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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need medication for chronic diarrhea

Hi, my husband has been having chronic diarrhea for over a month and doesn t know what is the cause. Watery,loose stools, sometimes very dark colored at least 4 times a day. Abdominal cramping only when he lies down, no dehydration, no fever, he actually FEELS fine. Prior to the diarrhea he was constipated off and on. A couple of days before the diarrhea he ate spicy sausage and potatoes at a seafood broil ( he s allergic to shellfish), then came the diarrhea. It hasn t stopped yet. Since then he s had oral surgery and also had an infected finger which had to be lanced and drained. So he s taken[Simvastatin 80mg(cholesterol), Clindamycin 300mg(antibiotic), Sulfameth/Trimethroprim 800/160mg(antibiotic), Dexamethasone 1mg(steroid), Diphenoxylate-Atropine tab(anti-diarrheal), omeprazole] since then. The diphenoxylate was prescribed 4 days ago by ER doctor who performed no test but said its not Chrons disease, its just stress. The medication only SOMETIMES stops the urge, but diarrhea still present along with the cramping when lying down. He had blood work taken in Feb (CBC) and all was fine. His work inconvenience s him from seeing his primary doctor. He is age 40, he does drink one or two beers a day between five to seven days a week, doesn t smoke. He stopped drinking when he was on the antibiotics and also he was taking both antibiotics at the same time. He started one right after the other, one was prescribed first for the oral surgery and the other for the infected finger. Do u have a general idea of what the problem may be? He s afraid it may be pancreatic cancer or ulcerative cancer....can you help?
Thu, 18 May 2017
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General Surgeon 's  Response
Respected user, hi I evaluated your query thoroughly.
* Most probable diagnosis through your narration is Antibiotic induced
diarrhea altering gut flora mechanism.
* These are not signs of cancer , don`t hesitate or panic out right now .
* Follow certain measures at home which will help him to recover at earliest
- plenty of liquids preferably boiled water, coconut water , lemon juice ,
green tea, coffee, butter milk etc.
- have small amount of light diet at regular intervals with curd particularly.
- avoid all oily / spicy / non vegetarian stuffs / beverages / junk foods
- avoid alcohol totally .
- avoid stress / anxiety .
- chew food thoroughly .
- do regular walking , exercises , YOGA at home with particular attention to
KAPALBHATI & ANULOMVILOM for 30 minutes daily without failure.
- in our clinic we recommend metronidazole , lactobacillus acoording to the
clinical severity
- avoid exposure to excess heat.
Hope this helps him.
Thanks for using Healthcaremagic.com & giving me an opportunity to assist
you.
Welcome for any further queries.
wishing him fine recovery from the same.
Regards dear take care.
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