Gastroenterology and Hepatology

Diarrhoea in IC

This is a personal webpage, reflecting my own personal views and not the views of anyone or any organization which I may be affiliated to or part of.
All the information provided here including recommendations and suggestions should be treated for informational purposes only and not a coercion to follow.
The author should not be held liable for any informational errors, incompleteness, delays or for any actions taken in reliance on information contained here.

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