Chronic diarrhea screening: Difference between revisions
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==Screening== | ==Screening== | ||
There are certain features which if present in a patient complaining of diarrhea for over 4 weeks require further evaluation. these include: | There are certain features which if present in a patient complaining of diarrhea for over 4 weeks require further evaluation. these include: | ||
*Rectal bleeding | *Rectal bleeding<ref name="pmid16973955">{{cite journal| author=Halfdanarson TR, Litzow MR, Murray JA| title=Hematologic manifestations of celiac disease. | journal=Blood | year= 2007 | volume= 109 | issue= 2 | pages= 412-21 | pmid=16973955 | doi=10.1182/blood-2006-07-031104 | pmc=1785098 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16973955 }} </ref> | ||
*Weight loss | *Weight loss | ||
*Age > 50 years | *Age > 50 years<ref name="pmid14960513">{{cite journal| author=Olesen M, Eriksson S, Bohr J, Järnerot G, Tysk C| title=Microscopic colitis: a common diarrhoeal disease. An epidemiological study in Orebro, Sweden, 1993-1998. | journal=Gut | year= 2004 | volume= 53 | issue= 3 | pages= 346-50 | pmid=14960513 | doi= | pmc=1773978 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14960513 }} </ref> | ||
*Pain | *Pain<ref name="pmid15784038">{{cite journal| author=Tillisch K, Labus JS, Naliboff BD, Bolus R, Shetzline M, Mayer EA et al.| title=Characterization of the alternating bowel habit subtype in patients with irritable bowel syndrome. | journal=Am J Gastroenterol | year= 2005 | volume= 100 | issue= 4 | pages= 896-904 | pmid=15784038 | doi=10.1111/j.1572-0241.2005.41211.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15784038 }} </ref> | ||
*Associated psychological factors | *Associated psychological factors | ||
*Somatization | *Somatization<ref>{{cite journal|doi=10.1016/j.cgh.2006.11.024 showArticle Info}}</ref> | ||
*Dietary causes of diarrhea | *Dietary causes of diarrhea<ref name="pmid2254453">{{cite journal| author=Hammer HF, Fine KD, Santa Ana CA, Porter JL, Schiller LR, Fordtran JS| title=Carbohydrate malabsorption. Its measurement and its contribution to diarrhea. | journal=J Clin Invest | year= 1990 | volume= 86 | issue= 6 | pages= 1936-44 | pmid=2254453 | doi=10.1172/JCI114927 | pmc=329829 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2254453 }} </ref> | ||
==References== | ==References== | ||
Revision as of 17:57, 19 June 2017
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Chronic diarrhea Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
There are certain features which if present in a patient complaining of diarrhea for over 4 weeks require further evaluation. Some of the screening modalities include, radiographic imaging studies, endoscopy/enteroscopy/capsule enteroscopy, histopathology of the small bowel and colon, bacteriology/microbiology[1], serological testing and chemical analysis of stool.
Screening
There are certain features which if present in a patient complaining of diarrhea for over 4 weeks require further evaluation. these include:
- Rectal bleeding[2]
- Weight loss
- Age > 50 years[3]
- Pain[4]
- Associated psychological factors
- Somatization[5]
- Dietary causes of diarrhea[6]
References
- ↑ Khanna S, Pardi DS, Rosenblatt JE, Patel R, Kammer PP, Baddour LM (2012). "An evaluation of repeat stool testing for Clostridium difficile infection by polymerase chain reaction". J Clin Gastroenterol. 46 (10): 846–9. doi:10.1097/MCG.0b013e3182432273. PMID 22334221.
- ↑ Halfdanarson TR, Litzow MR, Murray JA (2007). "Hematologic manifestations of celiac disease". Blood. 109 (2): 412–21. doi:10.1182/blood-2006-07-031104. PMC 1785098. PMID 16973955.
- ↑ Olesen M, Eriksson S, Bohr J, Järnerot G, Tysk C (2004). "Microscopic colitis: a common diarrhoeal disease. An epidemiological study in Orebro, Sweden, 1993-1998". Gut. 53 (3): 346–50. PMC 1773978. PMID 14960513.
- ↑ Tillisch K, Labus JS, Naliboff BD, Bolus R, Shetzline M, Mayer EA; et al. (2005). "Characterization of the alternating bowel habit subtype in patients with irritable bowel syndrome". Am J Gastroenterol. 100 (4): 896–904. doi:10.1111/j.1572-0241.2005.41211.x. PMID 15784038.
- ↑ . doi:10.1016/j.cgh.2006.11.024 showArticle Info Check
|doi=value (help). Missing or empty|title=(help) - ↑ Hammer HF, Fine KD, Santa Ana CA, Porter JL, Schiller LR, Fordtran JS (1990). "Carbohydrate malabsorption. Its measurement and its contribution to diarrhea". J Clin Invest. 86 (6): 1936–44. doi:10.1172/JCI114927. PMC 329829. PMID 2254453.