• Otherwise well person with a high protein diet (or some other likely trigger)
• Minimal (e.g. 1/10) pain
• No nausea (or very minimal nausea)
• Few small bowel air-fluid levels on abdominal series
  • Usually stool in region of transverse (and distal) colon
• May have mild leukocytosis but normal CRP

Management

• Reasonable to give a trial of fluid diet and suppositories plus enema prn to see if it will resolve
• Strict instructions to return to ER if symptoms do not resolve, or worsen, or new symptoms develop

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.