Hypothyroidism as a cause of recurrent Vomiting

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

A 28 year old woman presented with recurrent vomiting of several years duration. There were no other gastrointestinal symptoms. She had no neurological symptoms. There were no allergies. Her blood tests showed a TSH of 75 and a low T4 of 2.98. She was started on Thyroxine.

Botox causes fecal incontinence

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

A 39 year old woman, a resident of Canada presented recently in India with fecal and flatus incontinence after she was given Botox 20 U x 2 doses in 1 year ago in Canada. It was done for an anal fissure. She had apparently had a normal colonoscopy prior. There are no signs of spontaneous improvement yet. This complication has affected her ability to work and overall quality of life.

Colon polyp in a 34 year old man

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

A 34 year old asymptomatic man underwent screening colonoscopy due to family history of colon cancer. A 10 mm sessile polyp was found and removed. Biopsy is pending.