Diagnosis please - ritu2006

[ArchivalUser]

24 y F, intermittent bloody diarrhea for 1 month. The episodes occur 4 to 6 times daily and are accompanied by tenesmus, fecal urgency and cramping of the lower abd that is relieved by defecation. She has lost 3lb since the onset. Vital: 99.6F, 94/min, 98/60mmHg. PE: chest and abd normal. colonscopy shows edematous, friable, eroded mucosa with adherent mucopurulent material. Involvement is limited to the rectum. Result of stool culture is negtive. Before the biopsy results of rectum tissue is back, which should be given first:
a) iv methylprednisolone
b) oral olsalazine
c) oral sulfasalazine
d) rectal mesalamine
e) topical hydrocortisone

[ArchivalUser]

e. topical steroids.

[ArchivalUser]

Ulcerative colitis acute management as in this case is E steroids....but for chronic i wud prefer either c or d(those which has the acetyl salicylic group in them)

[ArchivalUser]

do we give topical streoids??

[ArchivalUser]

here topical means per rectal

[ArchivalUser]

How to distinguish between UC and IBS please? Biopsy or colonscopy?

[ArchivalUser]

IBS usually has history of constipation and diarrhea( alternate), no rectal bleeding

[ArchivalUser]

Agree with answer E). waiting the biopsy results.

Biopys work-up to rule out IBS