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Undigested Pills in Stool Mimicking Parasitic Infection
Background. Orally ingested medications now come in both immediate release and controlled release preparations. Controlled release preparations were developed by pharmaceutical companies to improve compliance and decrease frequency of pill ingestion. Case Report. A 67-year-old obese male patient pre...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306965/ https://www.ncbi.nlm.nih.gov/pubmed/28255472 http://dx.doi.org/10.1155/2017/3718954 |
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author | Mir, Fazia Achakzai, Ilyas Ibdah, Jamal A. Tahan, Veysel |
author_facet | Mir, Fazia Achakzai, Ilyas Ibdah, Jamal A. Tahan, Veysel |
author_sort | Mir, Fazia |
collection | PubMed |
description | Background. Orally ingested medications now come in both immediate release and controlled release preparations. Controlled release preparations were developed by pharmaceutical companies to improve compliance and decrease frequency of pill ingestion. Case Report. A 67-year-old obese male patient presented to our clinic with focal abdominal pain that had been present 3 inches below umbilicus for the last three years. This pain was not associated with any trauma or recent heavy lifting. Upon presentation, the patient reported that for the last two months he started to notice pearly oval structures in his stool accompanying his chronic abdominal pain. This had coincided with initiation of his nifedipine pills for his hypertension. He reported seeing these undigested pills daily in his stool. Conclusion. The undigested pills may pose a cause of concern for both patients and physicians alike, as demonstrated in this case report, because they can mimic a parasitic infection. This can result in unnecessary extensive work-up. It is important to review the medication list for extended release formulations and note that the outer shell can be excreted whole in the stool. |
format | Online Article Text |
id | pubmed-5306965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-53069652017-03-02 Undigested Pills in Stool Mimicking Parasitic Infection Mir, Fazia Achakzai, Ilyas Ibdah, Jamal A. Tahan, Veysel Case Rep Gastrointest Med Case Report Background. Orally ingested medications now come in both immediate release and controlled release preparations. Controlled release preparations were developed by pharmaceutical companies to improve compliance and decrease frequency of pill ingestion. Case Report. A 67-year-old obese male patient presented to our clinic with focal abdominal pain that had been present 3 inches below umbilicus for the last three years. This pain was not associated with any trauma or recent heavy lifting. Upon presentation, the patient reported that for the last two months he started to notice pearly oval structures in his stool accompanying his chronic abdominal pain. This had coincided with initiation of his nifedipine pills for his hypertension. He reported seeing these undigested pills daily in his stool. Conclusion. The undigested pills may pose a cause of concern for both patients and physicians alike, as demonstrated in this case report, because they can mimic a parasitic infection. This can result in unnecessary extensive work-up. It is important to review the medication list for extended release formulations and note that the outer shell can be excreted whole in the stool. Hindawi Publishing Corporation 2017 2017-01-31 /pmc/articles/PMC5306965/ /pubmed/28255472 http://dx.doi.org/10.1155/2017/3718954 Text en Copyright © 2017 Fazia Mir et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mir, Fazia Achakzai, Ilyas Ibdah, Jamal A. Tahan, Veysel Undigested Pills in Stool Mimicking Parasitic Infection |
title | Undigested Pills in Stool Mimicking Parasitic Infection |
title_full | Undigested Pills in Stool Mimicking Parasitic Infection |
title_fullStr | Undigested Pills in Stool Mimicking Parasitic Infection |
title_full_unstemmed | Undigested Pills in Stool Mimicking Parasitic Infection |
title_short | Undigested Pills in Stool Mimicking Parasitic Infection |
title_sort | undigested pills in stool mimicking parasitic infection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306965/ https://www.ncbi.nlm.nih.gov/pubmed/28255472 http://dx.doi.org/10.1155/2017/3718954 |
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