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Management

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Treatment recommendations are largely based on case reports and uncontrolled studies. Specific agents evaluated include 5-aminosalicylic acid (5-ASA), prednisolone, immunomodulators, bismuth, probiotics and Boswellia extract (1).

A review suggests treatment is with oral budesonide 9 mg/day for an initial period of 6–8 weeks (2)

Reference:

  • Ingle SB et al.Microscopic colitis: Common cause of unexplained nonbloody diarrhea.World J Gastrointest Pathophysiol. 2014 Feb 15;5(1):48-53
  • Barrett K.Microscopic colitis: a guide for general practice British Journal of General Practice 2021; 71: 41–42. DOI: https://doi.org/10.3399/bjgp21X714593

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