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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Be Given For Chest Infection And Pneumonia?

Hello! Im 40 years old, I went on vacation to Mexico in July 2008, where I had a milkshake everyday (14) and on the last day we discover that the strawberries whee never desinfected and had been grown on sewer waters. Then in August my dog got some parasite infection with 3 different strains (he was succesfully treated). Then in october I eat out and got watery stools for 30 days. I was the treated wit antibiotics for 10 days (flagyl) and got better, but my blood work show low Iron (25) took some iron but not improvement. Got 3 infections of chest and pneumonia in the following 4 months (took antibiotics) the had test to detect H pylori and got treated for it. the iron still was not up. Endoscopy show some damage of villi and inflamation on the stomach, small intestine and infamation on colon with lymphocites pathologist suggested looks like Tropical Sprue. Celiac panel test and came up negative. I was told to stay in the diet but not improvement on the iron levels in fact is been on 7 to 12 for the last 2 years. Barium test done n June '10 and show some blockage and a Ct scan showed looks like a Lymphoma so a needle biopsy was done and the test came back as some granuloma. By november the GI put me on Doxycycline for a month. in January '11he put me on more Doxycycline but this time he said to make it for a year. My problem has begun the because form the first two days i started getting terrible pain in stomach, vomit, distention, pain gas. I had an x ray that shows is small partial obstruction but nothing has help much. I had another ct scan and the radiologist believes to be lymphoma while the gastroenterologist Not, he put me on prednisone for a course of 14 days (2 days 7 pills, the 6 pills, and soon)
i felt for the first time really good but by the time I was on 2 pills the distention, vomit, etc. was back. Now he put me on prednisone for longer. Since April 6 on 5 pills, the lower to 4 every 2 weeks, It got bad again And now I'm at 6 pills again but yesterday I was in such terrible pain form all the gas inside, I looked like I was 7 month pregnant! I also discovered some sweling in the base of the neck but the doctor examine it and looks like lipoma probable prednisone side effect. Eating is the think to help, as long as I have something every hour. Can this all be H pylori even in the jejunum where the "granuloma" is? How can lymphoma be ruled out? I am very confused Can you help?
Tue, 12 Apr 2016
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Infectious Diseases Specialist 's  Response
Hi,

Welcome to HCM.

I understand your concern about your illness and the affect these are having on your lifestyle.

First of all, if H.pylori infection is confirmed you have to get appropriate treatment. H.pylori usually affects the first part of small intestine and the pylorus of the stomach.

Increased flatus, abdominal pain, vomiting is also seen in giardiasis, a common protozoal infection.
I suggest you get a routine stool examination done to rule out parasitic infections.

Now coming to presence of lymphoma, I suggest you trust your gastroenterologist. Intestinal lymphomas can be confirmed by biopsy only.
If you are very anxious about it, discuss biopsy options with your gastroenterologist.

Dietary changes are a must to avoid increased flatus and gastrointestinal disturbances. Avoid fatty foods, caffeine, spicy foods and drink adequate amount of water to aide easy digestion.

I hope I have been able to help you with my answers .

Wishing you good health.

Thanks


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What Can Be Given For Chest Infection And Pneumonia?

Hi, Welcome to HCM. I understand your concern about your illness and the affect these are having on your lifestyle. First of all, if H.pylori infection is confirmed you have to get appropriate treatment. H.pylori usually affects the first part of small intestine and the pylorus of the stomach. Increased flatus, abdominal pain, vomiting is also seen in giardiasis, a common protozoal infection. I suggest you get a routine stool examination done to rule out parasitic infections. Now coming to presence of lymphoma, I suggest you trust your gastroenterologist. Intestinal lymphomas can be confirmed by biopsy only. If you are very anxious about it, discuss biopsy options with your gastroenterologist. Dietary changes are a must to avoid increased flatus and gastrointestinal disturbances. Avoid fatty foods, caffeine, spicy foods and drink adequate amount of water to aide easy digestion. I hope I have been able to help you with my answers . Wishing you good health. Thanks