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. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17669
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

For the last few years I've had some symptoms of loose

Resolved Question:

Hi guys,
For the last few years I've had some symptoms of loose stools, white tongue and very, very occasionally a bit of stomach pain. Anyway, I recently did a stool test and it all seemed to come back fine apart from I seem to have an e coli overgrowth. Could I get some advice on how fixable that is and what my next step should be please? Should I get antibiotics from my local doctor or arrange an appointment with a gastroenterologist? Thanks so much.
Heres a link of the stool result :
https://gyazo.com/a11c69aea60cf9dd1f3fb9b727f6eaca
Chris
Submitted: 4 months ago.
Category: Medical
Expert:  Dr. D. Love replied 4 months ago.

Hello from JustAnswer.

A bacterial culture growing a significant amount of E. coli may not be an overgrowth of the E. coli. E. coli is one of the normal germs in the colon. And the colon serves as a reservoir for E. coli to cause infections elsewhere in the body, such as in the urinary tract.

If one normal germ is growing disproportionately to the other germs that also typically grow in the stool, it may be an overgrowth of the one germ or it may be due to the loss of other germs. If there is a loss of the normal competition between germs because of the absence of certain germs, then whichever germ remains will grow more than usual.

Simply taking antibiotics may make the problem worse, as it may interfere with the return of the competing bacteria. Taking probiotics, such as you have been doing, is reasonable, but there are also several different types of probiotics, depending upon which germs are present, and it may be more effective to alternate between different probiotics.

The other issue that can arise and cause the symptoms that you describe is excessive growth of a germ in a portion of the gut that is not supposed to have much growth of the germ, such as in the small intestine, called SIBO (for small intestinal bacterial overgrowth). Finding and diagnosing SIBO can be difficult and may require specialized testing by a Gastroenterologist.

So, if you have only tried one type probiotic, it would be reasonable to first try several types of probiotics. If that is ineffective, then it would be better to first see a Gastroenterologist before simply taking an antibiotic for the E. coli.

If I can provide any additional information, please let me know.

Expert:  Dr. D. Love replied 4 months ago.

Please let me know if I can provide any further assistance.

Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17669
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 2 other Medical Specialists are ready to help you

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