Gastroenterology and Hepatology

Diarrhoea in IC

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In immunocompromised state (eg RVI)

Small bowel / enteritis usually high volume, watery, faecal leucocyte negative and usually with nausea, vomiting, bloating, midumbilical cramps, weight loss with malabsorption.
Colonic diarrhoea usually small volume with urgent loose stools, lower abdominal pain with faecal positive leucocytes a/w +/- blood.

Opportunistic infection usually occur in CD4 <100

Initial Diagnostic approach:

     1.     Freshly collected stool      2.     Blood cultures
     3.     Special studies and biopsy with colonoscopy


edited 13th July 2010