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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dysentery

diagnosed VILLOUS ATROPHY.

Dear Sir,

It was start with dysentry in 1988, at that time my dysentry problem had not been treated (medication) properly, since then i am suffering with stomach upset problem.

My last stomach examination has been conducted in january 2012 . Examination report called [ TISSUE TRANSGLUTAMINASE ANTIBODY - tTG -igA ] found nagetive.

GASTROSCOPY REPORT : DIAGNOSE : Mild gastitis , to consider sprue.

HISTOLOGY REPORT : through Duodenal biopsy DIAGNOSED : DUODENUM - VILLOUS ATROPHY.

i was advised by my doctor with medication line of treatment that is DOXYCYCLINE 200 mg. everyday for 6 months , with consumption of 6 months i found no recovery at all, now after 6 months my doc. advise me to go for another 6 months with Doxy. 100 mg. everyday . 9 months with medication has been away but no recovery till now . Will you please advise me ?

Wed, 19 Jul 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Dysentery since 1088 is a long time to suffer without a proper diagnosis or medication.
Since you have undergone the investigations as mentioned by you the real ones are not done or mentioned.
I would advise you hte following:
First of all stop Doxycyclin as it is not working at all.
Get the stool tests done for three consecutive days and get treated as per the cause found.
Also required are the tests of blood for CBC, liver and thyroid function, amylase, lipase, and anything else as advised after a clinical evaluation by a Gastroenterologist.
Contrast enhanced CT scan of teh abdomen.
Colonoscopy.
Tests for gluten and other intolerance.
Your keen observations about hte foods and beverages that cause such a problem and stop them altogether.
If all the investigations are normal then get treated on the basis of IBS that is irritable bowel syndrome and get a control over the stress and the anxiety.
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Suggest Treatment For Dysentery

Hi. Thanks for your query. Noted the history and understood the concerns. Dysentery since 1088 is a long time to suffer without a proper diagnosis or medication. Since you have undergone the investigations as mentioned by you the real ones are not done or mentioned. I would advise you hte following: First of all stop Doxycyclin as it is not working at all. Get the stool tests done for three consecutive days and get treated as per the cause found. Also required are the tests of blood for CBC, liver and thyroid function, amylase, lipase, and anything else as advised after a clinical evaluation by a Gastroenterologist. Contrast enhanced CT scan of teh abdomen. Colonoscopy. Tests for gluten and other intolerance. Your keen observations about hte foods and beverages that cause such a problem and stop them altogether. If all the investigations are normal then get treated on the basis of IBS that is irritable bowel syndrome and get a control over the stress and the anxiety.