Management

1. Treat cause where possible e.g. for C. difficile, metronidazole plus cholesytramine (binds the toxin).

2. Consider temporary (12-24h) cessation of enteral feed if very severe. Consider change in feed if appropriate, e.g. coeliac disease, lactose intolerance.

3. Consider stopping antibiotics.

4. Give antidiarrhoeal if infection excluded.

5. Careful attention to fluid and electrolyte balance (in particular Na + , K+, Mg2+).

6. Request surgical opinion if infarcted or inflamed bowel or abscess suspected.

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