{"id":854,"date":"2017-05-23T06:55:37","date_gmt":"2017-05-23T06:55:37","guid":{"rendered":"http:\/\/papergp.com\/index.php\/gi-and-renal\/dyspepsia\/diarrhoea\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"diarrhoea","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/gi\/diarrhoea\/","title":{"rendered":"Diarrhoea"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><strong>Differential diagnosis<\/strong><\/h4>\n\n\n\n<p><strong>Acute<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gastroenteritis<ul><li>food, travel, contacts, antibiotics, fever<\/li><\/ul><\/li><li>Diverticulitis<ul><li>LLQ pain, PR bleeding, fever<\/li><\/ul><\/li><li>Medications<ul><li>antibiotics, metformin, orlistat, laxatives<\/li><\/ul><\/li><li>Overflow<ul><li>history of constipation<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>Chronic<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Colorectal cancer<ul><li>weight loss, PR bleeding <\/li><\/ul><\/li><li>IBD <ul><li>FH, weight loss, bloody diarrhoea, mouth ulcers, perianal disease, tenesmus<\/li><\/ul><\/li><li>Coeliac<ul><li>malabsorption, certain foods <\/li><\/ul><\/li><li>Thyroid<ul><li>palpitations, sweats, anxiety <\/li><\/ul><\/li><li>IBS<ul><li>bloating, anxiety <\/li><\/ul><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Data gathering<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Examine<ul><li>BP, pulse, temperature<\/li><li>weight<\/li><li>hydration status<\/li><li>abdomen<\/li><li>PR<\/li><\/ul><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Clinical management<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Investigations<ul><li>Stool<ul><li>MC&amp;S, ova\/cysts\/parasites<\/li><li>faecal calprotectin<\/li><\/ul><\/li><li>Urine dip<\/li><li>Bloods \u2013 FBC, TFT, LFTs, ESR, anti TTG<\/li><\/ul><\/li><li>Explanation<\/li><li>Treatment<\/li><li>Followup \/ Safety-net<ul><li>2ww<ul><li>weight loss, anaemia, abdominal mass, strong FH<\/li><li>&lt;40yo with PR bleeding + change in bowel habit persisting 6 weeks<\/li><li>&gt;60yo with change in bowel habit persisting 3 weeks<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Traveller\u2019s diarrhoea<\/strong><\/h4>\n\n\n\n<p><a href=\"https:\/\/www.gp-update.co.uk\/SM4\/Mutable\/Uploads\/pdf_file\/Travellers_diarrhoea_August2016.pdf\">Red Whale NICE summary<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Acute Gastroenteritis food, travel, contacts, antibiotics, fever Diverticulitis LLQ pain, PR bleeding, fever Medications antibiotics, metformin, orlistat, laxatives Overflow history of constipation Chronic Colorectal cancer weight loss, PR bleeding IBD FH, weight loss, bloody diarrhoea, mouth ulcers, perianal disease, tenesmus Coeliac malabsorption, certain foods Thyroid palpitations, sweats, anxiety IBS bloating, anxiety Data gathering &hellip; <a href=\"https:\/\/papergp.com\/index.php\/gi\/diarrhoea\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Diarrhoea<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":315,"menu_order":66,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-854","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/854","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=854"}],"version-history":[{"count":9,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/854\/revisions"}],"predecessor-version":[{"id":2490,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/854\/revisions\/2490"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/315"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}