12.07.2015 Views

UPDATES ON MANAGEMENT OF IRRITABLE BOWEL SYNDROME

UPDATES ON MANAGEMENT OF IRRITABLE BOWEL SYNDROME

UPDATES ON MANAGEMENT OF IRRITABLE BOWEL SYNDROME

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Mr.Leung• M/56• Chronic drinker• Abdominal pain for few months• Epigastric pain, sometimes at back• C/O diarrhea especially after fatty meal• Described stool as greasy and difficult to flush• BMI 18.1• Hb 12.5, NcNc, PO4 0.36, mild elevated liver ductal enzymes, amylase125, fasting glucose 8.1• OGD : moderate gastritis• Colonoscopy : normal except internal hemorrhoids

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