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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Persistent Abdomen Pain Be Due To Amoeboisis?

hello doctor i suffered from a very severe amoebic infection and scanty patches of circular rash developed on my knee and arms about last three months.i took tinidazole and it got better but still the stomach discomforts are still persistent.i thought i might have an abcess and took metronidazole for ten days.the rashes dissapered but the tomach discomforts are still persistent.I HAVE LOST WEIGHT and look anaemic.whenever i eat something i feel better but other time i ifeel so worked up im unable to sleep.could this steel be amebiasis?can it take this long?
Mon, 19 Mar 2018
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General Surgeon,  's  Response
Hello,

All your symptoms of discomfort in abdomen, loss of weight, circular rashes on knees, anemia and all in spite of a course of Tinidazole and Metronidazole indicate that there may be a larger problem than you thought.

Hence, I would advise you the following in such a situation:
- Send the sample of stool for three consecutive days.
- Tests of blood and urine.
- If there is any evidence of an infection, a course of an antibiotic active against intestinal infection for 5 days.

If there is no result then you obviously need further studies like Colonoscopy and biopsy, CT scan of abdomen and thus to get a proper diagnosis and have a proper plan of management.

Also identify the foods and beverages that cause the problems and stop these altogether.
If all the investigations are normal then this may be IBS that irritable bowel syndrome. Control of stress and anxiety can help you well. Watch out for the food and water source, if infected or not.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant
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Could Persistent Abdomen Pain Be Due To Amoeboisis?

Hello, All your symptoms of discomfort in abdomen, loss of weight, circular rashes on knees, anemia and all in spite of a course of Tinidazole and Metronidazole indicate that there may be a larger problem than you thought. Hence, I would advise you the following in such a situation: - Send the sample of stool for three consecutive days. - Tests of blood and urine. - If there is any evidence of an infection, a course of an antibiotic active against intestinal infection for 5 days. If there is no result then you obviously need further studies like Colonoscopy and biopsy, CT scan of abdomen and thus to get a proper diagnosis and have a proper plan of management. Also identify the foods and beverages that cause the problems and stop these altogether. If all the investigations are normal then this may be IBS that irritable bowel syndrome. Control of stress and anxiety can help you well. Watch out for the food and water source, if infected or not. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant