Show Summary Details
Page of

Case 36 

Case 36
Case 36

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 30 October 2020

A 55-year-old woman who worked as a publisher presented with an 8-week history of diarrhoea. She reported up to 12 bowel movements in 24 hours with nocturnal waking to open her bowels. Stools were loose, but contained no macroscopic blood. She experienced lower abdominal cramps and urgency before having to pass stool, and this was especially prominent after a meal. She had no fever or chills but had lost weight. Symptoms started after a course of Co-amoxiclav, which was prescribed for a chest infection. The diarrhoea was having an appreciable impact on her quality of life, interfering with normal daily excursions for fear of not being near a toilet. She had chronic backache, suffered from depression, and was hypothyroid. She was receiving fluoxetine, thyroxine, and had been taking diclofenac for years.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.