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Abdominal Cramping After a Marathon: What’s Most Likely?
Abdominal cramping develops in a 31-year-old healthy woman after she runs a marathon. Which of the following is most likely?
Abdominal cramping develops in a 31-year-old healthy woman after she runs a marathon. She has the urge to have a bowel movement and then passes some bright red blood. A colonoscopy performed the next day demonstrates focal colitis characterized by shallow ulcers, erythema, and friability from the sigmoid to the descending colon.
Which of the following is most likely?
a. The ulcers will resolve within 48 hours.
b. The patient uses an intrauterine device (IUD) for contraception.
c. This is the initial presentation of Crohn disease.
d. The patient should be tested for cytomegalovirus (CMV).
Clinical Tips for Using Antibiotics and Corticosteroids in IBD
January 5th 2013The goals of therapy for patients with inflammatory bowel disorder include inducing and maintaining a steroid-free remission, preventing and treating the complications of the disease, minimizing treatment toxicity, achieving mucosal healing, and enhancing quality of life.
