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Increasing tlc
Sir My mother had severe diarrhea on 26 nov .got her admitted .They put her on inj monocef inj metrogyl as crp and tlc was high.ultrasound was ok.she got discharged after 3 days.
After 12 days she again had severe diarrhea no fever again got admitted this time again cro and tlc were high.tlc 15700.
Ccet was done showed mild inflammation in intestines
She was on meropenem and metrogyl and rifagut this time.her tlc on day 1 was 8500
Day2 9500
Day5 9900
Now after one week 10100 and crp 4.5
We know tlc is in limit but why it is increasing again day by day..
What if tlc shoots up again..please guide
Answers (18)
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Recurring diarrhea with increasing total WBC count and CRP indicates intestinal infection.Antibiotc induced diarrhea caused by c difficle should be considered and other causes as well.She may need specific stool tests and blood tests.
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Hello,
Take balanced diet.
For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Kindly connect physician for proper treatment.
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Do connect and consult
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If pt is symptomatic pls have physical examination with nearby doctor and have a follow up.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Dear Patient,
Your mother's recurrent severe diarrhea, accompanied by elevated total leukocyte count (TLC) and C-reactive protein (CRP), suggests an ongoing inflammatory or infectious process. The initial improvement followed by a gradual increase in TLC, despite being within normal limits, warrants further investigation to identify the underlying cause.
Potential Considerations:
Infectious Etiology: Persistent or recurrent infections, including Clostridioides difficile (C. difficile), can cause similar symptoms. A stool test for C. difficile toxin is advisable, especially considering recent antibiotic use.
Inflammatory Bowel Disease (IBD): Conditions like ulcerative colitis or Crohn's disease could present with these symptoms. Elevated inflammatory markers such as CRP and TLC are common in IBD. Fecal calprotectin testing can help assess intestinal inflammation and guide the need for further endoscopic evaluation.
GASTRO.ORG
Medication-Induced Diarrhea: Some medications, including certain antibiotics, can cause diarrhea. Reviewing her medication history may help identify potential culprits.
Recommended Next Steps:
Comprehensive Stool Analysis: Testing for pathogens, including C. difficile, and assessing fecal calprotectin levels can provide insights into infectious or inflammatory causes.
Colonoscopy with Biopsy: If stool studies are inconclusive, a colonoscopy can help visualize the colon and obtain tissue samples to diagnose conditions like microscopic colitis or IBD.
Medication Review: Evaluate her current medications with her healthcare provider to identify any that might contribute to diarrhea.
Consult a Gastroenterologist: A specialist can provide a thorough evaluation and recommend appropriate diagnostic and therapeutic interventions.
It's important to monitor her symptoms closely. If she experiences increased diarrhea, abdominal pain, fever, or other concerning symptoms, seek medical attention promptly.
If you have further questions or need personalized advice, feel free to contact me directly on WhatsApp at 80098213 three two
.
Best regards
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Kindly connect.
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Dr. Savita Thakur
General Physician
9 yrs exp
Delhi
Need detailed history, you may consult online .
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Need more information
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Complete course of antibiotics, get stool examination done
Consult online will guide u
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once for discussion
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Dr. Saurabh Tiwari
Neuropsychiatrist
6 yrs exp
Lucknow
Kindly connect
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to intestinal inflammation
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