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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Effective Is Taking Prednisone 50mg For Ear Infection?

Hi, My doctor put me on prednisone 50mg for 5 days to try and fight an infection in my right ear. For the past 3 days I ve improved, however today I suddenly got a lime-green burning stool. This has been going on for 5-6 h . I am trying to drink as much as possible but I keep going to the bathroom. I have not eating any green food. Just soup, fibers and bananas. Every time is burns more, and the color get lighter and lighter. It is liquid type 6 stool. Little yellow mixed with it. I have no back pain, stomach pain. Little bit dizzy cause of the fluid I am loosing but trying to drink a lot. Is this normal ?? Should I call my doctor? thanks
Mon, 23 Jan 2017
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ENT Specialist 's  Response
Hi,thank you for posting your query on health care magic.

The cause of lime green coloured stool might be:
Decreased Bowel Transit Time:
Green bile, after excretion from the liver into duodenum(small intestine), slowly changes to yellow, and then to brown color due to chemical changes performed by normal intestinal bacteria and enzymes. When the bowel content flows through the intestine fast, original bile color does not change, resulting in green or yellow stool. Causes of decreased bowel transit time include:
Diarrhea – loose bowel movements; there are several causes of loose bowel movements, including food poisoning,Viral infection,etc
GERD (Gastro-Esophageal Reflux Disease)-Steroid may cause increased acid formation in stomach.I would recommend to take Antacid(like Pantoprazole) along with Steroids.

Impaired Bile Re-absorption in the Small Intestine:
Bile salts are absorbed into blood mainly from last part of small intestine (terminal ileum). Causes of impaired bile re-absorption are:
Inflammation of the small intestine due to food poisoning or viral/bacterial infection.

The burning is because your electrolytes are off in your body and with diarrhea you get what is called Metabolic Acidosis. The acid is what causes the burning. It sounds like you might be suffering from inflammation in Gastrointestinal tract and it should subside in 24-48 hours.

If the symptoms last longer than 48 hours or you start vomiting along with it you need to see your doctor.

In the treatment perspective - the main objective is to maintain adequate rehydration and electrolyte supplementation. This can be achieved with an oral rehydration solution (ORS) .
Oral rehydration is achieved by administering clear liquids and sodium-containing and glucose-containing solutions.

A simple ORS solution may be composed of 1 level teaspoon of salt and 4 heaping teaspoons of sugar added in to 1 liter of boiled/packaged mineral water.

Medicines like Antisecretory agents, such as bismuth subsalicylate (Pepto-Bismol), and Loperamide (Imodium) ( It increases the intestinal absorption of electrolytes and water and decreases intestinal motility and secretion) may be useful.

During episodes of acute diarrhea, patients often develop an acquired disaccharidase deficiency due to washout of the brush-border enzymes. For this reason, avoiding milk, dairy products, and other lactose-containing foods is advisable. Strict personal hygiene should be practiced during the illness.

I hope this answers your query.Get well soon.

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How Effective Is Taking Prednisone 50mg For Ear Infection?

Hi,thank you for posting your query on health care magic. The cause of lime green coloured stool might be: Decreased Bowel Transit Time: Green bile, after excretion from the liver into duodenum(small intestine), slowly changes to yellow, and then to brown color due to chemical changes performed by normal intestinal bacteria and enzymes. When the bowel content flows through the intestine fast, original bile color does not change, resulting in green or yellow stool. Causes of decreased bowel transit time include: Diarrhea – loose bowel movements; there are several causes of loose bowel movements, including food poisoning,Viral infection,etc GERD (Gastro-Esophageal Reflux Disease)-Steroid may cause increased acid formation in stomach.I would recommend to take Antacid(like Pantoprazole) along with Steroids. Impaired Bile Re-absorption in the Small Intestine: Bile salts are absorbed into blood mainly from last part of small intestine (terminal ileum). Causes of impaired bile re-absorption are: Inflammation of the small intestine due to food poisoning or viral/bacterial infection. The burning is because your electrolytes are off in your body and with diarrhea you get what is called Metabolic Acidosis. The acid is what causes the burning. It sounds like you might be suffering from inflammation in Gastrointestinal tract and it should subside in 24-48 hours. If the symptoms last longer than 48 hours or you start vomiting along with it you need to see your doctor. In the treatment perspective - the main objective is to maintain adequate rehydration and electrolyte supplementation. This can be achieved with an oral rehydration solution (ORS) . Oral rehydration is achieved by administering clear liquids and sodium-containing and glucose-containing solutions. A simple ORS solution may be composed of 1 level teaspoon of salt and 4 heaping teaspoons of sugar added in to 1 liter of boiled/packaged mineral water. Medicines like Antisecretory agents, such as bismuth subsalicylate (Pepto-Bismol), and Loperamide (Imodium) ( It increases the intestinal absorption of electrolytes and water and decreases intestinal motility and secretion) may be useful. During episodes of acute diarrhea, patients often develop an acquired disaccharidase deficiency due to washout of the brush-border enzymes. For this reason, avoiding milk, dairy products, and other lactose-containing foods is advisable. Strict personal hygiene should be practiced during the illness. I hope this answers your query.Get well soon.