Please Help me

[ManjitSingh]

Doctor,
My name is Manjit Singh, i had a stomach infection in January,
My liver profile showed ggtp =332 and ALP=225. I was on Augmentin after that for 2 weeks. My liver enzyme were normal ( still Alp - 167) and abdominal pain was relieved. but during the course, i  had bleeding and diarrhea due to heavy antibiotics.
After 1 month that i started having diarrhea and immediate stool after breakfast lunch dinner = burning in rt side of abdomen. doctor gave pantaprozole, Now its June . i still have the burning sensation and i went for my CT scan and Ultrasound. CT was normal but USG showed fatty changes in Liver.

Now i went for my stool test. it showed Mucous present++ Blood occult present+ Excesssive Fat in stool

Now dotor has prescribed Udiliv + pantaprazole + OF + Entamizole Forte

what am i suffering from and should  i have all these medicines 3 times a day or not.. plz suggest

Is it anything serious or just some infection. i need more info about occult blood in stool and also Udiliv,
Alp in blood should be 130, why am i getting it as 167.

Age : 24
Sex : M
Smoking: Yes regularly
Drinking : Yes 2 quarters twice a week
Blood Press : Normal 110/80
Diabetes : No

[ManjitSingh]

My RECENT Reports states :

Stool: All Normal
Urine: All Normal
HIV: Negative
ESR: 20 (13 is upper normal Limit)
CBC: All normal but WBC is 13400 (Upper normal limit is 10000)

Doctor says Everything is normal,

I am getting Abdominal Pain and Diarrhea after 1st meal, Epigastric Burning ..

What it can be
Any Idea Ma'am

[ManjitSingh]

I gave the sample for testing C. Diff.

It will take 10 days for reports..
Waiting

Also checked for H pylori to rule out Ulcers..

Will inform you Shortly Ma'am

[michell221]

I would stay on it for the course of treatment presribed along with the probiotic to eliminate the yeast and then if your pain persists after a while then get your gallbladder checked and cdiff cultures .

[ManjitSingh]

Thank you Ma'am . .

Antacids are helping against burning in the epigastric area ..

Should i stop taking diflucan  . . .

[ManjitSingh]

Am i going to be alright someday or i will die with this uncomfort..

when i got up today, i get constipated.. then i have breakfast and i get diarrhea with mucous,
I am feeling very very bad, what and why is this happening to me,

Waiting till Tuesday to see whether probiotics will work.. but i don't think that they are working..

I am too much scared ..

Sorry Ma'am, Just shared my views.. you might be also thinking whats going on, but i think i am gonna die

[michell221]

The hida scan is one of the best tests.   The Ultrasound can not tell you as much.   When they inject the cck during the hida scan it will reproduce your symptoms in most people.   When I had mine I felt the same cramping and nauseous feeling that I usually had with my attacks.  It was worth it to know what was wrong.     The hida scan will show them the percentage that your gallbladder is functioning.  No other test will do that.  If it is low then usually surgery is recommended.    If it is not functioning normally then you will get fat in your stools as well.  Since you had sludge you may get that again along with another infection.  I would suggest the hida scan .  Its is really not that bad.  I have had 2 of them.

[ManjitSingh]

Actually i was having a gall bladder infection in January, usg showed some sludge which went away within 10 days.

Recent USG showed GB is normal..
I also have Fatty Liver

I think you are right, but is there any other way to find out Gall bladder disorder..
People say HIDA is painful..

I think i need to get my GB removed.. Its the main culprit..

Thanks Ma'am for the information

[michell221]

The probiotics can cause a little cramping since it produces gas.  It should be helping you kill off the yeast.   I do not think yeast can cause fat in stools.  If the pain is below the right ribs then yes I would ask about a hida scan.  This can tell if your GB is functioning normally.  If it is not then you would get fat in your stools.  

[ManjitSingh]

sometimes after having food or smoking, i get burning pain below sternum more towards rt. side..

I am suffering from rt sided pain below my ribs as well often..
My liver profile states everything normal except high ALP in blood..
USG and CT are normal.. Should i talk with my doc for HIDA scan

Can yeast cause fats in stools..

The lower abdominal pain is getting worst after having probiotics, I searched everywhere, it states yeast die off symptoms.. is it anything serious

[michell221]

I am wondering if they have checked your GB with a hida scan?  Sometimes the rt sided pain is associated with that as well.   Is the pain under the ribs?

[michell221]

Probiotics can be taken with anything.  It is not really a medicine .  It is only  good bacteria like eating yogurt.  The probiotics will cause some gas for a while until you get used to them.  Did your dr precibe the fluconazole pills?  These can be taken with probiotics also.  Your dr would need to determine dosage but the nystatin is easier on your system so this is the one I would try first.  

[ManjitSingh]

nyastatin is unavailable in my country.. can i take fluconazole 150 mg with probiotics.

what dosage should i have and for how long

[ManjitSingh]

I again started having soft loose stools after having food . . .
why is that so

I m getting mad

I will take nystatin..Is it safe with probiotics

[ManjitSingh]

I had the capsule y'day night with meals.

Still I am having the rt lower abdominal pain.
I am suffering from too much of gas also..

And i  searched whole internet for IBS diet..
They literally said to ovoid all foods.. what should i have???

I am also worried about excessive fats in stools..
The doctor said my reports were fine, nothing to worry.

can i have metrogyl with probiotics
or should i complete  my 1 month course

[michell221]

lactobacillus is the same as yogurt.  It is good bacteria for your system.  It helps take over to get rid of yeast.   I take culturelle and align which is similar to that.  I take mine with a meal or alone.  It does not bother me either way .    I had yeast in my stool before and took the culturelle and  Nystatin and   it went away fairly quick.  I am not sure if they presribe nystatin over there .  Its fairly harmless to add .  Diflucan is another antiyeast drug but this is with more serious yeast infections since its a fairly strong drug.  You can see how you do with what he gave you.  I think You will be fine.    I am wondering why you have excessive fat in your stool.  Is he going to investigate that?

[ManjitSingh]

Stool result showed
Mucous: absent
Blood occult : absent
Yeast: present ++
Excessive fats in stools

Doctor gave me DAROLAC Lactobacillus capsules ( for IBS)

I am not sure whether to have it on empty stomach or with meals and i am prescribed 1 cap. per day. so what should be the time..

Should i be concerned about Yeast ++

Plz Help Ma'am

[michell221]

Thank you for letting me know.  I am hoping that it may just be irritable bowel left over from an infection.  If it is then it should eventually go away

[ManjitSingh]

my urgency for going to toilet after having food had stopped, but i am having mild pain over rt lower abdomen, tomorrow i am going for my stool test since my dose are over, will check for c. diff also.

will let u know the results ma'am.

[ManjitSingh]

Pray for me..

[michell221]

Well if it is C diff and you take the Ofloxacin you will be in much worse shape.  You need a stool culture 3  times for C diff before you take anything.

[ManjitSingh]

They are not sure about it that its C. diff..
I am from India right now,

Anyways i will complete my 5 days course and let u know my status after that.
Thanks for such a great Help.

Thanks a lot Ma'am

[michell221]

Are you in the US?

[michell221]

Ofloxacin is not used for Cdiff It is a fluoroquinolone and used to treat other type of infections such as respitory bladder etc....   Ornidazole is typically not used for Cdiff the drug Metronidazole ( flagyl ) is.  Also you do not want to take a fluoroquinolone at the same time as Metronidazole because it is one of the drugs that can cause c diff in the first place.  

Are they sure you have C diff?  

If it was me I would be asking for C diff tets 3 of them and if positive I would ask for Metronidazole and then if that did not work vancomycin.