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Aug 10, 2005

I have had chronic bad diarehea for 7 weeks. Nothing in stool tests. Tried 2 antibiotics and no change. Im 120, 28 yrs. poz,78 T, viral of 69,000, losing weight and feeling miserable. Any help? Thanks..

Response from Dr. Young

Thanks for your post.

I'd be concerned about a number of possibilities. First off, with your very low CD4 count, you should be on the best possible HAART regimen to improve your immune system health. I'd want to know if your stool tests included special stains for Cryptosporidium or Microsporidium. Additionally it's not unusual to see parasitic infections (like Giardia) or secondary bacterial infections (Clostridium difficile) causing problems. The fact that you've not improved with two different antibiotics simply says that you don't have a typical bacterial source, like Salmonella or E. coli.

Assuming that the stool tests were comprehensive, then with your low CD4 cell count, I'm concerned about the possibility of AIDS-related complications, such as CMV or Kaposi's sarcoma. These later diseases require that you have colonoscopy to determine the cause. It's also possible that you have a variety of non-colonic causes of diarrhea (food allergies, gall bladder or liver problems).

I hope this helps. Good luck, BY

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