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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribed With Antibiotics For Swollen Glands. Having Chills, Fever And Diarrhea. History Of Amoebae And Liver Pain. Greenish Black Stool

Hello. I am a 57 year old man who has been living in the Caribbean and Central America for the last eight years. I have had swollen glands for several weeks. I was prescribed an antibiotic in the BVI three weeks ago and took it for a week. On the last day, I had an attack of chills, and a fever of 101, then diarrhea . Since that time I have had three more lapses of chills and fever, not as bad as the first time. I saw another doctor three days ago who prescribed Bactirim DS which i have been taking with no improvement since Wednesday. Two and a half years ago I was diagnosed with an amoebae in Venezuala and give a treatment which seemed to help. Beginning about six months ago I had acute liver pain but that has largely gone away. I am a light drinker (1or2, one or up to three times a week) I believe I may have a parisite and have gone to Quest for that already...awaiting results I am having blackish or very dark green stool , very loose and I am shaky. I am a sailor who has sailed to 22 countries and I am on my boat right now. I had an ultrasound on my liver three weeks ago and it was called normal and it does not hurt now
Wed, 22 Aug 2012
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Gastroenterologist 's  Response
Hello, sailadventurer,
You tell us that you were treated with antibiotics for your infection.
I am assuming that you are treated successfully for amoebiasis.
You can always be re-tested for that. You were recently treated
with a sulfa drug.The problem could be antibiotic associated
colitis caused by C.Difficile organism. Your green and black stool
indicates that there may be hidden blood in the stool.
I would recommend that you have your stool checked for the
presence of Toxin A &B. If this is positive, you might need
a different treatment.Talk to your doctor abput this possibility.
Wish you good health.
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Prescribed With Antibiotics For Swollen Glands. Having Chills, Fever And Diarrhea. History Of Amoebae And Liver Pain. Greenish Black Stool

Hello, sailadventurer, You tell us that you were treated with antibiotics for your infection. I am assuming that you are treated successfully for amoebiasis. You can always be re-tested for that. You were recently treated with a sulfa drug.The problem could be antibiotic associated colitis caused by C.Difficile organism. Your green and black stool indicates that there may be hidden blood in the stool. I would recommend that you have your stool checked for the presence of Toxin A &B. If this is positive, you might need a different treatment.Talk to your doctor abput this possibility. Wish you good health.