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22nd April 2024
A young male presents with diarrhoea, which occurs multiple times a day
A young male presents with diarrhoea, which occurs multiple times a day. There is no blood in the stool. He reports that the stools can often be foul smelling and difficult to flush on occasion. He had an ileal resection for Crohn’s disease a few months previously.
Investigations show the following:
| Haemoglobin | 130 g/l |
| Platelets | 400*10⁹/l |
| White Cell Count | 5*10⁹/l (Neutrophils 15*10⁹/l) |
| CRP | <10 mg/l |
| Na+ | 135 mmol/l |
| K+ | 3.9 mmol/l |
| Urea | 4 mmol/l |
| Creatinine | 90 μmmol/l |
| Bilirubin | 12 μmmol/l |
| Alkaline Phosphatase | 120 μmmol/l |
| ALT | 40 μmmol/l |
| yGT | 69 μmmol/l |
| Albumin | 32 g/l |
SeHCAT test: 7 day retention value = 9% (reference range >15%)
Faecal calprotectin value: 85 ug/g (normal is 0-110)
What is the next most appropriate next step in the management of this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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