69-Year-Old Man With Inflammatory Bowel Disease and Diarrhea

A 69-year-old man presented to the emergency department with 1 week of diarrhea and abdominal pain. Stools were described as loose and nonbloody, occurring 8 to 12 times a day, associated with abdominal cramping, urgency, and nocturnal diarrhea. The patient ’s medical conditions included a 20-year history of left-sided ulcerative colitis (currently in endoscopic remission) treated with tofacitinib 5 mg twice daily and Barrett esophagus treated with pantoprazole 40 mg daily. The patient denied associated fever, weight loss, vomiting, correlation with diet, recent travel, sick contacts, hospitalization, and antibiotic or corticosteroid use.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Residents ’ Clinic Source Type: research