Acute diarrhea since last 6 months

[rsr13]

I am 27 year old male, in September 2017 I suffered from an acute throat infection so my ENT doctor gave me clindamycin and since then I am having  acute diarrhea with pain in my lower abdomen. The pain starts and I feel the urgent need of going for bowel movement and as soon as I am done the pain goes away.  There is no blood in the stool but it watery all the time and yellow in color. This happens about 4-5 times daily. I do not have any other problem like weight loss or fever or anything else. I am quite healthy and neither had any problems in past nor have any family history of any such problems or any sort of cancer history. My physician has already tested me for C. diff but it was negative so she sent me over to a gastro but based on the symptoms he is not able to help though he tested me for Transqlutaminase IqA Ab but it is normal as well. Now he is suggesting me to go for colonoscopy. I am very worried now as it has been almost 6 months now to my diarrhea and I am also scared of getting the colonoscopy done. I am having sleepless nights these days. I am also looking for a second opinion and trying to get an appointment from another Gastroenterologist. I wanted to know if anyone has ever faced something similar kr have any solution to my problem. Any help here would be highly appreciated.

[Red_Star]

I meant to write "All groups of antibiotics may cause AAD, but those with broad-spectrum coverage -- in particular cephalosporins, fluoroquinolones, extended-coverage penicillins, and clindamycin -- are the most common culprits.2"

[rsr13]

Thanks for your response. I took the antibiotics for only 5 days and also I have already been tested for C.Diff but the results were all normal.

[Red_Star]

Antibiotics kills off both good and bad bacteria in the gut. Taking probiotics after a course of antibiotics is recommended. Healthy intestinal flora is vital for forming stools.

Excerpt from the Cleveland Clinic Antibiotic-Associated Diarrhea and Clostridium Difficile...


"All groups of antibiotics may cause AAD (antibiotic-associated diarrhea) are those with broad-spectrum coverage -- in particular cephalosporins, fluoroquinolones, extended-coverage penicillins, and clindamycin -- are the most common culprits.2"

"The prolonged use of multiple antibiotics, especially broad-spectrum agents with poor intestinal absorption or high biliary excretion, induces a change in the composition and function of the intestinal flora and therefore results in a higher incidence of AAD.1,5 "