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Suggest Treatment For Severe Abdominal Infection While On Venlafaxine
Question: Dear sir,
I very frequent suffer from abodomen infection.In last two month it has been 04 times I suffered from abodemen infection.I used to take o2 during infection as advised by physician. Last time I also taken saline through vene.
What tests are recommended? .I also take more non-veg products like chicken; red meat & fish.
I am also taking venlafaxine 150 mg for depression & tapering it slowly.
I am afraid of weak immune system .
Please advise me & fix line of action. XXXXXXX XXXXXXX
I very frequent suffer from abodomen infection.In last two month it has been 04 times I suffered from abodemen infection.I used to take o2 during infection as advised by physician. Last time I also taken saline through vene.
What tests are recommended? .I also take more non-veg products like chicken; red meat & fish.
I am also taking venlafaxine 150 mg for depression & tapering it slowly.
I am afraid of weak immune system .
Please advise me & fix line of action. XXXXXXX XXXXXXX
Brief Answer:
Need detailed evaluation
Detailed Answer:
Hello,
I can understand your concern on GI symptoms.
1) What other abdominal symptoms you have than diarrhea?
2) Repetitive loose motion require detailed evaluation to confirm the cause. For this you might require consultation with gastroenterologist, blood tests for white cell count, stool examination, colonoscopy, USG abdomen.
3) Your treatment is effective to relieve symptoms of diarrhea but without knowing exact cause, it is not possible to provide cause-specific curative treatment and hence there will be high chance of re-development of symptoms.
4) Different causes for repetitive diarrhea are irritable bowel syndrome, inflammatory bowel disease, food poisoning.
Need detailed evaluation
Detailed Answer:
Hello,
I can understand your concern on GI symptoms.
1) What other abdominal symptoms you have than diarrhea?
2) Repetitive loose motion require detailed evaluation to confirm the cause. For this you might require consultation with gastroenterologist, blood tests for white cell count, stool examination, colonoscopy, USG abdomen.
3) Your treatment is effective to relieve symptoms of diarrhea but without knowing exact cause, it is not possible to provide cause-specific curative treatment and hence there will be high chance of re-development of symptoms.
4) Different causes for repetitive diarrhea are irritable bowel syndrome, inflammatory bowel disease, food poisoning.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Some reports have been uploaded based on advise of my physician.SGPT is on higher side.he advised to take oil & ghee free diets .Non veg diet to be stopped & advised adliv fort.
Looking forward for your guidance plz.
More test if required plz advise
Looking forward for your guidance plz.
More test if required plz advise
Brief Answer:
elevated white cell counts indicate infection
Detailed Answer:
Hello,
I apologize for late reply.
1) Yes, fat-free diet is must based on elevated SGPT report. This might also cause fatty liver i.e. fat deposition in liver tissue which can be detected on USG abdomen. If you have not done in last 3 months then it is recommended to undergo USG abdomen based on elevated SGPT report.
2) Total white cell count is also elevated, suggesting presence of infection anywhere in body. Intestinal symptoms + high white cell count suggest possibility of intestinal infection and warrants to undergo stool examination (routine and culture) to detect specific infection. If you would have persistent symptoms with negative stool report then it is necessary for you to have a colonoscopy check to rule out mucosal diseases of intestine.
elevated white cell counts indicate infection
Detailed Answer:
Hello,
I apologize for late reply.
1) Yes, fat-free diet is must based on elevated SGPT report. This might also cause fatty liver i.e. fat deposition in liver tissue which can be detected on USG abdomen. If you have not done in last 3 months then it is recommended to undergo USG abdomen based on elevated SGPT report.
2) Total white cell count is also elevated, suggesting presence of infection anywhere in body. Intestinal symptoms + high white cell count suggest possibility of intestinal infection and warrants to undergo stool examination (routine and culture) to detect specific infection. If you would have persistent symptoms with negative stool report then it is necessary for you to have a colonoscopy check to rule out mucosal diseases of intestine.
Above answer was peer-reviewed by :
Dr. Yogesh D
Stool routine report is uploaded & will be accompanied by culture when report will come as advised by you.
Presently doctor advised following medicine
1) Enterogermina ( spores of polyantibiotic resistant bacillus Claudio)
2) Ursobld 150
3) O-Flov-o
4) velgut.
Please advise further line of action; any more medicine requirements
Physician advised for diet control & advised no need of further investigation but on ur advice I have done stool test & if u advise I can go for USG abdomen.
Please advise diet for me.
Presently doctor advised following medicine
1) Enterogermina ( spores of polyantibiotic resistant bacillus Claudio)
2) Ursobld 150
3) O-Flov-o
4) velgut.
Please advise further line of action; any more medicine requirements
Physician advised for diet control & advised no need of further investigation but on ur advice I have done stool test & if u advise I can go for USG abdomen.
Please advise diet for me.
Brief Answer:
non-specific intestinal bacterial infection.
Detailed Answer:
Hello, Welcome back,
Your stool report suggests non-specific intestinal bacterial infection for which empirical antibiotic treatment would be sufficient.
Yes, treatment as started by your physician is appropriate for your symptoms. You can ask him/her to add anti-colic medication to relieve from occasional colicky type of abdominal pain associated with intestinal infection.
USG abdomen is not necessary for stool infection. But as you mentioned about high SGOT level, USG abdomen should be done to rule out fatty liver (This will just confirm the condition, it will not impact on treatment. So it is not urgent to do USG abdomen)
Regards
non-specific intestinal bacterial infection.
Detailed Answer:
Hello, Welcome back,
Your stool report suggests non-specific intestinal bacterial infection for which empirical antibiotic treatment would be sufficient.
Yes, treatment as started by your physician is appropriate for your symptoms. You can ask him/her to add anti-colic medication to relieve from occasional colicky type of abdominal pain associated with intestinal infection.
USG abdomen is not necessary for stool infection. But as you mentioned about high SGOT level, USG abdomen should be done to rule out fatty liver (This will just confirm the condition, it will not impact on treatment. So it is not urgent to do USG abdomen)
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Stool culture report is also uploaded.
May please advise, whether USG abdomen is required.
Medicine prescribed are:-
1) Evion-400
2) Liv d 38 - Pantaljali product.
There is tendency of loose stool.
Please guide
May please advise, whether USG abdomen is required.
Medicine prescribed are:-
1) Evion-400
2) Liv d 38 - Pantaljali product.
There is tendency of loose stool.
Please guide
Brief Answer:
USG abdomen is not urgent. No intestinal infection.
Detailed Answer:
Hello XXXXXXX
1) There is bacteria present in your stool culture report but this type of bacteria is normal in intestine without any harm. You should continue antibiotics only if you have symptoms i.e. loose stool, lower abdominal pain.
2) USG report is not required for your present symptom or for decision making on present treatment.
I refer to USG abdomen on suspicion of fatty liver due to presence of elevated liver enzymes.
3) You can plan for USG abdomen later on if USG abdomen was not done recently in last 3-4 months.
Regards
USG abdomen is not urgent. No intestinal infection.
Detailed Answer:
Hello XXXXXXX
1) There is bacteria present in your stool culture report but this type of bacteria is normal in intestine without any harm. You should continue antibiotics only if you have symptoms i.e. loose stool, lower abdominal pain.
2) USG report is not required for your present symptom or for decision making on present treatment.
I refer to USG abdomen on suspicion of fatty liver due to presence of elevated liver enzymes.
3) You can plan for USG abdomen later on if USG abdomen was not done recently in last 3-4 months.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
USG report says renal stone and stomach infection.
I am in very tension after seeing USG abdomen.
Tab rifagut 550mg two times a day for five days
Tab velgut three times a day for five days
Advised by XXXXXXX doctor.
Please advise me what to do & precautions to be taken.
I am in very tension after seeing USG abdomen.
Tab rifagut 550mg two times a day for five days
Tab velgut three times a day for five days
Advised by XXXXXXX doctor.
Please advise me what to do & precautions to be taken.
Brief Answer:
No stomach infection, only mild fatty liver.
Detailed Answer:
Good morning,
I apologize for late reply.
I saw your reports.
1) There is no stomach infection on USG report not in stool report.
2) E.Coli bacteria is present in stool but this is normal bacteria present in human intestine.
3) Your treatment is correct and must continue it. Apart from it, you must take following precautions - fat-free diet, high protein-diet, intermittent fasting, regular exercise, avoidance of alcohol, use of omega-3 fatty acid containing oil for food preparation.
4) In some patients Tab Rifagut also causes loose stool but not to worry for it.
No stomach infection, only mild fatty liver.
Detailed Answer:
Good morning,
I apologize for late reply.
I saw your reports.
1) There is no stomach infection on USG report not in stool report.
2) E.Coli bacteria is present in stool but this is normal bacteria present in human intestine.
3) Your treatment is correct and must continue it. Apart from it, you must take following precautions - fat-free diet, high protein-diet, intermittent fasting, regular exercise, avoidance of alcohol, use of omega-3 fatty acid containing oil for food preparation.
4) In some patients Tab Rifagut also causes loose stool but not to worry for it.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Dear sir,
Thank for replying the Queries.
I would like to ask:-
1) USG report says '' concretion in lower calyx of left kidney''.is it sign of renal stone.(Please refer USG report) already uploaded.
2) Doctor says if you feel problem we will proceed for colonoscopy.Is there any requirement of colonoscopy.At present i am taking Tab rifagut 550mg two times a day for five days Tab velgut three times a day for five days as advised by doctor.Some time i feel tendency of passing stool.
3) Can i take rice,curd,milk,chapatti,egg.
4) Precautions to be taken to avoid recurrent stomach infection & renal stone.
5) i also take venix xr 75 mg & Betacap tr 40 mg for depression/GAD since 5 years .Is its effect .
Thank for replying the Queries.
I would like to ask:-
1) USG report says '' concretion in lower calyx of left kidney''.is it sign of renal stone.(Please refer USG report) already uploaded.
2) Doctor says if you feel problem we will proceed for colonoscopy.Is there any requirement of colonoscopy.At present i am taking Tab rifagut 550mg two times a day for five days Tab velgut three times a day for five days as advised by doctor.Some time i feel tendency of passing stool.
3) Can i take rice,curd,milk,chapatti,egg.
4) Precautions to be taken to avoid recurrent stomach infection & renal stone.
5) i also take venix xr 75 mg & Betacap tr 40 mg for depression/GAD since 5 years .Is its effect .
Brief Answer:
Follow up doubts
Detailed Answer:
Hello,
I apologize for late reply.
1) Renal concretion means deposition of salts as a raw material for stone formation.
2) At present there is no need for colonoscopy. You should continue treatment for a duration. If symptoms persist then can plan for colonoscopy.
3) Curd is good. If milk and rice aggravates diarrhea then you should avoid. You can take eggs
4) For renal stone - avoid dehydration, drink minimum 2.5 lit water daily. For stomach infection, properly cooked diet is must. Avoid unhygienic raw food.
5) You can continue your anti-depression medications.
Follow up doubts
Detailed Answer:
Hello,
I apologize for late reply.
1) Renal concretion means deposition of salts as a raw material for stone formation.
2) At present there is no need for colonoscopy. You should continue treatment for a duration. If symptoms persist then can plan for colonoscopy.
3) Curd is good. If milk and rice aggravates diarrhea then you should avoid. You can take eggs
4) For renal stone - avoid dehydration, drink minimum 2.5 lit water daily. For stomach infection, properly cooked diet is must. Avoid unhygienic raw food.
5) You can continue your anti-depression medications.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
New SGPT report attached & prescription of appointment in which new medicine detail is attached.
Condition improved
No loose motions & no stomach ache.
I m felling better & there is no need of colonoscopy if u advise I can do.
Concretion in kidney.
What precautions I have to take.
Uric acid is advisable or not.
Please advise line of action
Condition improved
No loose motions & no stomach ache.
I m felling better & there is no need of colonoscopy if u advise I can do.
Concretion in kidney.
What precautions I have to take.
Uric acid is advisable or not.
Please advise line of action
Brief Answer:
slightly elevated SGPT level
Detailed Answer:
Hello,
I apologize for late reply.
Your repeat repeat SGPT level is slightly elevated. You should take care to avoid high fat diet, taking high protein diet, doing regular exercise and intermittent fasting.
There is no need for uric acid level examination for concretion in kidney. You should take care of drinking adequate water daily to avoid dehydration (dehydration cause concentrated urine formation which is responsible for stone formation).
slightly elevated SGPT level
Detailed Answer:
Hello,
I apologize for late reply.
Your repeat repeat SGPT level is slightly elevated. You should take care to avoid high fat diet, taking high protein diet, doing regular exercise and intermittent fasting.
There is no need for uric acid level examination for concretion in kidney. You should take care of drinking adequate water daily to avoid dehydration (dehydration cause concentrated urine formation which is responsible for stone formation).
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
I have repeated LFT test due to feeling of uncomfortable in stomach like passing of stool but I do stool maxm 2 times in a day.
My SGPT level XXXXXXX from 79.83 to 111 & shot level is 46.5.new report is uploaded
May please advise what to do ?.
Although between the two test I have eaten very less non veg foods.But I am in tension regarding any serious viral disease in liver.
I also taken pain killers like ibugseic plus a lot due to body pain.some doctor is advising that pain killers also increases SGPT.
Please advise line of action & precautions to be taken.
All reports are in attachment.
My SGPT level XXXXXXX from 79.83 to 111 & shot level is 46.5.new report is uploaded
May please advise what to do ?.
Although between the two test I have eaten very less non veg foods.But I am in tension regarding any serious viral disease in liver.
I also taken pain killers like ibugseic plus a lot due to body pain.some doctor is advising that pain killers also increases SGPT.
Please advise line of action & precautions to be taken.
All reports are in attachment.
Brief Answer:
Suspicion of hepatitis
Detailed Answer:
Hello,
I sincerely apologize for delay in reply due to my travel.
1) Recent elevation in SGPT warrants repeat USG of abdomen to rule out inflammation in liver (hepatitis).
2) Yes, higher dosages of ibugesic might cause elevation of liver enzymes in some patients and this will reduce spontaneously without any intervention over period of time.
3) About precautions, I would repeat which I mentioned to you as a precaution for fatty liver i.e. protein rich diet, fat-free diet, extra-carbohydrate containing diet (if not diabetic).
Suspicion of hepatitis
Detailed Answer:
Hello,
I sincerely apologize for delay in reply due to my travel.
1) Recent elevation in SGPT warrants repeat USG of abdomen to rule out inflammation in liver (hepatitis).
2) Yes, higher dosages of ibugesic might cause elevation of liver enzymes in some patients and this will reduce spontaneously without any intervention over period of time.
3) About precautions, I would repeat which I mentioned to you as a precaution for fatty liver i.e. protein rich diet, fat-free diet, extra-carbohydrate containing diet (if not diabetic).
Above answer was peer-reviewed by :
Dr. Prasad
As advised by you I am taking less fatty acid & stopped completely non-veg foods.
I have taken a lot ibugseic plus & antibiotics which might have caused elevation of SGPT & SGOT.I hope it's effect will automatically subside.
I would like to ask is there any more test required to know the cause of problem.i will again do USG abdomen as advised.Is there need of antiviral medicine for liver.I have also started brisk walking & have started milk thistle ( Food supplements).
Is there any test for hepatitis.
Presently I am taking medicines:-
1) Adliv forte
2) Evion-400 mg
3) Liv-38 d-Patanjali product.
4) Milk thistle
Is there any more need of medication.
Some doctor is also suggesting to take corticosteroids.
Please advise.
I have taken a lot ibugseic plus & antibiotics which might have caused elevation of SGPT & SGOT.I hope it's effect will automatically subside.
I would like to ask is there any more test required to know the cause of problem.i will again do USG abdomen as advised.Is there need of antiviral medicine for liver.I have also started brisk walking & have started milk thistle ( Food supplements).
Is there any test for hepatitis.
Presently I am taking medicines:-
1) Adliv forte
2) Evion-400 mg
3) Liv-38 d-Patanjali product.
4) Milk thistle
Is there any more need of medication.
Some doctor is also suggesting to take corticosteroids.
Please advise.
Brief Answer:
N further test for liver function
Detailed Answer:
Hello,
1) No specific test is required
2) USG abdomen at least after 3 months
3) No need of antiviral treatment without presence of disease.
4) You should do tests for Hepatitis B and Hepatitis C when you plan for next blood investigation.
5) No need of corticosteroid in this minimal elevation of liver enzymes.
6) Your medications are appropriate.
N further test for liver function
Detailed Answer:
Hello,
1) No specific test is required
2) USG abdomen at least after 3 months
3) No need of antiviral treatment without presence of disease.
4) You should do tests for Hepatitis B and Hepatitis C when you plan for next blood investigation.
5) No need of corticosteroid in this minimal elevation of liver enzymes.
6) Your medications are appropriate.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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