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Loose motion
Liquid and semi liquid stool with stomach cramps at times. Given Metrogyl 400 and Enterogermina ampule. It's been five days but the problem still continues. Going to the washroom five to six times a day.
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Take a glass of milk daily.
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1. Infectious gastroenteritis (bacterial, protozoal, viral)
2. Antibiotic-associated diarrhea (since already on Metrogyl)
3. Age-related colitis / IBS / malabsorption
4. Other causes: chronic infection, intestinal inflammation
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⚠️ Key Concerns
At 74 yrs, risk of dehydration and electrolyte imbalance is high.
Continuing diarrhea despite 5 days of Metronidazole → may not be amoebiasis; could be resistant infection or non-infectious cause.
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✅ Suggested Management
Supportive care (very important first):
ORS after every loose stool (or coconut water, rice water, buttermilk).
Soft diet: curd rice, khichdi, upma, soups.
Avoid milk (except curd/buttermilk), oily food, outside food.
Medicines (typical approach in elderly with persistent diarrhea):
1. Stop Metrogyl if no response in 5 days.
2. Continue Probiotic (Enterogermina or Saccharomyces boulardii)
– 1 cap/ampule twice daily × 5–7 days.
3. Ofloxacin + Ornidazole (O2 / OZ) 200 + 500 mg
– 1 tab twice daily after meals × 5 days
(common choice in adults for infective diarrhea).
4. Pantoprazole-Domperidone (e.g. DSR)
– 1 cap once daily before breakfast × 5 days (for gastritis/cramps).
5. Zinc 20 mg once daily × 7 days (improves gut healing).
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🔬 When to Investigate
Stool routine + culture (if no response in 3–5 days).
CBC, electrolytes, renal function (in elderly with persistent diarrhea).
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🚨 Red Flags (hospital if any appear)
Weakness, dizziness, low BP, reduced urine → dehydration.
Blood/mucus in stool.
Persistent vomiting.
Fever >101°F.
Diarrhea not improving >7–10 days.
---
👉 Summary:
This 74-year-old with persistent diarrhea needs hydration + stop Metrogyl + start Oflx+Ornidazole + probiotic + soft diet. Must monitor closely for dehydration.
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Continue enterogermina respule three times a day. Sto metrogyl
Add Oz tab two times after food for five days.
Nexpro RD40 ONE IN EMPTY STOMACH FOR 5 days.
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY.
EAT LESS USE LIQUID MUCH. LAMONADE ELECTORAL POWDER BUTTERMILK, CURD RICE CURD POHA UPMA, SEMILIQUID KHICHDI PORRIDGE.
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Please share details of your symptoms.
For now take tab Oflox TZ one morning and one evening for 5days.
Continue enterogermina.
For stomach cramps, take tab dicycloverine 10mg one every 8hours for 2 days.
Take soft diet with more of carbohydrates.
Take rehydrating fluids.
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Need few more details
Kindly connect
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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Tab lactobacillus 2 times a day
Eat curd and khichdi ...
Ors 2-3 times in a day
Next Steps
don't eat spicy food or roti
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It should be enough for this to get well
Next Steps
tab Azoflox Oz 1tab bid
darolac sachets Bid
tab abdospas sos
and take yoghurt
also ors 1 to 2 litre daily
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You can consult me directly on Practo, or reach out via WhatsApp:
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Early consultation helps avoid complications — feel free to connect.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Hello, since loose stools are continuing despite Metrogyl and Enterogermina, it may be viral or another gut issue. Drink plenty of ORS, eat light food, and see a doctor if you notice blood in stools, high fever, or severe dehydration. Avoid self-medicating with antibiotics.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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