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Ranitidine, donepezil and simvastatin were discontinued. She was started on oral budesonide with improvement in the abdominal and bowel symptoms. Stool frequency and consistency normalised, and the faecal incontinence resolved with treatment. The outcomes were an improved quality of life, reduced functional dependency, reduced carer strain and avoidance of premature transition from her home into a long-term\/institutional\u2009care setting. We briefly review terminology, basic epidemiology, notable associations, the importance of establishing a diagnosis and some treatment considerations for MC.<\/jats:p>","DOI":"10.1136\/bcr-2018-228092","type":"journal-article","created":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T05:35:15Z","timestamp":1559885715000},"page":"e228092","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Microscopic colitis impacts quality of life in older people"],"prefix":"10.1136","volume":"12","author":[{"given":"Olayinka Ayodele","family":"Ogundipe","sequence":"first","affiliation":[{"name":"Department of Medicine of the Elderly, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Medicine of the Elderly, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,6]]},"reference":[{"key":"2025082712005714000_12.6.e228092.1","first-page":"87","article-title":"\u2019Collagenous colitis' with watery diarrhoea--a new entity?","volume":"11","author":"Lindstr\u00f6m","year":"1976","journal-title":"Pathol Eur"},{"key":"2025082712005714000_12.6.e228092.2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.21037\/atm.2017.03.16","article-title":"The subtypes of microscopic colitis from a pathologist\u2019s perspective: past, present and future","volume":"6","author":"Engel","year":"2018","journal-title":"Ann Transl Med"},{"key":"2025082712005714000_12.6.e228092.3","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp243"},{"key":"2025082712005714000_12.6.e228092.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2008.02107.x"},{"key":"2025082712005714000_12.6.e228092.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2007.06.005"},{"key":"2025082712005714000_12.6.e228092.6","doi-asserted-by":"crossref","first-page":"185","DOI":"10.5694\/j.1326-5377.2006.tb00184.x","article-title":"Microscopic colitis associated with exposure to lansoprazole","volume":"184","author":"Hilmer","year":"2006","journal-title":"Med J Aust"},{"key":"2025082712005714000_12.6.e228092.7","first-page":"2908","article-title":"Lansoprazole-associated microscopic colitis: a case series","volume":"97","author":"Thomson","year":"2002","journal-title":"Am J Gastroenterol"},{"key":"2025082712005714000_12.6.e228092.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF01536772"},{"key":"2025082712005714000_12.6.e228092.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2005.02561.x"},{"key":"2025082712005714000_12.6.e228092.10","doi-asserted-by":"publisher","DOI":"10.1136\/gut.33.5.683"},{"key":"2025082712005714000_12.6.e228092.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00902.x"},{"key":"2025082712005714000_12.6.e228092.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00553.x"},{"key":"2025082712005714000_12.6.e228092.13","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-004-0660-y"},{"key":"2025082712005714000_12.6.e228092.14","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/ageing\/afx047","article-title":"Predicting discharge to institutional long-term care following acute hospitalisation: a systematic review and meta-analysis","volume":"46","author":"Harrison","year":"2017","journal-title":"Age Ageing"},{"key":"2025082712005714000_12.6.e228092.15","first-page":"137","article-title":"Microscopic colitis: prevalence and distribution throughout the colon in patients with chronic diarrhoea","volume":"63","author":"Thijs","year":"2005","journal-title":"Neth J Med"},{"key":"2025082712005714000_12.6.e228092.16","doi-asserted-by":"publisher","DOI":"10.1136\/gut.33.1.65"},{"key":"2025082712005714000_12.6.e228092.17","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2017-315909"},{"key":"2025082712005714000_12.6.e228092.18","first-page":"395","article-title":"Realistic medicine to improve the quality of care in Scotland","volume":"95","author":"Calderwood","year":"2017","journal-title":"Bull World Health Organ"},{"key":"2025082712005714000_12.6.e228092.19","article-title":"Interventions for treating lymphocytic colitis","volume":"7","author":"Chande","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082712005714000_12.6.e228092.20","unstructured":"Miehlke S , Madisch A , Bethke B , et al . 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