Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 26: A 76-Year-Old Manwith Chronic Watery Diarrhea (continued)

Eun Ji Shin, MD

A 76-year-old man was transferred from an outside hospital with an 8-month history of watery diarrhea. Initially, the diarrheal episodes occurred only intermittently, less than twice a month. He had a colonoscopy that revealed some “ulcers,” but the patient stated that no specific diagnosis was given to him. Imodium was prescribed with good relief initially, but the diarrhea returned after a month. Because of worsening diarrhea, he received a second colonoscopy 3 months prior to this presentation. It revealed ulcers at the splenic flexure and the rectum, but the biopsies did not…