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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45993
Experience:  Board Certified Physician
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Hi my wife had her spleen removed 24 yrs ago. She has not

Customer Question

Hi
my wife had her spleen removed 24 yrs ago. She has not been given her injections for the last 11 yrs which consisted of flu and new moaner . Her stomach started to swell while eating food and after consultation with a different doctor was found to have a bug that buried itself in her stomach wall . She was given strong antibiotics to clear this though no more tests have done to to check this has cleared . She has now been put on antibiotics for the rest of her life by her old doctor . And the new doctor which found the fault to whom we are very great full no longer works at the practice.
Sorry for the story but should my wife be on antibiotics for the rest of her life .
Will her body become amuned to the antibiotics and in the event that she got a serious
infection would they be able to treat it ?
she has only been on these antibiotics for 6 months but people keep telling her she should not be on these tablets on a permanent basis
Kind Regards
Paul & Isabel
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry about your wife's infection

Dr. David :

before a spleen is removed, patients have to be given a pneumococcal vaccine to develop some immunity

Dr. David :

if they are not given a pneumococcal vaccine prior to spleen removal, then they can develop infections after the spleen removal.

Dr. David :

now she has to be on antibiotics for the rest of her life, her body will not become immune, but some infections can become resistant to the antibiotics.

Dr. David :

what antibitoics has she been put on?

Dr. David :

hello?

Dr. David :

what is "new moaner"

Customer: Hello
Customer: my wife is on Penicillin VK
Dr. David :

yes, this is a common medication to prevent infections.

Dr. David :

the spleen helps protect against infections.

Dr. David :

prior to the spleen being removed, if it was not an emergency surgery, she should have gotten a pneumococcal vaccine

Dr. David :

to help decrease her chances of getting pneumonia and pneumococcal infections.

Dr. David :

since she has had her spleen removed, she probably has been getting infections more commonly.

Dr. David :

and the penicillin is to prevent these infections.

Dr. David :

is she taking the penicillin 3-5 times a week?

Customer: She is taking 2 x 250 mg twice daily . Can she get this free due to emergency splenectomy on prescription
Dr. David :

she should be able to get this prescription covered by the NHS.

Dr. David :

it is not an expensive antibiotic

Customer: We have noted you said 3/5 times a week she is taking them 7 times a week
Dr. David :

7 days a week is another option as well to take the penicillin.

Dr. David :

hopefully this will keep her from catching infections and pneumonia.

Dr. David :

do you have other questions?

Customer: Why does her doctor not accept this should be covered by NHS
Dr. David :

I am not sure why her doctors are not accepting this.

Dr. David :

you should try to appeal this decision.

Dr. David :

http://www.cambsphn.nhs.uk/CCPF/AppealsProcess.aspx

Dr. David :

the website

Dr. David :

does this help?

Dr. David :

do you have other questions?

Customer: Thank you for your help
Dr. David :

you are welcome

Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

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