• 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

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