Brief Answer:
Probiotics,diet changes,take plenty of fluids;antibiotics combination...

Detailed Answer:
Hi my dear,

I have gone through your medical history carefully and I am really sorry for the situation you are in.

Antibiotics use is often associated with diarrhea and colitis attack. That's why when prescribing antibiotics, I always advise my patients to also take:
- probiotics to normalize intestinal flora that is altered due to antibiotic use
- take anti-mycotic medication (e.g. nystatin) to fight candida infection that is often triggered by antibiotic use
- taking a combination of antibiotics (one to fight bladder infection and the other to fight diarrhea such as metronidazole) can also help
- take more rest when having diarrhea from antibiotic use
- increase water/fluids intake with ORS to replace the lost electrolytes
- make changes in the diet: avoid those foods that would aggravate diarrhea (e.g. dairy, fatty/spicy/chilly foods, and whole grains, beans, coffee, alcohol).

You can discuss this further with your doctor.
Dr.Albana

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Brief Answer:
Following answer

Detailed Answer:
Hi back,

1. Metronidazole is not for yeast infection. It is an antibiotic with primary effect on anaerobic bacteria and some parasites.

I think you might be talking about Miconazole which is anti fungal medication.

2. The advice given earlier are alternatives and assistance (solution) we give to the patients with the same problems as you.

3. Antibiotics will be prescribed if you really need to take them considering the precautions I mentioned earlier.
In such cases, narrow spectrum antibiotics might be choosen as broad spectrum antibiotics use are more associated with diarrhea.

4. Microscopic colitis is an inflammation of colon. It is diagnosed by colonoscoy and sigmoidoscopy with biopsy;stool analysis; complete blood count and upper endoscopy with biopsy as other pathologies should be ruled out.

5. Treatment consists of :
- diet changes as mentioned earlier
- antidiarrheic medications as mentioned earlier
- anti inflammatory medications including steroids
- drugs that block bile acids
- immunosuppressants to consider as last line of medical therapy
- surgical removal of the affected colon is the last alternative to consider if medications fail to work

6. You are taking lialda which is used for ulcerative colitis which is a different diagnosis. That's why it is important to identify the right diagnosis for proper treatment. You can send any lab test you might have to me for further evaluation.

Hope it answered to your original query.
Dr.Albana

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