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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Pain, Vomiting Sensation, Diarrhoea, High Fever. Stool, Urine Test Done. Taken Sterptoquin, Ciprofloxacin. Treatment?

Hi, I m 42 years old/ femail. I got a pain in abdomin followed by the urge to vomit - but I didn t vomit- then diarrhea came- then by night I got chills then high fever. I was diagnosed by a doctor in Egypt, took medication (sterptoquin- nifuroxazide 200mg- protozole )& antibiotic (cipro floxacin 500), for a 7days, in the middle pain was localized at upper right abdomin, ultrasonic didn t show any ubnormality except a mild urinarry bladder thickening which suggests inflammation.... I got better but not 100% normal.. Then after stopping my medication, 5 days later, I got another pain and diarrhea repeated!!! Stool & urin analyses are normal except 10-12 pus in stool! What shall I do? Doctors in egypt just want me to repeat antibiotic. Any lab investigations required ? Or any guide lines? Shall I take same medicine again???? Why? Also is (flagil) important in my case? Another note: I started to have a mild bearable pain in both kidnies- doctor said we can wait & watch. Thanks Sahar
Fri, 24 Aug 2012
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General & Family Physician 's  Response
Hello Sahar and thanks for the query
You have pus cells in your stool which indicates that infection still persist that's why you are getting symptoms back. Your doctor is right, you needs more antibiotic for getting rid from it. But which one so that you wont get it again?
In my opinion you must go for stool and urine culture examination as you are getting pain in kidney also. Start your antibiotic according to the culture report so that you get the antibiotic which is effective on that bacteria.
Take high fiber diet and keep yourself hydrated.
Take paracetamol in case of fever.
Hope this will help you.
Best Wishes
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Stomach Pain, Vomiting Sensation, Diarrhoea, High Fever. Stool, Urine Test Done. Taken Sterptoquin, Ciprofloxacin. Treatment?

Hello Sahar and thanks for the query You have pus cells in your stool which indicates that infection still persist that s why you are getting symptoms back. Your doctor is right, you needs more antibiotic for getting rid from it. But which one so that you wont get it again? In my opinion you must go for stool and urine culture examination as you are getting pain in kidney also. Start your antibiotic according to the culture report so that you get the antibiotic which is effective on that bacteria. Take high fiber diet and keep yourself hydrated. Take paracetamol in case of fever. Hope this will help you. Best Wishes