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

Latest revision as of 09:47, 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