Suggest Treatment For Stomach Infection
Question: Hi,
Thank you for answering my previous question. I am not sure if you can see my previous conversation with doctor. I am just pasting the link for my previous conversation so that you can get the details.
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As per Gastroenterologist, Dr. XXXXXXX Jain's suggestion I tried the medicine Oflex -oz which has antibiotics ofloxacin and ornidazole. The tablet OFlex-oz also give some comfort but still I have flatulence, and imcomplete bowel evacuation.
I was not happy with the stool routine and stool culture results. So I decided to go for the test once again from some other health center. I took both tests (stool routine and culture) once again while I was taking OFlex-oz tables. I will attach the result in the image file. Please take a look at this and suggest me further.
I am expecting answers from experienced Gastroenterologist like XXXXXXX XXXXXXX
Brief Answer:
Please upload the report
Detailed Answer:
Hello! XXXXXXX
I could not find any attached report with query so upload it again
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
I had uploaded the reports but let me once again type all the details in report.
1)Stool Culture
Specimen --Stool
Microscopic Observation --Gram Negative bacilli seen
Organism Isolated -- Escherichia coli
Antibiogram
Sensitive-- Amikacin (AIK), Cefdinir CN, Getamicin GEN, Nitrofurantoin FU
Intermediate Sensitive -- Cefotaxime CX, Ceftazidime CZ
Resistant-- Aztreonam AT, Cefixime FX, Ceftriaxone FR, Cefuroxime sodium CR,
Ciprofloxacin CI, Nalidixic acid NA, Noefloxacin NF, Ofloxacin OFL
The above was stool culture conducted when I was taking Oflex -oz which has antibiotics ofloxacin and ornidazole.
2) Below is my Stool routine report
Microscopy
Ova -nil
Cyst-nil
RBCs/hpf -nil
PUS/hpf 2-5/hpf
Others-nil
Bacteria- Normal
Chemical Reaction- Alkaline
Occult Blood - Absent
Reducing Substance -nil
The above 2 are latest reports. But in my previous stool routine test which was conducted just 1 month back from some other diagnostic center has different report. Old report goes like this
Microscopic Examination
OVA/CYST not found
PUS CeLLS - 2-4/hpf
RBC - 00/hpf,
Bacteria - Present,
Vagitative Forms - Present,
Stool reducing substance - Negative
I googled for Vegitative forms and found that it is (Entamoeba coli). Am I right?
While this report was conducted I didn't take any antibiotics. But during the latest 2 reports I had taken antibiotics Oflex-OZ which I have mentioned earlier.
Brief Answer:
Please see the details
Detailed Answer:
Hello! XXXXXXX
Latest report of stool culture suggest infection with Gram negative bacilli. Among the antibiotics to which this bacteria is sensitive you can choose either nitrofurantoin which is an oral antibiotic or Amikacin which is injectable.
Vegetative forms mean which are viable and can be grown or are in growing phase like cyst, trophozoite or spores which can be of entamoeba coli, entoamoeba histolytica or can be bacterial spores also. Also if they were Entamoeba coli then they must have take care off by ornidazole which you have already taken. For bacterial infection take antibiotic which I have mentioned. Get well soon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Thank you for answering. Now I am taking Nitrofurantoin 100mg 4 times a day for next 5 days. I am finding lot of difference in my motion today.
I have 2 questions
1) Is the above mentioned douse fine for Nitrofurantoin ?
2) If I am not wrong you prescribed Nitrofurantoin for Gram Negative bacilli. Will this antibiotic also treat Escherichia coli ? because in the culture report it was mentioned that "Organism Isolated -- Escherichia coli".
3) If Nitrofurantoin cannot fight with Escherichia coli then should I try any other antibiotics?
Thanks,
Sachin
Brief Answer:
Please see the details
Detailed Answer:
Hello! XXXXXXX
Dose is ok
Ecoli itself is Gram negative bacilli. So it will be useful in both ways
No need of taking third antibiotic if symptoms are improving
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar