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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Symptoms Such As Vomiting, Diarrhea, Abdominal Pain With Severe Rashes Indicate Amoebiasis Or Shigella?

Yes that would be wonderful. I traveled to Bocas Del Toro Panama in February. I returned with vomiting and diarrhea that last two days. Since then I have lost 35 pounds (female 5 7 ) have severe diarrhea that occurs when I eat; I also have abdominal pain, mucus string in my stool, fevers at night, a rash that comes on at night, now getting a cough and dry heaves. I have had a multitude of blood test, hemoglobin, iron, white cells and sed rate are fine. Had a normal abdominal ct. I have been seeing a gastro intestinal doctor for 3 months now. I am pretty sure that I contracted a parasite while visiting some indigenous areas with very poor sanitation issues. I have had all bacteria test come back negative. Still waiting for results on a parasite test for Ascariasis. This doctor keeps telling me that we have no parasites in America. He would not look at the stool samples under a microscope. I am so fatigued and don t know what to do This only began after my travel to bocas del toro, south america. the floating doctors commonly treat amoebiasis and shigella at that location.
Tue, 28 Jan 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,
People who are infected with Shigella develop diarrhea, fever, and stomach cramps starting a day or two after they are exposed to the bacteria.
The stool is often bloody and recovers usually in 5 to 7 days.
The symptoms of amebiasis is more or less similar to shigellosis except for more bloody and severe abdominal cramps.
The diagnosis can be made by number of fecal leucocytes it will be higher in shigellosis than in amoebiasis.
Stool examination is most for confirming the diagnosis.
I suggest some how you have to get your stool sample tested, then we can decide the further course of action.
Thank you.
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Do Symptoms Such As Vomiting, Diarrhea, Abdominal Pain With Severe Rashes Indicate Amoebiasis Or Shigella?

Hello, Welcome to HCM, People who are infected with Shigella develop diarrhea, fever, and stomach cramps starting a day or two after they are exposed to the bacteria. The stool is often bloody and recovers usually in 5 to 7 days. The symptoms of amebiasis is more or less similar to shigellosis except for more bloody and severe abdominal cramps. The diagnosis can be made by number of fecal leucocytes it will be higher in shigellosis than in amoebiasis. Stool examination is most for confirming the diagnosis. I suggest some how you have to get your stool sample tested, then we can decide the further course of action. Thank you.