Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis management b12 cobalamin deficiency diarrhea gastroenterology irritablebowelsyndrome nutrition proctitis subclassifications ulcerative vitamin
Constipation Management Algorithm What do you mean by constipation? - Infrequent bowel movements, difficult defecation or both?
Algorithm What ... Is constipation ... associated with ... defecation suggests IBS-C ... gastroenterology #treatment
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
by defaecation IBS-constipation ... of incomplete evacuation ... - Associated ... alternate between constipation ... #Classes #Diagnosis
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... Check for IF ab Treatment
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
Proximal constipation ... Alternative Dx: IBS ... prolapse, CD, cancer Treatment ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD
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