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Chronic diarrhea and melanosis coli caused by wellness drink.
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Chronic, unexplained diarrhea: are biopsies necessary if colonoscopy is normal?
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OBJECTIVE
We sought to determine the frequency of clinically important histological abnormalities in patients with chronic, unexplained diarrhea who had macroscopically normal colonic endoscopies.
METHODS
Of 855 consecutive patients undergoing colonoscopy (595 cases) or flexible proctosigmoidoscopy
Melanosis ilei induced by prolonged charcoal ingestion.
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Gastrointestinal melanosis is observed most frequently in the colon it also can develop in the ileum, duodenum and esophagus very rarely. Melanosis ilei was thought that causative materials such as aluminum, magnesium, silicate, titanium and other compounds entered the body through the ingestion of
Importance of biopsies and histological evaluation in patients with chronic diarrhea and normal colonoscopies.
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BACKGROUND
In patients with chronic diarrhea, colonoscopy may identify inflammatory causes or some occult disease, and also can show a normal mucosa. Serial biopsies of intestinal mucosa can be useful for a differential diagnosis, and to modify the treatment.
OBJECTIVE
To evaluate whether the
[Factitious diarrhea in the differential diagnosis of chronic diarrhea. Observations on 7 patients].
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Over the last seven years self-inflicted diarrhoea was diagnosed in seven patients with chronic diarrhoea which was deliberately induced by the secret intake of laxatives. Six of the patients were female, four of them in paramedical occupations. All also had loss of weight and hypokalaemia between
[Chronic inflammatory bowel disease or psychogenic eating disorder - Case 1/2012. Interdisciplinary challenges in clinical diagnosis and treatment].
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METHODS
A 33-year-old female patient with chronic anorexia nervosa was admitted for inpatient psychosomatic treatment after a recent severe weight loss. In addition, an inflammatory bowel disease had been suspected in the past 4 years. The patient was convinced that the weight loss had purely
Surreptitious laxative ingestion. Delayed recognition of a serious condition: a case report.
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A 46-year-old man with chronic diarrhea underwent exhaustive investigations, including laparotomy, but a definitive diagnosis could not be made. It was not until a colonoscopic biopsy demonstrated the pigment of melanosis coli that the surreptitious use of laxatives was considered seriously. This
Influence of Repeated Senna Laxative Use on Skin Barrier Function in Mice.
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BACKGROUND
Senna, one of the major stimulant laxatives, is widely used for treating constipation. Chronic senna use has been reported to be associated with colonic disorders such as melanosis coli and/or epithelial hyperplasia. However, there is no obvious information on the influence of chronic
Laxative abuse syndrome.
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Laxative abuse syndrome (LAS) is a type of Münchausen syndrome characterized by surreptitious abuse of purgatives. Clinical findings are often perplexing and may mimic inflammatory bowel disease or malabsorption syndromes. Patients frequently complain of diarrhea alternating with constipation and
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