May 29, 2008
I am hoping someone out there in cyber space can help me. I am 44yrs old, female, HIV+, 19 yrs alive and kicking with a concern of late. I am holding strong with 208tcell, 20% viral load. My concern is my stool, which is mostly liquid, occurs atleast 3 times a day and is mostly, orange, floats, and now has changed color to a gray-green mix. My meds are Kaletra and Truvada at a childs dosage due to the fact I only weigh 94lbs. It is concerning me, since I have seen this change before and was never solved. Help and advice is needed as soon as possible. I know I should go to a doc, but have no insurance. Any help would be greatly appreciated. Thanks, Islandgirl.
Response from Dr. Henry
Certainly the Kaletra (less likely the Truvada) can cause or aggravate loose stools. Milk intolerandce, gluten intolerance, and a variety of gut infections can cause loose sbnormal colored stools so a work-up by a knowledgeable HIV specialist or GI specialist is advisable. If not possible then efforts to alter your diet (avoiding milk or gluten), a trial of yogurt with active cultures, calcium supplements, fiber supplements, or a loperimide trials (taking on a regular basis for several weeks) can provide some relief in select cases. Switching HIV meds around is another sometimes helpful intervention when it appears that the drugs are involved in the problem. KH
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