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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Cat Bite, Redness, Swelling, Infected, Nausea, Loss Of Appetite, Diarrhea. Taken Augmentin. Help?

I was bitten in the back of my hand by one of our cats, and the puncture wound became infected (mild redness and swelling). I was given an oral antibiotic, Augmentin; a tetanus shot; and an IV antibiotic (2 days later, when the swelling and redness occurred). I have been experiencing nausea, loss of appetite, and uncontrollable diarrhea. Yesterday alone, I took 10 Imodium, and my diarrhea is not stopping. I have only one day left (2 doses) of my Augmentin. The swelling around my bite has gone down to barely puffy around the puncture itself. Is it safe for me to stop taking the Augmentin so I can stop the diarrhea (I have IBS, and it doesn't take much to make my bowels irritated)?
Fri, 12 Apr 2013
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Dermatologist 's  Response
The Cat bite is usually associated with infection with Bartonella Henselea and secondary bacterial infection.It is very important to complete the course of antibiotics to completely remove the infection from the system.

You are having sideeffects due to long term antibiotic use.The most common side effects is diarrhea due to the clearing of gut flora by the antibiotics.You can ask your doctor to prescribe you Lactobacillus capsules which will renew the gut flora again and decrease the incidence of diarrhea.

Hope it helps
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Dermatologist Dr. R.G. Joshi's  Response
HI,thanks for writing here.Cat bite or any other animal bite always leads to secondary infection .In your case infection is skin deep leading to cellulitis and it always requires higher antibiotics like augmentin.Augmentin disturbs normal intestinal flora leading to diarrhea ,and it will subside once you stop the drug.You can take lactobacillus suppliment with multivitamins ,also take antacids for control of nausea .Always take full course of antibiotics as prescribed by your doctor.You can just apply ice over puffy area to reduce swelling.
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Had A Cat Bite, Redness, Swelling, Infected, Nausea, Loss Of Appetite, Diarrhea. Taken Augmentin. Help?

The Cat bite is usually associated with infection with Bartonella Henselea and secondary bacterial infection.It is very important to complete the course of antibiotics to completely remove the infection from the system. You are having sideeffects due to long term antibiotic use.The most common side effects is diarrhea due to the clearing of gut flora by the antibiotics.You can ask your doctor to prescribe you Lactobacillus capsules which will renew the gut flora again and decrease the incidence of diarrhea. Hope it helps