Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Suggested algorithm for treating irritable bowel syndrome-diarrheal type (IBS-D) 

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #management
Suggested algorithm ... type (IBS-D) ... #IBSD #diarrhea ... #Algorithm #irritable ... #management #treatment
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... IBS Symptoms: ... psychotherapies IBS-D ... #Irritable #Bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... IBS is NOT a diagnosis ... 75-100mg QD) β€’ IBS-C ... #Irritable #Bowel
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... inflammation: IBS ... (irritable bowel ... lymphomas, others) #IBD ... mimics #mimickers #differential
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... Hypermotility: β€’ Irritable ... (IBS) β€’ Hyperthyroidism ... disease (IBD):
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 β€’ Autoimmuneβ€” PBC, PSC
 β€’ Infectionβ€” liver
Causes of Fat Malabsorption ... - Differential ... choledocho/ithiasis Intestinal ... Celiac disease β€’ IBD ... #Diagnosis #Causes
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: β€’ Bowel ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... /other causes β€’ ... #management
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 β€’ 1st
Irritable Bowel ... Syndrome (IBS) Management ... Algorithm Step ... IrritableBowel #Syndrome #IBS ... #Management #Algorithm
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes ... gastroenterology #diagnosis #differential