متى يُتجنب استخدام لوبيراميد للإسهال؟

When should loperamide for diarrhoea be avoided?

1. With diarrhoea-predominant IBS
2. With mild watery diarrhoea without fever
3. With bloody diarrhoea and high fever
4. With mild traveller’s diarrhoea

Answer: C) With bloody diarrhoea and high fever. Loperamide slows the gut; with bloody diarrhoea and fever (invasive infection or C. difficile) it may trap the organism and increase complications such as toxic megacolon.