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Zentel takes three cycles of treatment to work completely. First you take the drug for 28 days, then take no drug for 28 days, then do another 28 days of treatment.
This is assuming that he is not in an area where he is constantly being reinfected....
Hello. Welcome to chat.
It sounds like you are on the right track.
Here in the USA I would not think of a parasite first but, perhaps, in your area of Bermuda it is more common. The problem is that your husbands symptoms are very nonspecific...they could be from many causes....from a parasite, IBS, chron's disease, vascualar problems, inflammation etc.
If it is from an active problem like inflammation, IBS, chron's etc it can vary in how often it comes and goes and it very well might, as it seems to be doing now, get worse over a period of time.
The good news? The colonoscopy with biopsy will go a long way toward ruling in or ruling out the root cause of what is upsetting your husbands digestive system so much.
It is a good sign that he has not had any blood in his stool up to this point.
I mean problems with the blood flow to the intestines. This can happen in a number of disease processes.
Stress can make a number of GI problems worse, especially IBS.
From what you have posted I would but IBS near the top of my list of possible diagnosis'
That being said, he is already scheduled for an excellent test that will shed a lot of light on what is going on. I totally agree with having a colonoscopy done.
One thing that might help is to increase his intake of dietary fiber. There are commercial preperations, such as metamucil, that make doing this very easy.
Is there a possibility that he could have been exposed to water with giardia? If so, it might be worth doing an emperical treatment round of flagyl. In Bermuda the drug Tinidazole might be available, which is a bit more effective against giardia.
From what you have posted IBS is a likely cause but it is a good idea to have the testing done (colonoscopy etc) to make sure something more serious is not going on.
It sounds like your husband is in very good hands and is getting appropriate care at this point.
Doesn't sound like a very risky event for contracting giardia.....
That sounds like an excellent idea. I think that with the changes you are planing to make in his diet, working closely with a GI doctor and the upcoming colonoscopy, you should have an answer to what is bothering his stomach very soon.
Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?
My pleasure. I wish your husband the very best. Take care.
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles. Thanks in advance, Dr. Rick MD FACS