II. Evaluation
- Identify a cause!
- Clostridium difficile
- Cytomegalovirus Infection
- Reactivation of latent Viral Hepatitis
- Often associated with Radiotherapy near bowel
- Consider bowel ischemia or perforation (esp. if bleeding)
- Other common complications of Chemotherapy
III. Management
- Discuss with patient's oncologist
- Fluid Resuscitation and Antiemetics
- Symptomatic management
- Antiemetics (e.g. Ondansetron)
- Antidiarrheals (e.g. Loperamide)
IV. Prevention
- Lactobacillus with Radiation Therapy or Chemotherapy
V. Course
- Anticipate Radiotherapy related Diarrhea for 1-2 weeks