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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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 ... #Management #Algorithm
Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
Framework and Workup ... dyspepsia "The small bowel ... disease, SBO, IBS ... constipated bloater" - IBS-C ... , Simple constipation
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
Irritable bowel ... (IBS-D) - >25% ... by defaecation IBS-constipation ... (IBS-C) - >25% ... evacuation - Associated
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... IBS is NOT a diagnosis ... fewer polyps in IBS ... vs non-IBS! ... EmoryGastroHep #IBS
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
) in IBD - IBD Algorithm ... IUS Pros (+) ... Cons (-): limited ... #IBD #Algorithm ... #IBDAlgorithm #
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 ... eg TCA or SSRI Constipation ... IrritableBowel #Syndrome #IBS
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
Proximal constipation ... Alternative Dx: IBS ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm