I have amoebiasis and recurrent diarrhea even after taking Metronidazole for ten days. Why?

Q. What are the ways to get rid of recurrent diarrhea and amoebiasis?

Answered by
Dr. Ghulam Fareed
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 19, 2022

Hello doctor,

I was diagnosed with amoebiasis and was prescribed Metronidazole for ten days. After ten days, I still have diarrhea. I underwent a stool test again recently. The results are normal, except I have fat globules and a few yeast cells. Why do I have recurrent diarrhea?



Welcome to icliniq.com.

I am reviewing your case history and attached file (attachment removed to protect the patient's identity) and will get back to you soon.

Thank you doctor for the reply,

Please provide your valuable suggestions.



Welcome back to icliniq.com.

I have reviewed your case history and attached stool report (attachment removed to protect the patient's identity). A current stool sample is not suggestive of persistent amoebiasis or any other significant infection,

There are two possibilities:

  1. Post-infection IBS (irritable bowel syndrome) means your gut is slightly more sensitive after a recent infection. Your medicines or antibiotics can lead to sensitive gut and drug-induced persistent symptoms. For this, you have to stop antibiotics and continue with probiotics. Meanwhile, I suggest you take the tablet Imodium (Loperamide) 2 mg twice daily half hour an hour before meals. Eat home-cooked meals. Consult a specialist doctor, discuss with them, and take medications with their consent.
  2. The second possibility is related to your fat globules. This can be due to a recent infection or malabsorption,

If your symptoms are persistent, do not only think of infection, you should also be evaluated for your malabsorption of fats.

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