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 Dr. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 52479
Experience:  GP in the United States
55099014
Type Your Medical Question Here...
Dr. Phil, MD is online now

Decision about extending stay in UK related diagnostics

Customer Question

Decision about extending stay in UK for colon related diagnostics or return to US. Left US in October, during and after travel had uneven bowel movements, including diareaha, constipation etc. late November had pain in colon, referred to ER, identified markers of invention in urine and blood samples. Treated with coamoxiclav antibiotics. Pain/sensation in colon slow to subside. Diareah during antibiotics. Afterwards, uneven bowel movements still, some diareah, some constipation, few large fully formed stools,
I'm not very regular by nature but usually some longer healthily formed stools.
Went back to go for unrelated issue. Mentioned bowels not fully back to normal.
She is ordered testing for infection, chrones, and wanted to refer for colonoscopy
I Had routine colonoscopy at 50 - found 1 diverticuli and 1 polyp.
Will be 52 next week
If I decide to take her up on testing, then I have to delay return to USas it will add weeks to trip.
If I don't, then I should pick it up in U.S., but may be deterred by the 5000 cost of colonoscopy so need to be clearer about risk of not taking the diagnostics now.
I want information to help me understand what symptoms I should see as red flags for colon dysfunction, and to help make informed choice on whether to fly to the U.S.
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. Phil, MD replied 10 months ago.
Thanks for this questionI'm Dr. Phil and I'm ready to helpI would come home nowI see no reason for another colonoscopyyou just had one and you have no signs of Crohn's.This seems more likely to be related to bacterial disruption in the colon or maybe irritable bowelI would come back and see an internist here.You won't need a colonoscopy
Expert:  Dr. Phil, MD replied 10 months ago.
please don't forget a positive ratingif you have more questions, just replyYou can try the FODMAP diet in the meantime. It will help your bowelhttps://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf
Expert:  Dr. Thomas, MD replied 10 months ago.
Hellothis is a different expert with a different answer.I am a double board ceritified clinical doctor with over 20 years experience in this area.As I read your question, there is no indication you had a colonoscopy. You had markers of infection in the urine and blood.It sounds like there has actually been no diagnoses of the colon, but rather of urinary track infection.The possibility with the colon is diverticulitis, and you would typically need more than amoxclav to treat this effectively.Or, you are having residual diarrhea from the antibiotics.This can be c difficile, easily identifiable with a stool test.I would at least do a stool sample now, and have an exam. I would certainly do that before I got on a plane for a long flight.In addition, at age 50, if you have not had a colonoscopy, with any indication of colon problems, and particularly if there is a family history of such, you need a colonoscopy 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.
Expert:  Dr. Phil, MD replied 10 months ago.
augmentin will definitely treat diverticulitis
follow my advice and go to the US
Please don't forget a positive rating. I appreciate it :)
If you have more questions, just reply

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
< Last | 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