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chronic diarrhea and endolimax nana
Mar 5, 2000
I have been having chronic diarrhea, bloating and pain for the last year or so. I had been travelling in Spain and was very sick there. However, nothing has shown up in my stool except for endolimax nana, which is considered to be non-pathogenic. We have looked in to other possibilities (i.e. Crohn's, Celiac) but no diagnosis there either. I started a course of flagyl, which made me so sick that my Doctor decided to stop treatment as she said that it was 'shot in the dark' treatment. While I was on the flagyl, however, my symptoms went away. I just had vertigo and nausea so bad that I couldn't function. Should I try doing another course of flagyl again, now that we've ruled other diseases out, or is it not the right treatment for me?
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Response from Dr. Feinberg
They used to teach us that Endolimax and other protozoa didn't cause disease, but I've treated plenty of people with these "non-pathogens" and symptoms of bloating, diarrhea and abdominal discomfort, so I think the textbooks are wrong about this. If you have trouble taking metronidazole (Flagyl), you can try paromomycin instead. People rarely have problems with it in my experience.
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