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MY 76 YEAR OLD MUM HAS HAD DIARRHOEA FOR 4 WEEKS RESPONDED

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TO ANTIBIOTICS AND WHEN SHE...
MY 76 YEAR OLD MUM HAS HAD DIARRHOEA FOR 4 WEEKS RESPONDED TO ANTIBIOTICS AND WHEN SHE STOPPED THEM AT THE END OF THE COURSE IT STARTED AGAIN WAHT COULD IT BE BLOOD TESTS ARE NORMAL
JA: Is this a time sensitive issue? What type of specimen are they testing?
Customer: THEY DID A STOOL SAMPLE AND BLOOD TESTS AND HAVE PUT HER BACK ON ANTIBIOTICS TODAY
JA: Anything else in your medical history you think the doctor should know?
Customer: SHE TAKES STATINS FOR HIGH CHOLESTAROL
Submitted: 1 month ago.Category: Medical
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Answered in 23 minutes by:
10/17/2017
Doctor: Dr. Bob, Medical Doctor replied 1 month ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5,485
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
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Hello. Did your mom's doctors say she has C. Difficile? This is a bacterial infection that can cause diarrhea and is often caused--ironically--from taking antibiotics. So a person gets better and then needs to go back on a special antibiotic to combat the infection caused by the first one. Does this make sense?

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Doctor: Dr. Bob, Medical Doctor replied 1 month ago

For mild to moderate infection, doctors usually prescribe metronidazole (Flagyl), taken by mouth. Metronidazole has been shown to be effective in mild to moderate infection. Side effects of metronidazole include nausea and a bitter taste in your mouth. For more severe and recurrent cases, vancomycin (Vancocin), also taken by mouth, may be prescribed.

Another oral antibiotic, fidaxomicin (Dificid), has been approved to treat C. difficile. In one study, the recurrence rate of C. difficile in people who took fidaxomicin was lower than among those who took vancomycin. However, fidaxomicin costs considerably more than metronidazole and vancomycin. Common side effects of vancomycin and fidaxomicin include abdominal pain and nausea.

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Customer reply replied 1 month ago
The test for C. difficile was negative
Doctor: Dr. Bob, Medical Doctor replied 1 month ago
Any tests positive?
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Customer reply replied 1 month ago
White blood count slightly up and potassium levels down
Doctor: Dr. Bob, Medical Doctor replied 1 month ago
Did her cultures grow out anything?
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Customer reply replied 1 month ago
No
Doctor: Dr. Bob, Medical Doctor replied 1 month ago

How is she responding to the latest antibiotic?

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Customer reply replied 1 month ago
It has stopped again with the antibiotics
Doctor: Dr. Bob, Medical Doctor replied 1 month ago

Has she traveled outside the country in the past several months?

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Doctor: Dr. Bob, Medical Doctor replied 1 month ago

If your mom's diarrhea returns after the vancomycin, I would suggest you test her again for C. Diff and have her treated with fidaxomicin if positive. (The first test may have been a false negative). If negative again, you should have her worked up for parasites (ova and parasite test x 3) and pancreatic insufficiency. If normal, I would suggest you ask her doctors for a colonoscopy. In some cases, inflammatory bowel disease (e.g. Crohn's colitis) is responsible. In rare cases a fluid secreting tumor can also cause recalcitrant diarrhea.

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Customer reply replied 1 month ago
Ok thanks very much
Doctor: Dr. Bob, Medical Doctor replied 1 month ago

You're welcome. Hope all works out for the best for your mom, and that she is feeling better soon!

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