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67 yo f diagnosed with colitis skin is yellow to real white,

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My wife found out about ten days ago that she has colitis. She had stomach pain, diarrhea and nausea. For a long time before this she has had abdominal cramps etc. But never was told she had colitis. She went to the ER ten days ago with a bad case of diarrhea. They took some blood and gave her a CT when she was there. The blood test showed the liver numbers high. The CT scan showed she has colitis. She was put on two meds. One being Cipro and some other antibiotics. But after ten days she still is have the abdominal pain, diarrhea and her skin is yellow to real white. She cannot leave the house. She must be near a bathroom at all times. What can we do? Does last forever? Does the diarrhea go away? Can a CT show she has it? Could it be bad food? She is to see her PCP doctor in about two week. I told to call now because of the color of her skin. Yellow Liver problems, too? This is all new to us. She is 67 Years old. She a non-drinking, non-smoker and walks everyda


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replied February 8th, 2015
Intestinal Disorders Answer A51010
Hello and Welcome

I appreciate your concern

The diarrhea especially if its not responding to antibiotics like ciprofloxacin could be inflammatory rather than infectious. The other antibiotic added is most likely metronidazole to cover for anaerobes. The elevated liver enzymes along with bilirubin may point towards jaundice as far as the skin changes you described. Further tests including hepatitis profile, reticulocyte count and Ultrasound and markers such as ALP , GGT would be required to classify it as hepatocellualar or obstructive or hemolytic jaundice. A stool R/E, occult blood and culture may also be required. If the investigations are inconclusive , a colonoscopy can be planned to perform a biopsy and look for any suspicious polyps. Food can be an exacerbating factor. Dehydration should be prevented with ORS. A CT should not be a first line investigation at this stage unless carcinoid syndrome is suspected. Please consult your doctor in this regard


wishing you best of health

thanks


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