE COLITIS ? Rx Sulfasaxine Steriod ( Budasonide ) Azothioprine Folic acid , iron supplements No Chrons dx because involvement of rectum seen .
? Ulcerative colitis Adv Biopsy and Histopathology
Chron's disease
Inflammatory bowel disease... Avoid spicy food and oily food, Milk product, wheat product, egg. Treatment as per guidelines
Gastroenteritis. D/o irritable bowel Syndrome. Antibiotics NSAIDS. ANTACIDS. NUTRASCAIN.O.D.15DAYS.
Inflammatory bowl disease D/D Ulcerative Colitis Ad Biopsy for HPE
Ulcerative Colitis .
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