J O U R N A L of R A W A L P I N D I M E D I C A L C O L L E G E Exploring the Intricacies and Clinical Perspectives of Chronic Diarrhea: A Case Report

Crohn’s disease (CD) is a chronic inflammatory disorder that may affect any segment of the gastrointestinal tract, with a predilection for the terminal ileum and colon. It commonly presents chronic diarrhea, abdominal pain, and per rectal (PR) bleeding. We report the case of a gentleman who experienced recurrent diarrhea and PR bleeding, initially managed as infective colitis but subsequently diagnosed with Crohn’s disease following colonoscopy and histopathological confirmation. He was treated successfully with corticosteroids for induction and azathioprine for maintenance therapy. This case emphasizes the need to consider Crohn’s disease as a differential diagnosis in patients with chronic diarrhea and PR bleeding, particularly in regions where infectious causes are more prevalent, and may delay diagnosis. Keywords: diarrhea, disease, bleeding.