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The Curbsiders Internal Medicine Podcast cover image

#276 Chronic Diarrhea, Dementia, OHS, MSK Pearls (TFTC #5)

The Curbsiders Internal Medicine Podcast

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Harness Knowledge, Avoid Oversights

Effective diagnosis and treatment of gastrointestinal issues require thorough questioning about a patient’s medical history, such as previous pancreatic resection, gallbladder removal, or conditions like ileal Crohn's disease. It is crucial to recognize common medication side effects, particularly from drugs like metformin, which frequently contribute to diarrhea. For managing irritable bowel syndrome, the FODMAP diet can be a valuable tool; it involves a structured approach where patients consume low FODMAP foods for six weeks before gradually reintroducing high FODMAP foods. This restrictive diet is best undertaken with the guidance of a nutritionist, and it is important for patients to understand that it is not intended as a permanent lifestyle change.

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