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How to Treat Acute Inflammatory Diarrhea?

Things to note:
  • Rehydration is the cornerstone of management. This should be done with oral rehydration solution (ORS) unless the patient is vomiting or profoundly dehydrated.
  • Stool culture is advised.

Medical Treatment:
  • Loperamide is contraindicated as it may result in toxic megacolon.
Antibiotic therapy
Consider in severe cases or significant underlying disease.
  • Ciprofloxacin, oral, 500 mg 12 hourly for 3-7 days.

When to refer:
  • Persistent diarrhoea with blood and mucus for longer than 2 weeks.