Dr. Sadaf Mustafa
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have a red, swollen and infected ingrown toe nail. It is speeding quickly and painfully. Yesterday I saw Dermatologist for the first time and she wrote me a prescription antibiotic of Ciprofloxacin 500mg/Thrice/day for one week and then do a partial toe nail surgery. Later, my last lab test was done and it was showing that my liver functions (SGPT / ALT (KINETIC) 96.70 U/L) while the normal rate is from 10 to 50 U/L and an ultrasound report on my liver says: "Diffuse severe fatty infiltration of the liver." I did not purchase the antibiotic because I am worried for my liver since I am on seven other medications daily.
My question is: Can my liver sustain 7 different drugs while taking a 500 mg of antibiotic?
Hello,
Welcome to icliniq.com.
Thank you for providing the details in your history. My question is that, is it the first time that the liver fatty infiltration has been discovered? Did you have had a test called FIBROSURE or liver MRI/ biopsy? Cipro is relatively safe with liver disease but honestly it will not be my first choice for treatment of ingrown toe nail infection.
Patient's Query
Thank you doctor,
Kindly accept my deepest gratitude by taking to time to answer inquiry. Answering your question, I only did an ultrasound on my liver this once. My doctor only asked for an ultrasound exam because of my highly elevated (SGPT / ALT), never did liver FIBROSURE, MRI or Biopsy. Ciprofloxacin 500 mg was prescribed to me, I did not choose it and did not even hear about it before yesterday but I would appreciate if you would prescribe another medicine that is more suitable for my case.
Hello,
Welcome back to icliniq.com.
Sure, the pleasure is all mine, I will be happy to take of you; here are my recommendations:
1- You have fatty disease of the liver which should be treated. I am so sorry the name sound so gross but it basically means that although your cholesterol panel looks reasonable the cholesterol and fat some finds its way to get settled in the liver. The elevation of the liver enzymes over the period of time is indicative of NASH (nonalcoholic steatohepatitis). Despite of the " fear that a cholesterol medication should not be given in people with elevated liver enzymes". They are highly recommended in the given situation.
2- Given that you have diabetes; you are missing both an Aspirin 81 mg/d and a cholesterol medication as mentioned earlier. You can start off by Atorvastatin 40 mg daily ask you doctor check in 6 weeks and then in 3 months. The only indication to discontinuing it would be 3 times elevation in Liver function test.
3- Now the ingrown toe nail: I need a picture of the nail. I cannot figure out if you need the antibiotics or not. Also I need your medication allergies, and if I suggest something would you be able to pick up from the pharmacy?
4- Not my business but did you ever actually had s Gout flare? A red swollen tender joint that needed to be drained? How where you diagnosed with Gout?
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Internal Medicine
Related Questions
I have leg and hip pain. Is it due to a fall or Ciprofloxacin taken for UTI?
Which is a better alternative than Ciprofloxacin for pink eye?
I have fatty liver. Can I take various other medicines with antibiotic?
I had fatty liver.Do I have chances of developing cirrhosis?
My left foot big toe is swollen and painful. What is the possible infection?
What treatment will help for discolored skin and red circles in inner thigh?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
