Diarrhea in a renal transplant patient
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Revision as of 13:46, 27 September 2022 by Aidan (talk | contribs) (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...")
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)
