Bacterial Overgrowth in a Patient with Chronic Diarrhea
作者:
ANN MAHANEY-PRICE,
CHERYL STEGBAUER,
期刊:
The Nurse Practitioner
(OVID Available online 1995)
卷期:
Volume 20,
issue 9
页码: 60-63
ISSN:0361-1817
年代: 1995
出版商: OVID
数据来源: OVID
摘要:
A case study is presented of a 47-year old, white female with a 1-year progressive history of diarrhea up to 20 liquid stools per day, accompanied by an 18-pound weight loss. She had presented with previous workup of gastroscopy revealing two stomach ulcers; colonoscopy revealing nonspecific colitis and one polyp that was subsequently removed and found to be benign; and a negative abdominal ultrasound. She was Helicobacter pylori negative and HIV negative. Her stools had been negative for blood, ova and parasites, and culture. She had been using well water from a new well for 2 years. String test was negative for Giardia She had no diarrhea during a day of fasting. Carbon 14 D-xy-lose breath test was positive. She was discharged on a 14-day course of 500 mg. Augmentin (amoxicillin 500 mg. with clavulanate potassium 125 mg.) by mouth every 8 hours. Seven weeks later, she was having four to five formed stools per day and had gained 16 pounds.
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