Patient Presenting with Diarrhea Essay Example | Topics and Well Written Essays - 500 words

Patient Presenting with Diarrhea - Essay ExampleAppearance of blood in the diarrheal stool is the main risk factor in a patient of inflammatory intestine affection as the mucosal membrane is ulcerated. According to the patent there are nocturnal bowel movements which are almost never seen in irritable bowel syndrome. Recent smoking cessation could in addition be an additional risk factor as cigarette is supposed to protect the mucosal membrane against ulcers. The patient has been using NSAIDs (ibuprofen) recently and the prolong use of these drugs usually causes ulcers. The patient also has a family biography of ulcers which makes her genetically predisposed to the disease. On physical examination, the patient appeared slim signs of weight loss were prominent. The oral mucosa was dry. The heart rate was increased. There was also mild tenderness in the abdomen. All the signs of inflammatory disease, including fever, were present. Patients presenting with chronic diarrhea are u sually suggested for flexible sigmoidoscopy or colonoscopy. Endoscopy is performed when these non-invasive procedures fail to give a incontrovertible result and the patient still presents with the signs of inflammation. Endoscopy has some advantage over these procedures in a way that it does not only give a complete internal view of the organ but also allows the medical student to collect samples for biopsy. Colitis is graded from mild to moderate and severe on the extent of the damage to the mucosal membrane. If on endoscopic examination the loss of mucosal integrity is not so severe the inflammatory bowel disease is termed as mild or moderate. In contrast, patients presenting with sudden onset of signs and symptoms with a greater loss of the mucosa, the disease is termed as severe colitis. Flexible sigmoidoscopy although an efficient procedure, still requires colonoscopy to be done to rule extinct any false positive results. Physical examination showed dehydration which is conf irmed by the electrolyte imbalance shown in the reports.