Has Recurring UTI And On Wheel Chair. On Zyvox. Has Vascular Dementia. What Causes Diarrhea After Eating Dairy Products?

Posted on Thu, 14 Nov 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 14 Nov 2013 Answered on

Sat, 7 Dec 2013 Last reviewed on

Question : my relative is 89 y/o female who has recurring U.T.I.'s and is wheel chair bound. She was recently put on zyvox 600 mg. for 2 weeks.She has vascular dementia, but no problems with her internal organs. Her tolerance is good after 5days, but is now experiencing mild diarrea when eating dairy products. She will see an infection control specialist at the end of this treatment to re-evaluate it effectiveness. Would you respond from your recommendations of zyvox for anti-biotic treatment? XXXXX WWW.WWWW.WW

Answered by Dr. Dr.Alekhya (6 hours later)

Brief Answer: Antibiotic may alter the gut flora. Detailed Answer: Hello, I have gone through your query and also gone through current medications. In my opinion I would not suggest recommending Zyvox for more than 2 weeks as it causes decrease in platelets, leukopenia. Less than 2 weeks on mild monitoring would be non problematic. Was she using any other antibiotic previously before she was put on Zyvox? There are some cases where Clostridium difficle associated diarrhea which may range from mild diarrhea to colitis. Not only zyvox but any long term antibiotic use may cause colon problems. I suggest you to let her take nutritious food(or revital capsules) and consult doctor if the problem still persists. Hope it helped you. Happy health. Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr.Alekhya (21 hours later)

tHANK-YOU FOR YOUR RESPONSE. IN ANSWER TO YOUR QUESTION, SHE WAS PLACED ON PREVENTIVE MACROBID / MACRODATIN FOR ABOUT 8 MONTHS (2012). iT WAS EFFECTIVE UNTIL ANOTHER UTI OCCURRED. mY RELATIVE IS ALLERGIC TO SULFA. sHE HAS ALSO BEEN GIVEN CIPROFLOXIN, AND AMOXICILLIN. tHE BIGGEST PROBLEM IS GETTING SENIORS TO DRINK ENOUGH WATER AND LIQUIDS. sHE HAS A HOME HEALTH NURSE ONCE A WEEK. pLEASE RESPOND TO "MILD MONITORING" DOES THAT MEAN A DOCTOR TAKING BLOOD WORK WITHIN THE 2 WEEKS? aLSO, WHAT ARE REVITAL CAPSULES?WHERE DO YOU GET THEM? DO WE NEED A PRESRIPTION? sHE WAS HOSPITALIZED 3 WEEKS AGO FOR THE UTI FOR A WEEK. sHE HAD ANOTHER INFECTION 2 1/2 WEEKS LATER, UROLOGIST ORDERED THE zYVOX 600 MG TWICE A DAY FOR 14 DAYS. sHE HASN'T SEEN THE INFECTION CONTROL DOCTOR, YET. WOULD YOU SUGGEST ROUTINE DEHYDRATION CHECKS TO TRY TO PREVENT THE RECURRENCE. I'M TRYING TO KEEP HER FROM HAVING TO BE HOSPITALIZED AGAIN. tHANK-YOU IN ADVANCE FOR YOUR NOTEWORTHY RESPONSE.

Answered by Dr. Dr.Alekhya (1 hour later)

Brief Answer: Revital capsules are tablets with multivitamins. Detailed Answer: Hello, Thanks for your follow up. In my opinion, first line drug for urinary tract infections is Macrobid(Nitrofurantoin) and as she was already on for about 8 months as you mentioned, she might have been on Zyvox. Yes, I meant Mild monitoring as checking for platelets level ( complete blood picture would be helpful) during Zyvox usage, amount of urinary output. You can ask your nurse for routine blood check up(especially for serum creatinine, wbc, platelets) and consult doctor if any abnormalities present. Revital capsules are like energy tablet(multivitamins, minerals). You can use any multivitamin tablets and they are available in the pharmacy without prescription. You can also use rehydration solutions but you should make her have drink enough water too. If there is decreased urine output and she's not drinking enough fluids, intravenous fluids may necessary. Hope this helped you. Thank you so much.

Above answer was peer-reviewed by : Dr. Shanthi.E