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Suggest Treatment For Diarrhea And High Fever

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Posted on Mon, 20 Jun 2016
Question: I have dysenteria with bloody diarrhoea which started 5 days ago with a high fever after a visit to Sudan. Now the fever is gone but I still have cramps and bloody diarrhoea. My doctor has taken a faeces sample to be sent for analysis. It will only be back in a week. In the meanwhile I am losing weight and feel weak. Do you agree it is better to wait and not take any antibiotic?
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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on your description it appears to be a case of infectious diarrhea and its not appropriate to wait for antibiotics.

By one week time it would be too late to decide on the antibiotics. Stool routine exam including ova and parasite would require less time. Clinically if there is blood in stool, leucocytosis and associated fever with tenesmus then antibiotics should be offered. A good empiric option would be ciprofloxacin with metronidazole and diloxanide furoate. Fluid replacement should be done promptly to avoid dehydration.

wishing you best of health

Thanks

please consult your doctor before taking any further course of action

Dr M.S Khalil.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Diarrhea And High Fever

Brief Answer: Explained Detailed Answer: Hello and welcome I appreciate your concern Based on your description it appears to be a case of infectious diarrhea and its not appropriate to wait for antibiotics. By one week time it would be too late to decide on the antibiotics. Stool routine exam including ova and parasite would require less time. Clinically if there is blood in stool, leucocytosis and associated fever with tenesmus then antibiotics should be offered. A good empiric option would be ciprofloxacin with metronidazole and diloxanide furoate. Fluid replacement should be done promptly to avoid dehydration. wishing you best of health Thanks please consult your doctor before taking any further course of action Dr M.S Khalil.