Rectal bleeding
Bloody diarrhoea Chief Complaints 38 years male complaints bloody diarrhoea, abdominal cramps,pain intermittent in the abdomen,joint pain last 3 days.. Physical Examination Weakness Investigations Hb% - 8.2 Tlc - 9100 Plt - 1.40 Diagnosis ?? Ulcerative colitis Management Plz suggest management
? IBS .. ? COLITIS.. ? DYSENTERY.. NEED'S.. STOOL EXAMINATION.. & .. C AND S..EXAMINATION.. MEANWHILE TREAT WITH.. IV..RL.. DNS .. MULTIVITAMINS.. SYMPTOMATIC.. AMIKACIN .. PROBIOTICS..
Amoebic dysentery..Amoebic colitis. Check stool / CBC/ Culture. Offox + Ornidozole... Probiotic granules .. Maintain hydration.
For Confirmation DO CT Abdomen/MRI,(Sigmoidoscopy,Colonoscopy) if needed Meanwhile Treat with Tab. Rifixamin 400mg bd. Tab.Meftal spas bd. Tab.Pantakind bd. Cap Vizylac bd. After Confirmation of U.C. Ruwasa sachet 500mg/1gm bd. Cap.Pre-Probiotic bd. Tab.Folikem OD.
POSSIBLY ULCERATIVE COLITIS... ADVISABLE 1 US. G....WHOLE ABDOMEN 2 .COLONOSCOPY....AFTER. .RELIEF / REMISSION 3. ANTIBIOTICS 4. I/ V. FLUIDS 5. SUPPORTIVE. SYMPTOMATIC MANAGEMENT 6. 5-- A S A s......LIKE MESALMINE WITH METHYLPREDNISOLONE
Do stool rt Culture and sensitivity Anaemia thrombocytopenai
?anal fissures ?Ulcerative Colitis
¿ IRRITABLE BOWEL SYNDROME ¿ INFLAMMATORY BOWEL DISEASE STOOL EXAMINATION? CULTURE AND STUDY ENDOSCOPY FOR IBD ANTIBIOTICS STEROID
May be colitis Tab rifagut 400mg bf Cap darolac bd Tab normaxin bd Morning walk Ovoid oily spicy food Nariyal paani
Cases that would interest you
- Login to View the image
A 3.5 yr girl child c/o-fever for last 1 month bloody mucoid stool-7 days #stool culture-no growth #blood investigations showed -pancytopenia #peripheral smear - hypochrimic ,anisocytosis ,target cell +nt (reports attached) #usg-thickened colon wall 2 units of platelet and whole blood given.. still the blood picture not improved and the colour of stool is not improving.. please discuss the case
Khemeswar Agasti1 Like11 Answers - Login to View the image
Today's Case. a 65 yr old male came to opd for following complaints. 1).abdominal discomfort with heaviness and burning since 10 yrs. 2).indigestion. goes 5 to 6 times for defecation . 3).itching with above type of lesions (tinea crusris)since 2 months. 4). as soon as he eats something an urge comes to go for toilet. 5).General weakness. 6). tingling after long time sitting in hands.. . constitution normal gait slightly overweight. eyes are large and prominent. . Neither HOT nor CHILLY. Occupation:-farmer. Appetite:-good. Thirst ++.for cold water. desire onion and it's food stuff. stool:- offensive,hard,containing mucous. incomplete evacuation though goes for 5 to 6 times. BURNING IN WHOLE ABDOMEN AFTER STOOL. . perspiration;-scanty. sleep good. no dreams. Addicted to heavy smoking. no any family history. or past illness. . mentals. *gets angry easily. *mind his own business. ALL THE INVESTIGATIONS ARE NORMAL. including endoscopy and ct ABDOMEN. . taken all the formats of treatment before but no permanent relief . . kindly suggest management. and further evaluation.
Dr. Akshay Ingole4 Likes34 Answers - Login to View the image
A 55-year-old male was presented with loose bowel movements (up to 6 times daily) accompanied by fecal urgency. y. He also experienced abdominal cramping, excessive flatulence, bloating, and abdominal distention. Suggest the treatment.
Dr. Alisha Gupta3 Likes14 Answers - Login to View the image
history of mild abdominal pain with mild dysentery from 6 months...
Dr. Layek Ali Zardary3 Likes2 Answers - Login to View the image
12 years female protruding abdomen pallor clubbing malnourished history of motion after every intake , chronic case , typically? ESR Mildly raised USG abdomen non specific mesentric lymphadenitis , cervical lymphadenopathy present , manteoux negative , chest x ray NAD , Investigation and diagnosis
Dr. Ashok Pareek1 Like0 Answer
2 Likes