Post-infectious lactose intolerance and irritable bowel syndrome - Revision history

Aidan: /* Management */

2021-04-20T14:09:28Z

Management

← Older revision		Revision as of 14:09, 20 April 2021
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	**Start PEG 3350 1-2 tablespoons once daily (can be mixed with psyllium fibre)		**Start PEG 3350 1-2 tablespoons once daily (can be mixed with psyllium fibre)
	***May cause bloating and gas		***May cause bloating and gas
	**Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome		*Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome

	==Prognosis==		==Prognosis==

Aidan: /* Management */

2021-01-05T13:37:35Z

Management

← Older revision		Revision as of 13:37, 5 January 2021
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	== Background ==		==Background==
⚫	* Definition is IBS meeting Rome criteria that immediately follows a gastrointestinal illness characterized by at least two of fever, vomiting, diarrhea, or positive stool culture

		⚫	*Definition is IBS meeting Rome criteria that immediately follows a gastrointestinal illness characterized by at least two of fever, vomiting, diarrhea, or positive stool culture
⚫	== Clinical Manifestations ==
⚫	* Diarrheal illness followed by persistent diarrhea despite appropriate treatment
⚫	* Can occur following [[dysentery]] or ''[[C. difficile]]'' infection

		⚫	==Clinical Manifestations==
⚫	== Management ==
⚫	* '''Week one: lactose-free diet'''
⚫	** Avoid all lactose-containing foods, including milk and milk products like cheese, cream, yoghurt, and ice creams
⚫	** If symptoms significantly improve, continue the lactose-free diet
⚫	** If symptoms do not significantly improve, proceed to week two
⚫	* '''Week two: high-fibre diet'''
⚫	** Start ~~metamucil (~~psyllium fibre) 1-2 '''tablespoons''' in a glass of juice or water daily, followed by another glass of juice or water
⚫	*** May cause bloating and gas (which improve), or rare allergy
⚫	*** Use sugar-free ~~metamucil~~
⚫	** Start PEG 3350 1-2 tablespoons once daily (can be mixed with ~~metamucil~~)
⚫	*** May cause bloating and gas
⚫	** Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome

		⚫	*Diarrheal illness followed by persistent diarrhea despite appropriate treatment
⚫	== Prognosis ==
		⚫	*Can occur following [[dysentery]] or ''[[C. difficile]]'' infection
⚫	* Lasts a median of 2 years

		⚫	==Management==
⚫	== Further Reading ==

⚫	* Postinfectious irritable bowel syndrome. ''Gastroenterology''. 2009;136(6):1979-88. doi: [https://doi.org/10.1053/j.gastro.2009.02.074 10.1053/j.gastro.2009.02.074].
		⚫	*'''Week one: lactose-free diet'''
		⚫	**Avoid all lactose-containing foods, including milk and milk products like cheese, cream, yoghurt, and ice creams
		⚫	**If symptoms significantly improve, continue the lactose-free diet
		⚫	**If symptoms do not significantly improve, proceed to week two
		⚫	*'''Week two: high-fibre diet'''
		⚫	**Start psyllium fibre (such as Metamucil) 1-2 '''tablespoons''' in a glass of juice or water daily, followed by another glass of juice or water
		⚫	***May cause bloating and gas (which improve), or rare allergy
		⚫	***Use sugar-free psyllium fibre
		⚫	**Start PEG 3350 1-2 tablespoons once daily (can be mixed with psyllium fibre)
		⚫	***May cause bloating and gas
		⚫	**Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome

		⚫	==Prognosis==

		⚫	*Lasts a median of 2 years

		⚫	==Further Reading==

		⚫	*Postinfectious irritable bowel syndrome. ''Gastroenterology''. 2009;136(6):1979-88. doi: [https://doi.org/10.1053/j.gastro.2009.02.074 10.1053/j.gastro.2009.02.074].

	[[Category:Gastrointestinal infections]]		[[Category:Gastrointestinal infections]]

Aidan: Text replacement - "Clinical Presentation" to "Clinical Manifestations"

2020-07-22T02:07:52Z

Text replacement - "Clinical Presentation" to "Clinical Manifestations"

← Older revision		Revision as of 02:07, 22 July 2020
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	* Definition is IBS meeting Rome criteria that immediately follows a gastrointestinal illness characterized by at least two of fever, vomiting, diarrhea, or positive stool culture		* Definition is IBS meeting Rome criteria that immediately follows a gastrointestinal illness characterized by at least two of fever, vomiting, diarrhea, or positive stool culture

	== Clinical ~~Presentation~~ ==		== Clinical Manifestations ==
	* Diarrheal illness followed by persistent diarrhea despite appropriate treatment		* Diarrheal illness followed by persistent diarrhea despite appropriate treatment
	* Can occur following [[dysentery]] or ''[[C. difficile]]'' infection		* Can occur following [[dysentery]] or ''[[C. difficile]]'' infection

Aidan: added background and further reading

2019-12-16T13:54:02Z

added background and further reading

← Older revision		Revision as of 13:54, 16 December 2019
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			== Background ==
			* Definition is IBS meeting Rome criteria that immediately follows a gastrointestinal illness characterized by at least two of fever, vomiting, diarrhea, or positive stool culture

	== Clinical Presentation ==		== Clinical Presentation ==
	* Diarrheal illness followed by persistent diarrhea despite appropriate treatment		* Diarrheal illness followed by persistent diarrhea despite appropriate treatment
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	== Prognosis ==		== Prognosis ==
	* Lasts a median of 2 years		* Lasts a median of 2 years

			== Further Reading ==
			* Postinfectious irritable bowel syndrome. ''Gastroenterology''. 2009;136(6):1979-88. doi: [https://doi.org/10.1053/j.gastro.2009.02.074 10.1053/j.gastro.2009.02.074].

	[[Category:Gastrointestinal infections]]		[[Category:Gastrointestinal infections]]

Aidan at 14:26, 22 November 2019

2019-11-22T14:26:48Z

← Older revision		Revision as of 14:26, 22 November 2019
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	*** May cause bloating and gas		*** May cause bloating and gas
	** Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome		** Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome

			== Prognosis ==
			* Lasts a median of 2 years

	[[Category:Gastrointestinal infections]]		[[Category:Gastrointestinal infections]]

Aidan: /* Management */ bolded

2019-11-20T17:28:30Z

Management: bolded

← Older revision		Revision as of 17:28, 20 November 2019
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	== Management ==		== Management ==
	* Week one: lactose-free diet		* '''Week one: lactose-free diet'''
	** Avoid all lactose-containing foods, including milk and milk products like cheese, cream, yoghurt, and ice creams		** Avoid all lactose-containing foods, including milk and milk products like cheese, cream, yoghurt, and ice creams
	** If symptoms significantly improve, continue the lactose-free diet		** If symptoms significantly improve, continue the lactose-free diet
	** If symptoms do not significantly improve, proceed to week two		** If symptoms do not significantly improve, proceed to week two
	* Week two: high-fibre diet		* '''Week two: high-fibre diet'''
	** Start metamucil (psyllium fibre) 1-2 '''tablespoons''' in a glass of juice or water daily, followed by another glass of juice or water		** Start metamucil (psyllium fibre) 1-2 '''tablespoons''' in a glass of juice or water daily, followed by another glass of juice or water
	*** May cause bloating and gas (which improve), or rare allergy		*** May cause bloating and gas (which improve), or rare allergy

Aidan: Aidan moved page Post-infectious lactose intolerance to Post-infectious lactose intolerance and irritable bowel syndrome

2019-11-20T17:27:44Z

Aidan moved page Post-infectious lactose intolerance to Post-infectious lactose intolerance and irritable bowel syndrome

← Older revision		Revision as of 17:27, 20 November 2019
(No difference)

Aidan: Created page with "== Clinical Presentation == * Diarrheal illness followed by persistent diarrhea despite appropriate treatment * Can occur following dysentery or ''C. difficile'' infec..."

2019-11-20T17:27:30Z

Created page with "== Clinical Presentation == * Diarrheal illness followed by persistent diarrhea despite appropriate treatment * Can occur following dysentery or ''C. difficile'' infec..."

New page

== Clinical Presentation ==
* Diarrheal illness followed by persistent diarrhea despite appropriate treatment
* Can occur following [[dysentery]] or ''[[C. difficile]]'' infection

== Management ==
* Week one: lactose-free diet
** Avoid all lactose-containing foods, including milk and milk products like cheese, cream, yoghurt, and ice creams
** If symptoms significantly improve, continue the lactose-free diet
** If symptoms do not significantly improve, proceed to week two
* Week two: high-fibre diet
** Start metamucil (psyllium fibre) 1-2 '''tablespoons''' in a glass of juice or water daily, followed by another glass of juice or water
*** May cause bloating and gas (which improve), or rare allergy
*** Use sugar-free metamucil
** Start PEG 3350 1-2 tablespoons once daily (can be mixed with metamucil)
*** May cause bloating and gas
** Consider avoiding alcohol, caffeine, spicy food, stress, and gas-producing foods (broccoli, cabbage, Brussels sprouts, beans, etc.) which can trigger or worsen irritable bowel syndrome

[[Category:Gastrointestinal infections]]