Augmentin and Metronidazole for fistula

[Mister_Hotspur]

Recieved a letter from my GI today enclosed was a prescription for Augmentin and Metronidazole Im Guessing for the fistula that i have (comming from my resection join outwards toward my side).

Underneath it said you should shortly recieve an appointment with Mr xx xx

Now normally i wouldnt think much more into it but since its a Mr and not a Dr, this can only indicate surgery is on the cards

Obviously im going to have to ask my GI asap but has anyone got any ideas as to whats likely? another resection or a bag?

 

[dreamintwilight]

Hmm...that is pretty unclear. Can you leave a message with your GI's office to ask about the letter?

I would still think a surgeon would be referred to as a "Dr." so that is very strange to me. I am not familiar with Augmentin, but know that Metronidazole is a strong antibiotic.

Either way, keep us informed!

 

[DustyKat]

Hi,

Matt is currently on Augmentin and Metronidazole treatment for a fistula and abscess, he also has a drain insitu. When he was in hospital in January they pretty much indicated that the fistula would not close on it's own so surgery would be required to remove it. He is going for review next Monday.

Maybe they will just need to remove the fistula and tidy up the resection site??

@ Marissa, Mr is an old tradition that dates back to when surgeons didn't have any formal qualifications. Physicians at the time did so were referred to as Dr.

Dusty.

 

[Mister_Hotspur]

Thanks for the replys,

Dusty, where is Matt's fistula? Am i right in thinking this is what the pig tail drain was for?

 

[DustyKat]

It's in his terminal ileum and yeah that's what the pigtail drain is for.

Dusty.

 

[dreamintwilight]

Aha! Thanks Dusty. Learn something new every day.

 

[Astra]

Hiya

My consultant is a Mr.
My gastro is a Dr.
My gynae is a Mr.
My GP is a Dr.
I believe consultants in this country are Mr.

 

[dreamintwilight]

Maybe that's a European/Australian thing?

Americans seem to love using the word doctor any chance they get. Even doctors of philosophy and the like. Haha.

 

[beth]

Not quite. Cutters, or should I say Fellows of the Royal College of Surgeons are refered to as Mr as a snub to the Royal college of Physicians who demanded that surgeons trained in medicine before they did their surgical training.

Our social gang contains a cutter, and he's very proud to be called Mr even when he was just a humble Registrar.

As for the OP, it does indeed sound like surgery is in your future.

 

[Mister_Hotspur]

I did a little search and hes a Consultant colorectal and general surgeon.

I only learnt of the Dr/Mr Story last year when i went in and wondered why i had a Mr bossing me around and not a Dr. Apparently it is considered rude to call a surgeon a Dr, this really only applies in the UK i believe.

thanks for the responses, im going to email my GI tomorow, hopefully he'll give me a brief explanation

 

[monkey]

@Beth is totally correct with the Mr/Dr distinction. However, working in the NHS I can confirm that some who are surgeons prefer to be called Dr, so it doesn't always follow!! Would your GI not just go on and do any surgeries required?? Seems odd that you would be referred on and not know about it, or that your GI would refer you on for surgery not just do it themself

 

[ameslouise]

Whoa. That is so, well, different than what we are used to over here! I ain't lettin' anyone without a DR in front of their name bring their knives anywhere near me!!

Sorry to hijack, Hotspur. I hope you find out soon so you don't have to be in suspense about something so serious. Please let us know how it turns out.

PS was there really a time when surgeons didn't have "formal qualifications???" Ack!

 

[slightlysilly]

My son was on Augmentin when he had chronic ear infections... It's a brutal med for a baby, I would imagine that it's the big guns for a fistula. Take the med EXACTLY as prescribed (right down to eating before if they tell you to, etc.) I feared that Augmentin would rip my son's guts apart, and he HATED the taste of the stuff... Metronidazole I believe is the stuff you can't drink alcohol with... someone correct me if I'm wrong... if it is.. then that's a serious warning too.. don't be drinking alcohol with that stuff... not even the wine at church...

Good luck! I hope the meds work out for you!

 

[Mister_Hotspur]

So i emailed my doc last week and he sent back a very short email in repsonse to my quesiton about surgery, he just wrote "Surgeon: for the abcess", ive since emailed him to see if he can clarify but i dont want to keep bugging him.

Thing is last night i had severe pain on both sides of abdo and sharp twings every now and then - enough to wake me, this morning i had extreme difficulty waking up and felt literally like a zombie all day, my legs feel so week when i stand and i felt very nauseous at work, when i got home i spent a good 30mins at the toilet wretching mostly, the only thing of colour to come up was a bit lump of what i think was mucas.

Starting to feel very worried about this fistula and things going on.. am i right to worry or is this just side effect of anti biotics? - been taking 3 xdaily since wed 375mg augmentin and 400mg metronidazole.

 

[ameslouise]

Yeah, the antibiotics can really wreak havoc on your gut, but if you are vomitting from them, best to ask the doc or the pharmacist. You want to make sure they are being absorbed so they can do their job.

Hope you feel better soon!

- amy

 

[dreamintwilight]

Yeah...I remember feeling very nauseous while taking metro and flagyl together. I had to sometimes lay down with my eyes closed for a while until it passed. I found watching TV and sitting on the computer made it worse for some reason. I stuck to soups and sipped it here and there to make sure I had something in my stomach, but it was light on the stomach too.

Antibiotics are tough. They left a strong metallic taste on my mouth that made drinking water unbearable for me. Hang in there!

 

[DustyKat]

Matt is experiencing has been suffering some nausea over the past couple of weeks and he is on that combination of antibiotics. He hasn't had any vomiting though. I don't think it would hurt to consult with the doc even for peace of mind.

Do you have an abscess? Generally an abscess won't heal without first being drained.

I am assuming that the fistula is in your abdomen? Matt has just seen a GI that is a Crohns specialist and he indicated to us that cutaneous fistulas very rarely respond to anything other than surgery.

Take care, :hug:
Dusty