My dear friend has had bleeding from the rectum for some time and has to go to the restroom about every 20 minutes. A recent colonoscopy revealed patches of inflammation throughout the colon from the anus on up. The Dr. suspects hiv and there is a good possibility of this. My friend has also had a persistent sore throat (it's better now). He describes what comes out as blood and "some water" (not diarrhea in the classic sense, but he's not eating a lot). Occasionally a solid stool. I saw it once and it was a good amount of blood. He has lost about 30#, and has symptoms of dehydration and low blood pressure (80/40). We meet with the Dr tomorrow, but I'm afraid if they don't do anything, my friend will die. All they tested for is hiv and rpr. My question is that in the mean time before they do some kind of treatment, would any over the counter meds or anything in the diet help him. A nurse friend recommended some infant electrolyte solution for the dehydration. Would an anti-diarrheal medicine stop the passing of water or would it irritate the bowel? Some ensure??? I know you'll say that we should wait to hear from the Dr., and we will. But it is a public hospital and somewhat slow in getting things done. I am assuming that this is an hiv-related illness. My friend rests a lot and is really trying. Any small suggestions about how we could get through the next few weeks before any kind of "real" treatment begins would be greatly appreciated. Signed, Concerned in Denver

Dear Concerned,

The diarrhea sounds serious. Over the counter imodium will help and you can usually take more than the package states. The best re-hydrating solution is gatorade, whatever color he likes! Your MD should also consider colitis, not related to HIV. Good Luck! Douglas T. Dieterich, M.D.