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What does this stool analysis report indicate?

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Posted on Sat, 5 Dec 2015
Question: Enterobacter (abundant) and few trophozoite forms of Dientamoeba fragilis came back on a stool analysis done by Biohealth Labs. What further workups and/or treatment am I looking forward to? eg blood test urine etc
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Answered by Dr. Amit Jain (5 hours later)
Brief Answer:
Take antibiotics of class carbamapenem and metrondazole

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). I have gone through your past medical history, and I can understand your concern. I will suggest you to get one more test that is stool culture examination. Meanwhile take a course of antibiotic of carbamapenem group like faropenem for enterobacter. And for dientamoeba take metronidazole. Take these medicines for 10 days. Meanwhile if culture report comes then antibiotics as per report.
I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Follow up: Dr. Amit Jain (41 hours later)
I have had doctor's data csap x 3 which came back with dysbiotic range of 3+ klebsiella pneumoniae ssp, 2+ candida glabrata. Plus moderate yeast, out of range low elastase (72), muscle fibers (few), lactogerrin outside of range 22.6, lysozyme 676, secretary IgA 368, low ph 5.5.

Please respond further and let me know if this question is more appropriately directed to an infectious disease specialist.

Thank you.
I uploaded doctor's data csap x 3 report, could not upload biolhealth 401h which WAS a stool test, by the way. Gluten sensitivity after seven days of gluten consumption tested on day 25 (18 days after last gluten) showed out of range Native & Deamidated Gliadin 33 IgG, equivocal Alpha Gliadin 17-mer IgG and out of range Gliadin-Transglutaminase Complex IgG . this is second message sent today.

thanks.
doctor
Answered by Dr. Amit Jain (13 hours later)
Brief Answer:
Please upload the reports

Detailed Answer:
Welcome back. Sorry for delay. I could not find any report uploaded here. If you have a copy of the test report, please upload it here. This will allow me to understand it better and answer you more effectively. You may also mail the same to YYYY@YYYY with subject as "Attn: Dr. Amit Jain" in case you have a problem while uploading.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Amit Jain (8 days later)
I did not see this follow up reply you sent 11/3. I have uploaded three reports, which according to the system, were all successful. Please let me know if you do not receive both.

Thank you.
actually, only two of the documents went thru. I will send the third to the email, I suspect it is too long for this portal.
doctor
Answered by Dr. Amit Jain (3 hours later)
Brief Answer:
take a course of faropenem

Detailed Answer:
Welcome back. I have gone through the reports. Stool examination showed abundant bacteria for which I have earlier suggested you to take antibiotic of carbanapenem group like faropenem. Wheat test appears to be normal. I hope I have satisfied your query. Wish you good health
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Amit Jain

Gastroenterologist

Practicing since :2000

Answered : 1524 Questions

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What does this stool analysis report indicate?

Brief Answer: Take antibiotics of class carbamapenem and metrondazole Detailed Answer: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). I have gone through your past medical history, and I can understand your concern. I will suggest you to get one more test that is stool culture examination. Meanwhile take a course of antibiotic of carbamapenem group like faropenem for enterobacter. And for dientamoeba take metronidazole. Take these medicines for 10 days. Meanwhile if culture report comes then antibiotics as per report. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.