Pharmacotherapyfor Gastrointestinal and Hepatobiliary Disorders
PatientHL comes into the clinic with the following symptoms: nausea,vomiting, and diarrhea. The patient has a history of drug abuse andpossible Hepatitis C. HL is currently taking the followingprescription drugs:Synthroid 100 mcg dailyNifedipine 30mg dailyPrednisone 10 mg daily
Thereare several illnesses that can cause nausea, vomiting and diarrhea. The history of the patient as well as the symptoms history isessential in the diagnosis of condition. It is important to recordthe age of the patients since age has an influence on the possiblediagnosis. Since the patient has a suspected case of hepatitispossibly due to history of drug abuse, it is necessary to do aphysical examination of the skin and eyes as well as urine. Darkurine, yellow color in the skin and eyes accompanied by flu likesymptoms may suggest liver damage due to hepatitis. Absence of yellowcoloration in the skin or eyes and dark urine suggest stomach flu orgastroenteritis. History of the symptoms is important to rule outpossible cases of food poisoning or side effects and druginteractions of prescribed drugs.
Gastroenteritisis caused by a virus. Usually, it does not require any medicalintervention. It is recommended that the patient immune system shouldbe allowed to deal with the infection. Taking plenty of fluids toavoid dehydration due to vomiting and diarrhea is advised. However,serious cases of diarrhea and vomiting may require some prescription.Pepto-Bismol or meclizine can be used to reduce vomiting by reducingnausea. Immodium AD or Kaopectate can be prescribed in case of severediarrhea.
Acton,Q. (2012). Acutegastroenteritis: new insights for the healthcare professional.Atlanta, Ga.: Scholarly Editions.
Bernal,W. and J. Wendon (2013). "Acute Liver Failure." NewEngland Journal of Medicine369(26): 2525-2534.
Lorber,B. (2006). Intra-abdominalinfections, hepatitis, and gastroenteritis.Philadelphia, Pa.: Current Medicine Churchill Livingstone.
Russo,P. (2014). Pathologyof pediatric gastrointestinal and liver disease.Berlin: Springer.