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CaseStudy2-291016- Diarrhoea?? - Give me your Diagnosis !!!!

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29 Oct 2016 - General
 

A 60 years old lady, with background of hypothyroidism, Type 1 diabetes, coeliac disease with full compliance to gluten free diet, and hypertension, was initially referred by her GP due to 3 months history of intermittent diarrhoea, with can be up to 5-6 times of wattery diarrhoea at time. On questioning, patient is 100% compliance to gluten free diet. Her tTG level was within the normal limit. A gastrosocpy with D2 (second part of duodenum) biopsy was done, which showed normal D2 mucosal. Subsequently, she had a colonoscopy to terminal ileum, which was indeed a normal colonosocpy examination. Random colonic biopsy was taken during colonosocpy, and we are awaiting for the result. Given the background history and history of presenting complaint, What will be your diagnosis for this lady ????

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