Suggest Treatment For Diarrhea And Lack Of Appetite While On Nexium

Posted on Fri, 29 Jan 2016

Question: I am taking nexium 40 mg for 10 years I had colanoscopy and enoocopy two weeks ago all negitive but I have silva mucas and still have gurd and diarria taking flagel terrible taste in my mouth have no appitite my internist thinks i have a infection in my stomach thinks i should have cpro I just dont know who to believe?

Answered by Dr. Dr. Klerida Shehu (1 hour later)

Brief Answer:
Please follow....

Detailed Answer:
Hi and thank you for asking!
I read carefully all your concerns and I can say as follows:
1. I need more medical information like :
- terrible taste in your mouth has started before or after flagel use?
- please can you upload colonoscopy and endoscopy report so I can check them by myself.
- How long do you have diarrhea? It is an acute or chronic situation ?
2. It's true that your symptoms like diarrhea, no appetite ,heartburn may be related with stomach flu or acute gastrointestinal infection, especially if your symptoms are less than 3 weeks.
So it makes sense to start cyprofloxacine and probiotics.
On the other hand you have used Nexium for a long time and it may cause bacterial imbalance in your gut that cause diarrhea. This is why I suggest to start both Cipro and probiotics.

3. With regards to GERD ,I recommend to:
- use antacids like Gaviscon
- use two pillows when you lay down
- avoid coffee, tea, chocolate
- eat often and small amount of meal
- eat 3-4 hour before go to bed
Meantime I suggest to do:
- breath test for H.Pylori infection
- culture stool test
- stool test for C. difficile
Please discuss the exams mentioned above with your internist.
Hope it was helpful to you
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (1 hour later)

As you can see from the report, I also have diverticulosis. I was in the hospital after the collinoscopy twice for dehydration, and I was thoroughly checked from the top of my head, cardiac, respiratory, lots of blood test, cat scans, basically everything possible. They gave me adavan and magnesium and everything turned up negative. This issue began four weeks ago after I went to a restaurant and had fried shrimp, fried onion rings and a small piece of snapper, the next morning i did not feel well stomach wise and had a sensation in my throat thats when the reports that you have were ordered. My Gastro Doctor gave me four tinidazole 500 mg tablets to take at once, which i did and it cleared up the sensation I had in my throat. but everyday i have saliva from my throat which is unsual because I can not stop spitting. My internist whom recommended flagil also took a stool sample and I will not have the results until next week for that, however he feels that I do have a stomach infection, after you review the documents please let me know what you believe my next course of action. Any help or information you give me will be greatly appreciated. I scanned a total of 5 documents for you to view.

Answered by Dr. Dr. Klerida Shehu (18 hours later)

Brief Answer:
Please follow...

Detailed Answer:
Hi back
Thank you for giving me more of your medical data.
After reviewing all your history and medical data I can say as follows:

1. You are reporting that all of these started after consuming fried shrimp, fried onion rings. It is commune to have GI issues, bacterial gut misbalance, bowel infection( especially C. Difficile) after using fried seafood.

2. Another important finding is that you have diverticulosis. Your symptoms may be related too with a mild diverticulitis after a bowel infection.

3. This is why I agree with your internist to start Ciprofloxacin, Flagyl and probiotics.
Because It seems that all your symptoms are related with an infection caused after fried foods.

Hope It will help you.
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar