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Suggest Remedy For Nausea, Diarrhoea And Abdominal Cramps After Having Cipro

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Posted on Tue, 17 Nov 2015
Question: I was diagnosed with diverticulitis in the ER 5 days ago and have been taking Cipro and Flagl religiously since then. I have every side effect from the antibiotics...pain, nausea, vomiting, diarhhea, cramps...just awful. I take pain pills every 6 hours (hydrocodone). Sleeping well, thank goodness. Isn't it time I felt better? Should I ask for a different antibiotic? Also, I have no appitite. Feel weak. Have to urinate frequently but not a lot at one time. I am almost 60 years old and a female. Healthy otherwise. Your opinion, please!
doctor
Answered by Dr. Shoaib Khan (29 minutes later)
Brief Answer:
Here is my opinion, and a lot of extra information for you ma'am

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. In my opinion, it appears to me that you really have not been well educated on the condition and I shall try my best to help you with that.

Treatment guidelines/approaches for diverticulitis:

1. Antibiotics: To be used ONLY if an infection is found, and only for the recommend course (7-14 days) to help treat the infection, and nothing more

2. Mild anti-inflammatory (e.g. ibuprofen, paracetamol)

3. Liquid diet: Until your bowels can get back to functioning the normal way (2 weeks)

4. If an abscess has been found: Surgical drainage

5. But in my opinion, the most important aspect of avoiding future episodes and continuation of symptoms is by avoiding trigger factors. I shall go ahead and list some of the most common trigger factors, but please understand that there can be numerous others and a few which are individual-specific (not seen in others, but present in some) and so you will have to observe how your body responds to the various foods. Some of the most common ones are:

+Popcorn
+Chocolate
+Tea
+Spicy food
+Oily food
+Fatty food
+Caffeine and all products containing it
+Milk and dairy products
+Gluten and all products containing it
+Fried food
+Carbonated drinks
+Sugar
+Tyrosine
and a few others.

So in response to your question; antibiotics are not to treat diverticulitis but to just treat the infection that is sometimes seen with it, the main treatment is listed above for you ma'am.

But you can ask your doctor to conduct a blood test to check on the infection (whether it is still present or not), because if it is not then you should request for another antibiotic.

The reason why you have been urinating frequently is most probably because:

1. The intestine swells up during an episode of diverticulitis, which puts a certain amount of pressure on the surrounding structures (e.g. the urinary bladder); resulting in increased frequency

2. The frequent stools being passed could have resulted in transmission of infection-causing bacteria to the urogenital tract

I am an IBS-sufferer, and have found relief in just avoiding the trigger foods and drink more effective than the use of medications. I hope I have explained things in a manner best understood by you. Please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (40 hours later)
Taking Cipro and Flagyl religiously, how long does it take for the infection to go away? It's been since last Tuesday...now it's the next Tuesday.
I called my gastro dr yesterday morning for an appt but he is out all week. I called my family doc and he was too busy to see me in the next few days! Frustrating.
My mornings are bad with cramping and diahrrea, nausea. No appetite still. At least no fever. The remaining of the day is just ok. Is there light at the end of the tunnel? Thank you so much for your replies. It gives me peace of mind.
doctor
Answered by Dr. Shoaib Khan (3 hours later)
Brief Answer:
The antibiotics should have helped by now

Detailed Answer:
Hello once again ma'am.

Antibiotics usually take effect within the first 48 hours, but in conditions like diverticulitis they can take a little longer. As you have already been on antibiotics for more than a week now, there can be only 2 possible scenarios:

1. The particle antibiotics prescribed are not doing their job or you are resistant to them; either way requiring a change in prescription.

2. You are not giving your body a chance to recover, possibly by the continuation of consumption of trigger foods (as mentioned earlier)

I would recommend a doctors visit as soon as you can get one, I understand that is frustrating in your country, but you may require a revision in your prescription, and any doctor around the world should be able to give time to a patient who he/she has once committed to (by writing them a prescription).

The light at the end of the tunnel can only be seen once you understand your condition, and learn what makes things worse and what can be tolerated, allowing you to live a normal and comfortable symptom-free life.

Please do not hesitate to write back to me anytime. Our conditions might be different, but our symptoms are more or less the same (as I am an IBS-sufferer, having symptoms like yours whenever things get out of hand).

Best wishes.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Remedy For Nausea, Diarrhoea And Abdominal Cramps After Having Cipro

Brief Answer: Here is my opinion, and a lot of extra information for you ma'am Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. In my opinion, it appears to me that you really have not been well educated on the condition and I shall try my best to help you with that. Treatment guidelines/approaches for diverticulitis: 1. Antibiotics: To be used ONLY if an infection is found, and only for the recommend course (7-14 days) to help treat the infection, and nothing more 2. Mild anti-inflammatory (e.g. ibuprofen, paracetamol) 3. Liquid diet: Until your bowels can get back to functioning the normal way (2 weeks) 4. If an abscess has been found: Surgical drainage 5. But in my opinion, the most important aspect of avoiding future episodes and continuation of symptoms is by avoiding trigger factors. I shall go ahead and list some of the most common trigger factors, but please understand that there can be numerous others and a few which are individual-specific (not seen in others, but present in some) and so you will have to observe how your body responds to the various foods. Some of the most common ones are: +Popcorn +Chocolate +Tea +Spicy food +Oily food +Fatty food +Caffeine and all products containing it +Milk and dairy products +Gluten and all products containing it +Fried food +Carbonated drinks +Sugar +Tyrosine and a few others. So in response to your question; antibiotics are not to treat diverticulitis but to just treat the infection that is sometimes seen with it, the main treatment is listed above for you ma'am. But you can ask your doctor to conduct a blood test to check on the infection (whether it is still present or not), because if it is not then you should request for another antibiotic. The reason why you have been urinating frequently is most probably because: 1. The intestine swells up during an episode of diverticulitis, which puts a certain amount of pressure on the surrounding structures (e.g. the urinary bladder); resulting in increased frequency 2. The frequent stools being passed could have resulted in transmission of infection-causing bacteria to the urogenital tract I am an IBS-sufferer, and have found relief in just avoiding the trigger foods and drink more effective than the use of medications. I hope I have explained things in a manner best understood by you. Please do not hesitate to write back to me for any further clarifications, I am always here to help. Best wishes.