Diarrhea in a renal transplant patient: Difference between revisions
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(Created page with "== Investigations == * Stool culture, ova and parasites, and viral PCR * Serum CMV viral load * Consider <sup>14</sup>C-glycocholic acid or D-xylose breath tests, if available, for small bowel overgrowth * Consider colonoscopy == Management == * Assess medications and stop any that may be contributing to diarrhea * Assess for infectious causes with stool culture, O&P, and viral PCR * Adjust immunosuppression, if able * Colonoscopy with biopsies * Supportive treatment...") |
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* Colonoscopy with biopsies |
* Colonoscopy with biopsies |
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* Supportive treatment with antidiarrheal medications, probiotics, and dietary modification (including lactose-free) |
* Supportive treatment with antidiarrheal medications, probiotics, and dietary modification (including lactose-free) |
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== Further Reading == |
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* Severe Diarrhea in Renal Transplant Patients: Results of the DIDACT Study. ''Am J Transplantation''. 2006;6(6):1446-1472. doi: [https://doi.org/10.1111/j.1600-6143.2006.01320.x 10.1111/j.1600-6143.2006.01320.x] |
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[[Category:Gastrointestinal infections]] |
[[Category:Gastrointestinal infections]] |
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Latest revision as of 13:47, 27 September 2022
Investigations
- Stool culture, ova and parasites, and viral PCR
- Serum CMV viral load
- Consider 14C-glycocholic acid or D-xylose breath tests, if available, for small bowel overgrowth
- Consider colonoscopy
Management
- Assess medications and stop any that may be contributing to diarrhea
- Assess for infectious causes with stool culture, O&P, and viral PCR
- Adjust immunosuppression, if able
- Colonoscopy with biopsies
- Supportive treatment with antidiarrheal medications, probiotics, and dietary modification (including lactose-free)
Further Reading
- Severe Diarrhea in Renal Transplant Patients: Results of the DIDACT Study. Am J Transplantation. 2006;6(6):1446-1472. doi: 10.1111/j.1600-6143.2006.01320.x
