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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Entamoeba Histolytica Infection, Cyst Of E Histolytica. Taken Metronidazole, Clotrimazole. Why Do I Have Frequent Infestation?

Is Cotrimoxazole used to treat Entamoeba histolytica infection? Actually I have taken metronidazole + DF twica already, it worked for few days only. Again then the same symtoms starts and when stool is examined ceverytime cyst of E histolytica and sometime trophozoites are seen. Doctor here gave me scnidazole also for couple of times. although i very cercerned about my food and water, i am have this infestation frequently and bothering me a lot. Is there anything like wahing whole colon properly for this before starting treatment? Can Cotrimoxazole helps in this case?
I am really bothered with this. If you are albe to solve this problem i will be really grateful with you. In that case God will definitely blesses you.

With regards
Sudip
Mon, 28 Oct 2013
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Infectious Diseases Specialist,  's  Response
Hi,
Welcome to HCM.
There is some confusion regarding medications you have been prescribed.
Clotrimazole is antifungal, Cotrimoxazole is antibacterial and is not useful in ameobiasis.
E.histolytica causes intestinal amoebiasis which could occur in two forms.
Patient passes cysts without any symptoms.
Symptomatic patients who have diarrhea similar to dysentry.
Some patients may develop complications where the infection spreads to other organs like liver, lung etc.
Recurrent infection occurs due to inadequate therapy or repeated ingestion of contaminated food and water.
I am suspecting both in your case.
Please complete the full course of therapy for the infection and avoid eating or drinking outside.
Treatment has to be taken for 5-10 days.
Improved personal hygiene is a must. Hand washing before eating and after passing stools is very important.
Thanks.
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Entamoeba Histolytica Infection, Cyst Of E Histolytica. Taken Metronidazole, Clotrimazole. Why Do I Have Frequent Infestation?

Hi, Welcome to HCM. There is some confusion regarding medications you have been prescribed. Clotrimazole is antifungal, Cotrimoxazole is antibacterial and is not useful in ameobiasis. E.histolytica causes intestinal amoebiasis which could occur in two forms. Patient passes cysts without any symptoms. Symptomatic patients who have diarrhea similar to dysentry. Some patients may develop complications where the infection spreads to other organs like liver, lung etc. Recurrent infection occurs due to inadequate therapy or repeated ingestion of contaminated food and water. I am suspecting both in your case. Please complete the full course of therapy for the infection and avoid eating or drinking outside. Treatment has to be taken for 5-10 days. Improved personal hygiene is a must. Hand washing before eating and after passing stools is very important. Thanks.