How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrRussMD Your Own Question

DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63856
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
DrRussMD is online now

SPECIALIST GI DOCTOR NEEDED WITH EXPERIENCE OF GIARDIA

Customer Question

SPECIALIST GI DOCTOR NEEDED WITH EXPERIENCE OF GIARDIA Hi there. I have a second case of Giardia and am feeling very low about things. I contracted Giardia back in May took Metronizadole and thought it cleared up I had lingering IBS like symptoms for a
while which did eventually settle an antigen test also confirmed i was giardia free However, during the course of year i was getting more run down than normal and while my stomach was broadly OK i never quite felt it was perfect. spool forward to late october
and on a holiday to dubai i suddenly got a really upset tummy again not chronic but just very unsettled i also had a very specific bad taste in my mouth (bitter) i also had achey legs/joints i also had a slight head-achey feeling i also had GERD from stomach
acid. i re-tested for giardia and hey presto, POSITIVE. I am now on day 2 of a 3 day course of tinizadole i am feeling slightly better but my case has never been one about chronic diarreah - it has been more about the sense of general malaise and this odd
taste in my mouth + gerd + soft stools in the am + skin itchiness MY QUESTION a)while my immune system is fine (they tested it) can one just be UNLUCKY and get a form of giardia that can come and go? b)if the 3 day course doesnt work what next? c)do giardia
symptoms vary person to person? i think this is the oddest bit of my diagnosis as it took my intuition to work out it could be giardia d)my family are finally being tested - i will be interested to see if they test positive too. e)is re-current infection more
likely once youve been infected previously? I am seeing a top london GI specialist 2moro but he was rather sceptical the first time i saw him so was surprised when i tested positive again!! Any specific tests i could ask for?
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.
HelloOne can be unlucky and get exposed to giardia repeatedly.If your course does not work, see an infectious disease specialist.Symptoms vary person to person.You should have your family tested.No, reccurance is based on exposure and your susceptability. OK, so that is an initial answer….Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
HERE ARE MY BLOOD RESULTS which i had when i got back from dubai
the doctors at the time said it is GERD but on re-reading do any of the results make you think of Giardia?
i take statins (lipitor) as my only drug 40mg.
My kids and wife are being tested this week with both microscopy and antigen tests at a top london facility.
what other tests could the specialist request? could they work out what strain of giardia i have?
can you give some more detail on this. thanks.
Expert:  DrRussMD replied 1 year ago.
There is nothing pertinent on these labs. please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
ok final question - what specific questions should i ask the GI specialist? should he test the strain of giardia? anything else?
thanks
Expert:  DrRussMD replied 1 year ago.
You should ask the same questions you asked me.He does not need to test the strain....unless he thinks it will affect the choice of anti paracytic.Usually it does not. , please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
i suppose i am trying to work out if a)i never got rid of the giardia back in may despite the negative antigen or b)if i got re-infected. I don't quite understand why i would be more susceptible than others?
Expert:  DrRussMD replied 1 year ago.
You reason for susceptablity more than others is an unknown.More exposure is the other possible. factor.Lab error is a remote possibility.Please click a positive rating.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63856
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
you mean - some people just get things more than others? ie that's lifei agree re more exposure - dubai clearly has giardia so possible link therei suspect rather than lab error it is possible i did clear the giardia back in may but perhaps not all of it - it has then re-appeared.anyway, i plan to ask the GI if a)tinizadole doesnt work what we will do b)whether i should take a combination therapy as that is often the second line of choice in the UK when the first line doesn''t work.thanks will rate you
Customer: replied 1 year ago.
just thought you should know i've been prescribed a sandwich therapy of tinizadole + albendazole for 5 days + tinizadole ...it is apparently the main approach being taken by the london school of tropical medicine for first line resistant giardia. It is apparently now very common for the metronizadole approach to not be very effective. fingers crossed.
Expert:  DrRussMD replied 1 year ago.
Thank you for letting me know!

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions