Severe diarrhea treatment protocol question

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    Hello all. I have what would seem a simple question. What is the current treatment pathway for severe diarrhea in patient with TBI ? Patient is 80 years old. Right side craniotomy. Currently stable except for constant watery diarrhea. On K replacement. Probiotic therapy to begin. Patient has history of partial colon removal. C-Dif culture is negative. Diarrhea has been constant for 30 days. Any suggestions would be welcome. Thank you in advance, Newstudy.
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    hehe...a FECAL MGT SYSTEM!!!! and lots of banna flakes
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    R/T to his partial colectomy, is this baseline for this patient?
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    Hi Morte. To answer your question, this patient has some history of loose stool . However, the current diarrhea is constant and almost bronze in color. Currently being treated with Vanco for possible C-dif even though culture came back negative. Thanks again, Newstudy.
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    Quote from newstudy
    Hi Morte. To answer your question, this patient has some history of loose stool . However, the current diarrhea is constant and almost bronze in color. Currently being treated with Vanco for possible C-dif even though culture came back negative. Thanks again, Newstudy.
    how is the vanc being adm? has he been worked up for pancreatic and liver issues?
  8. 0
    Quote from newstudy
    Hello all. I have what would seem a simple question. What is the current treatment pathway for severe diarrhea in patient with TBI ? Patient is 80 years old. Right side craniotomy. Currently stable except for constant watery diarrhea. On K replacement. Probiotic therapy to begin. Patient has history of partial colon removal. C-Dif culture is negative. Diarrhea has been constant for 30 days. Any suggestions would be welcome. Thank you in advance, Newstudy.

    I wondered what the reason for the partial colectomy? If it was colitis then it might fit that the diarrhoea is due to that and made worse by the stress.
    I also didn't understand why he was having the Vanc if his cultures were negative?
    How is the patient receiving nutrition ie enteral or parenteral?


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