Journal of research in medical sciences, vol 13, no 4 (2008) home about log in register search current archives announcements instructions submit resources statistics editorial team site map home > vol 13, no 4 (2008) > tavakoli font size:      is microscopic colitis a missed diagnosis in diarrhea-predominant irritable bowel syndrome? 1000 ways die too much viagra Hamid tavakoli, farshad sheikh esmaeili, mohammad hasan emami, parvin mahzouni, saeid haghdani abstract background: there are controversies about the importance of biopsies of normal colon mucosa in the investigation of patients with diarrhea predominant irritable bowel syndrome (ibs). On the other hand, microscopic colitis may bemissed based on normal colonoscopy and laboratory examination in this group of patients methods: the study took place in alzahra and noor hospitals and poursina hakim research institute, from 2002 to 2004. Eligible patients were those suffering from diarrhea for at least 4 weeks. viagra pills online A total of 138 patients were included in the study after meeting rome criteria (ii) with normal cbc, esr, stool examination and no endoscopic abnormality. Results: the histologic findings in 138 patients with diarrhea predominant ibs with mean age of 34. 7 years (female 55. 1% and male 44. buy viagra cheap 9%) were as follows: 10 patients (7. 2%) had collagenous colitis and 3 patients (2. cheap generic viagra 2%) were compatible with lymphocytic colitis. No significant diagnostic histologic findings were seen in the rest of patients. Collagenouscolitis was detected in 13% of right colon biopsies and in 10% of sigmoid and transverse colon biopsies. Nocturnal diarrhea was found in 30% of collagenous colitis patients. viagra discount Conclusions: total colonoscopy and multiple biopsies in diarrhea predominant ibs patients are necessary for earlydiagnosis of microscopic colitis. Key words: irritable bowel syndrome, microscopic colitis, colonoscopy, biopsy, diarrhea. Full text: pdf xml this work is licensed under a creative commons attribution 3. viagra pill side effects 0 license. 1000 ways die too much viagra This work is licensed under a creative commons attribution 3. buy viagra online brisbane 0 unported license.. viagra fast delivery Roscopic colitis evide. order viagra buy viagra online pay with paypal