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Best ways to treat diarrhoea
Apr 13, 2004

Dear Dr. Although I am infected with Cryptosporidium I noticed that the "type" of diarrhoea I had when this was caused by this parasite (it was watery and I was really incontinent)is different from the diarrhoea I have now since my CD-4 count has improved after a stringent use of T-20 and loads of other meds. But, it means I still have diarrhoea and I just wonder what you would suggest I should do to minimize this boring aspect since it influences my movements (I don't dare to go out to places where I am not sure there is a toilet for instance)and all my internist would suggest I take is Loperamide which I think is absolutely useless. Can you perhaps give me some good advice what to do and what to suggest to my doctor?

Thanks for your advice!

P.s. I did have a treatment against these parasites called fumagillin but I do not think I need to take this right now.

Response from Dr. Henry

I assume there is no evidence for persistant infections, pancreatitis, malabsorption, and lactose intolerance? Some patient benefit-in the setting of non-specific or PI associated diarrhea with AIDS-from a variety of approaches with no single recommendation being usually effective. For some use of SB-Normal Stool Formula (Shaman Pharmaceuticals), or calcium supplements, or oat bran or other fiber tablets can help. Lomotil or tinture of opium can be helpful in severe cases as can Sandostatin. I have had some patients who have done been helped by pancreatic enzyme supplements in the setting of mild pancreatic irritation. KH

Stopped drugs due to high lactic acid levels while I'm on Chemotherapy

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