Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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 ... gastroenterology #treatment
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
What is the difference ... scripts and initial treatment ... algorithms. ... Ischemia: β€’ Small bowel ... colitis: β€’ Large bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... IBS is NOT a diagnosis ... onset β‰₯ 6 months associated ... fewer polyps in IBS ... vs non-IBS!
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 β€’ 1st
Irritable Bowel ... Syndrome (IBS) Management ... eg TCA or SSRI Constipation ... IrritableBowel #Syndrome #IBS ... #Treatment
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
Proximal constipation ... Alternative Dx: IBS ... prolapse, CD, cancer Treatment ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD