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Target Audience: Gastroenterologists, internal medicine physicians
Microscopic colitis presents as chronic watery diarrhea, is diagnosed by mucosal biopsy, and consists of the subtypes lymphocytic colitis and collagenous colitis. Management of the subtypes is similar. This new guideline from the AGA provides medical treatment recommendations.
For symptomatic microscopic colitis, use budesonide as first-line therapy over mesalamine for induction of remission, and use budesonide for maintenance. During maintenance of remission, budesonide is typically tapered to the lowest effective dose.
When budesonide therapy is not feasible, trea…