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Suggest Treatment For Anorexia, Severe Diarrhea And Abdominal Cramps

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Posted on Sat, 4 Jul 2015
Question: I'm just out of hospital. I was in for 16 weeks for anorexia. I had severe diarhea and abdominal cramps and was told I had C-Diff. I started a feeding tube which I am continuing with at home. I've been home 2 weeks now and I feel really unwell. I'm not sure if it's the Jevity Promote feed, C-Diff or a bowel problem.
I've been really bloated and have very painful abdomen. I gave severe diarhea and I'm seeing red blood and square solid objects in my stools. I'm also getting very hot and clammy then have chills. I am really nauseous but afraid to vomit as I have an ng tube inserted.
In hospital I had refeeding syndrome. My potassium , phosphate and calcium levels were always dropping. I'm a 36 year old female. I'm wondering whether to make an appointment with my dr?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (40 minutes later)
Brief Answer:
Rather than an appt w/ your dr, go to ER

Detailed Answer:
It sounds like you are quite sick now and possibly have a fever. And with the history of electrolytes dropping, I think you need to be seen at a facility where they can easily test your blood for these such as an ER.

My concern is that you are passing blood, may have a fever (and possibly bacteremia) and a very painful abdomen. It could be the C-diff, in which case you may feel better from having it treated with an antibiotic. In the US, doctors are now also prescribing a particular probiotic which has shown significant efficacy with C-diff called Saccharomyces Boulardii.

Compounding this is the refeeding syndrome and risk of electrolyte imbalance.

So I would not wait but would encourage you to go to a facility where your blood work can be done quickly and you can be evaluated. Don't wait.

I hope this information helps.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Anorexia, Severe Diarrhea And Abdominal Cramps

Brief Answer: Rather than an appt w/ your dr, go to ER Detailed Answer: It sounds like you are quite sick now and possibly have a fever. And with the history of electrolytes dropping, I think you need to be seen at a facility where they can easily test your blood for these such as an ER. My concern is that you are passing blood, may have a fever (and possibly bacteremia) and a very painful abdomen. It could be the C-diff, in which case you may feel better from having it treated with an antibiotic. In the US, doctors are now also prescribing a particular probiotic which has shown significant efficacy with C-diff called Saccharomyces Boulardii. Compounding this is the refeeding syndrome and risk of electrolyte imbalance. So I would not wait but would encourage you to go to a facility where your blood work can be done quickly and you can be evaluated. Don't wait. I hope this information helps.