Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 37: Diarrhea, Abdominal Pain, And A Dilated Biliary Tree (continued)

Eun Ji Shin, MD

A 34-year-old man presented to the emergency room complaining of a 6-month history of diarrhea and increasing epigastric pain. He reported watery bowel movements 5 to 7 times per day, and intermittent, crampy abdominal discomfort with gas and bloating. He also noted occasional episodes of vomiting but they did not seem to coincide with his voluminous bowel movements. There were no recent travels, illnesses, or sick contacts. He denied any unusual oral intake in the preceding 6 months. Past medical history was unremarkable. He had a history of intranasal heroin and cocaine use but denied any…