Question

A 24- year old female was admitted to the hospital complaining of having a repeated episode of severe abdominal pain with bloody diarrhea up to 20 times/day for the passed 2 days.

1. What are some investigations that you would ask to be done?
2. What could be the diagnosis?
3. What causes the diagnosis that you have picked?
4. How would you treat this acute case?
5. Is there a way to prevent this episode from happening again?

Answer 1

●Investigations

• Fecal occult test can rule out the presence of any blood in the stool
• Complete blood count to rule out infection
• Colonoscopy can be done to assess the problems in the colon
• The stool pH can be tested .A low level is noted in vital infection
• Stool culture to rule out any bacterial infection
• Stool anonon gap to rule out osmolar diarrhea

●A patient passing stool with blood refers to dysentery.This status can be diagnosed As acute severe diarrhea

●Causes

• Bacterial infection

●Treatment

• Administration of intravenous fluid to replace lost fluid
• Administer antimicrobial, antibiotics to prevent infection
• maintain blood pressure
• Antacids to reduce gastric section
• Provide liquid diet

●Prevention

• Meticulous hand washing to prevent cross contamination and transmission of microorganisms causing diarrhea
• Avoiding unhygienic foods from open place
• Avoid sprouts ,raw vegetables, fruits without proper cleansing
• A stool of more than two movements per day should be immediately substituted with oral rehydration therapy and I'd more in number medical help to be seeked.