Stool test shows 4-5 pus cells, 5-6 rbc cells. On medicine. IBS, lymphocytic colitis history. Suggestions? - Online Doctor Chats
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The symptoms I was having was 2 loose stools dialy (mushy stools)
I was taking antibiotics and was doing good for about 2 months and symptoms use to come back
I am also on PPI for last 3 years
He said that I have lymphocytic colitis
So he put me on Pentasa
I am on pentasa for last one month and the last time I took antibiotic (ofloxin) was a month ago (same time as when I started pentasa)
My question is do we get RBC if it is LC?
Yes, you can get RBCs in the stools
Again in LC mostly the symptoms is chronic water diahrea, but I donot have watery diahrea
So it may not be LC but IBD?
It could be,
It is my hunch
How can this be detected?
Because after doing colonoscopy I asked doctor if it was starting of IBD, and he said it doesnot look to be
Yes and it says LC
Colonoscopy and biopsy is the gold standard to look for IBD(Inflammatory bowel disease) which includes chron's disease
So in this case can I be sure that its LC?
I'm sorry, but the histopathological diagnosis is the final
So if says LC means its LC and not IBD?
So, yes you can be sure about it being LC
Now, why I have LC?
but if you are not sure, you might get that same slide examined by a different pathologist
Can it be because of some chronic infection which is not getting removed? and why my loose stools become hard after taking antiboitics?
Because blood(RBCs) in the stools are not a feature of LC
Your stools get harder because the inflammation is reduced after taking the antibiotics and mucosa secretes a little less water
Or because of LC I am catching infection and hence getting RBC? Or my LC is because of celiac desease without celiac spure?
My D2 biopsy and TTG tests were negative
the exact cause for this disease is not known yet
So RBC in stool is something with which I am not convinced
So what is the diagnosis that I need to do and what are my treatment options, given that Pentasa is not helping much
I donot want to take endless antiboitics to get transient improvement
Pentasa is almost the last drug that is used in LC, so if that is not helping and also by your symptoms, i doubt it be just LC
may be there is a another condition which is making LC worse..
Meaning you need further evaluation
So what are the possible investigations I can get done?
A repeat colonoscopy by a different gastroenetrologist and biopsy
Can PPI which I am taking can cause LC?
Because this is the only test that can tell us anything about these constellation of disorders which affect the colon
and the RBC's in blood
PPIs do not cause LC
Because when searched on google for LC, it mentioned about NASID's, H2 blockers and PPI's
but antidepressants are known to cause LC along with pain killers belonging to the group NSAIDs
I was on PPI for six months before I was diagnoised with LC
I was taking nexito
May be this is the reason
When doctor look at the colon he say that there was suttle change in colonic mucosa. It was not contineous change in mucosa
have you told your gastroenterologist that you have been taking anti depressants?
Yes he only prescribed assuming it was IBS
I had done colonoscopy 1 and half year back by different gastroentrologist and he said there is nothing
But when my new gastroentrologist did it 1 month back he said its LC
So I had doubt if its was SSRI
That is a possibility
But the question is still is why RBC?
That is the question
Can there be chronic infection which is not going away
I am having only loose stools even today
That is the reason I asked you get re-evaluated by another gastroenterologist
Chronic infection is very unlikely
Another thing was about 6 months back I was having amebasis
I have taken enough medication
In my last 3 stool tests I have not got cyst
ameobiasis can cause chronic infection and it could make LC worse
But since I am having so much flautence I am thinking if that is one of the cause for RBC?
But even today's stool test didnot show any cyst or trophozoites
that is good
But may people say that its very difficult to catch cysts (not sure how far its true)
I will get another colonoscopy but say if it come out to be LC then what else can be the reason?
thats not true, cysts if present can be detected
If another biopsy comes as LC, then you should believe that it is LC
BTW, are you in bangalore?
I might want to have consulation with you
I am sorry, that won't be possible.
It is not our company policy to make personal consultations
Then can I XXXXXXX you in a hospital or you cannot reveal since we are connecting through health care magic?>
It is not possible because I am on the panel of doctors who come online to chat with patients
so i am bound by the terms and conditions
One final question for today.
My GI told that I am catching infection because of LC. Is that possible?
I do not think so...
thank your so much
I will get another colonoscopy and biopsy done
But it could be possible. because we still do not understand LC so well
Thank you for consulting me
So if its LC even after second colonoscopy then I need medications to heel LC
You will nedd medications
You are welcome
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