Patient with metastatic carcinoma has severe diarrhea. Please help.

Hello,

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First get clinical examinations done that includes vital parameters of patient such as blood pressure (BP), pulse, respiratory rate, etc. Required blood investigations such as complete blood count, renal function test, liver function test and electrolyte study has to be done. Also, measure 24 hours urine output. Start intravenous fluids and further continue the management accordingly on the basis of reports and urine output. If the abdominal part was treated by radiotherapy and has only history of diarrhea then start lactobacillus, antimotility drugs (after each episode of diarrhea). If patient have fever also then antibiotics coverage should be required. My best opinion is to admit the patient, as the condition you have mentioned need continuous medical care.

Thank you.