title: Ischaemic colitis associated with oral contraceptive and bisacodyl use.
abstract: A woman with a history of hip replacement presented 3 days prior to revision of the hip with abdominal pain, diarrhoea and haematochezia. These symptoms began 6 h after she began taking bisacodyl in preparation for her upcoming surgery. She was on low-dose estradiol for hormone replacement therapy (HRT). Subsequent colonoscopy and biopsies were consistent with acute colonic ischaemia (CI). She was treated with intravenous fluids and antibiotics and discharged and told to stop HRT and bisacodyl. Follow-up colonoscopy 1 month after discharge was normal. This case adds to the three other previously reported cases of bisacodyl-associated CI.
authors: Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
authors: Shahnaz
authors: S
authors: Ajani
authors: Ryan T
authors: RT
authors: Hurt
authors: David A
authors: DA
authors: Teeters
authors: Lawrence R
authors: LR
authors: Bellmore
mesh_terms: D015746:Abdominal Pain / Q000139:chemically induced*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019644:Arthroplasty, Replacement, Hip; D001726:Bisacodyl / Q000008:administration & dosage / Q000009:adverse effects*; D002400:Cathartics / Q000008:administration & dosage / Q000009:adverse effects*; D017091:Colitis, Ischemic / Q000139:chemically induced* / Q000628:therapy; D003113:Colonoscopy; D003276:Contraceptives, Oral / Q000008:administration & dosage / Q000009:adverse effects*; D003967:Diarrhea / Q000139:chemically induced; D004347:Drug Interactions; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006801:Humans; D008875:Middle Aged; D011300:Preoperative Care / Q000009:adverse effects
chemical_list: D000900:Anti-Bacterial Agents; D002400:Cathartics; D003276:Contraceptives, Oral; D001726:Bisacodyl