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Suggest Treatment For Severe Diarrhea While On Pepto Bismol

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Posted on Wed, 10 May 2017
Question: I am having diarrhea for more than four days. I took Pepto Bismol and i didn't help. I saw the nurse practitioner at my doctor's office and she had me submit stool samples for testing. I continue to have very loose stool. Do you have any suggestions ?
Thank you, Renate
doctor
Answered by Dr. Ramesh Kumar (31 minutes later)
Brief Answer:
Gastroenteritis most likely.

Detailed Answer:
Hi
Thanks for choosing HealthcareMagic for your query,

Most likely you are having Gastroenteritis. Gastroenteritis is inflammation of intestinal mucosa. Most commonly caused due to viral infection however it can be a bacterial or protozoal infection also. Diarrhoea, bloating, nausea and vomiting are most common symptoms. Its not necessary that each patient has all symptoms.

I would initially recommend you to wait for stool routine and microscopy test to rule out the cause of infection.I would suggest you to take,

Loperamide 2mg sos (as and when required) to stop loose stools.

For cramping and spasmodic pain i would suggest you to take Dicyclomine along with Mephanemic acid twice daily.

A good quality probiotic like Econorm can be given twice daily for few days.
A short term course of antibiotic and antiprotozoal can be taken after reports of stool test if required.
Keep Metochlorpromide tablet with you in case he start's feeling nausea you can take it.
Take a plenty of fluid especially those rich in electrolytes like Orange juice,Coconut water.
Hydration should be maintained.

Keep an eye over blood pressure.In case if systolic B.P falls below 110mm of hg go to the nearest emergency department for parentral therapy.

Hope i answered your queries well.
In case you need any further details feel free to ask i would be happy to help.

Regards.
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Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Treatment For Severe Diarrhea While On Pepto Bismol

Brief Answer: Gastroenteritis most likely. Detailed Answer: Hi Thanks for choosing HealthcareMagic for your query, Most likely you are having Gastroenteritis. Gastroenteritis is inflammation of intestinal mucosa. Most commonly caused due to viral infection however it can be a bacterial or protozoal infection also. Diarrhoea, bloating, nausea and vomiting are most common symptoms. Its not necessary that each patient has all symptoms. I would initially recommend you to wait for stool routine and microscopy test to rule out the cause of infection.I would suggest you to take, Loperamide 2mg sos (as and when required) to stop loose stools. For cramping and spasmodic pain i would suggest you to take Dicyclomine along with Mephanemic acid twice daily. A good quality probiotic like Econorm can be given twice daily for few days. A short term course of antibiotic and antiprotozoal can be taken after reports of stool test if required. Keep Metochlorpromide tablet with you in case he start's feeling nausea you can take it. Take a plenty of fluid especially those rich in electrolytes like Orange juice,Coconut water. Hydration should be maintained. Keep an eye over blood pressure.In case if systolic B.P falls below 110mm of hg go to the nearest emergency department for parentral therapy. Hope i answered your queries well. In case you need any further details feel free to ask i would be happy to help. Regards.