Dr. Zubin Dev Sharma
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
For the past few months, I have been having acidity issues and I have been taking Sompraz 40 mg for the last 1.5 months. Last week I had some sweet curd, which did not suit me well, and the next day I started having semi-solid loose motions 4 to 5 times a day but had no fever. The next day, I started taking Oflox OZ, but after two days of taking the medicine, my condition worsened, and I had watery stools every hour. Hence, I stopped the medication, and since then, I have been better. So, I stopped taking Oflox OZ after two days, as the medicine did not suit me. I have been taking regular probiotics. However, yesterday, I got my blood tests done, and the ESR and HsCRP were elevated. The report has been attached for your reference. My question is: my appetite is not great, and is it possible that I have to take a softer antibiotic to address the remaining infection, if any are present in the body? Currently, I have no fever, and my movements are fine.
Hi,
Welcome to icliniq.com.
t is possible that you had some infection after ingestion of curd. And subsequently, you got better. As you are not very symptomatic, I would not advise any further empirical antibiotics. You can try the tablet Rifaximine 400 mg twice a day after meals for 10 days, along with the Sompraz that you are taking. Elevated ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) can have many causes and are difficult to ascertain from limited investigations.
After 10 days, see your symptoms and repeat tests. In case they are still elevated, I would suggest you visit a doctor locally to get yourself examined and tested thoroughly.
Patient's Query
Hi doctor,
Thanks a lot. I have a query. Can it be a low-grade stomach infection or parasitic or amoeba? Is Rifaximine an antibiotic? Also for how long can one continue with anti-acid medications such as Sompraz? Also is Sompraz better than Pantocid?
Hello,
Welcome back to icliniq.com.
After any GI (gastro-intestinal) infections, intestines can remain a bit irritable. Parasites can be an issue and one should deworm once in a year particularly if you eat out a lot. Rifaximine is an antibiotic that selectively works only in GI tract. It works for post-infectious irritability. But do get yourself locally seen and examined. Any medication should be taken under the supervision of a doctor who has examined you. No drug is completely safe and everything has side effects so any medication taken for a long term can cause harm like Sompraz or Pantocid. Short term use is safe, that is, 4 to 6 weeks. Both are equally good.
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Medical Gastroenterology
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