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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Cyst Of Entamoeba Histolytica When Not Improving With Safim And Flygyl?

hi,i am worried , because my niece has been diagnosed cysts of entamoeba histolytica in her stool examination. doctor has prescribed safim & flygyl.she cries alot, & spit milk after every feed. she is also not improving in weight.whats your opinion in it
Mon, 10 Apr 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
When the child has Entamoeba histolytica found in stool and has Safim and Flagyl will work in a very good way.
But it takes time.
The pain in abdomen, spitting milk and not improving weight will improve over time.
I would advise you the following in such a situation.
Get the stool test repeated.
Clinical evaluation to see if there are any other causes also co-existing with Amoebiasis.
Get the blood and urine tests.
Get Ultrasonography and X-ray of the abdomen in standing position.
There may be associated appendicitis or abdominal tonsils that is lymph node enlargement and needs treatment at the same time.
Also needed is an antiemetic and antispasmodic for symptomatic relief.
Maintain the hydration and electrolyte balance.
Visit the Pediatrician from time to time for proper clinical evaluation and management.

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How To Treat Cyst Of Entamoeba Histolytica When Not Improving With Safim And Flygyl?

Hi. Thanks for your query. Noted the history and understood the concerns. When the child has Entamoeba histolytica found in stool and has Safim and Flagyl will work in a very good way. But it takes time. The pain in abdomen, spitting milk and not improving weight will improve over time. I would advise you the following in such a situation. Get the stool test repeated. Clinical evaluation to see if there are any other causes also co-existing with Amoebiasis. Get the blood and urine tests. Get Ultrasonography and X-ray of the abdomen in standing position. There may be associated appendicitis or abdominal tonsils that is lymph node enlargement and needs treatment at the same time. Also needed is an antiemetic and antispasmodic for symptomatic relief. Maintain the hydration and electrolyte balance. Visit the Pediatrician from time to time for proper clinical evaluation and management.