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Related Subjects:
|Ulcerative Colitis
|Microscopic colitis
|Irritable bowel syndrome
|Lower Gastrointestinal (Rectal) Bleeding
π§ Microscopic Colitis = chronic, watery, non-bloody diarrhoea due to colonic inflammation only visible on biopsy.
π΅ Typically affects older adults.
π Unlike Crohnβs & UC, there is no increased colorectal cancer risk.
π‘ Teaching Pearls:
π About
π¬ Types
π€ Associations
π©Ί Clinical Presentation
π Investigations
π Management
π Prognosis
β Think of microscopic colitis in π΅ older adults with chronic watery diarrhoea & normal colonoscopy.
β Always biopsy normal-looking colon if clinical suspicion.
β Budesonide = first-line therapy. Stopping culprit meds is often curative.
β Differentiating from IBS: nocturnal diarrhoea, weight loss, autoimmune associations = suggest pathology.