update on my boyfriend

Hi everyone. Well - as a reminder - my boyfriend is the one that we believe has IBS-D but his gastro-doc is convinced it's a parasite.

So - his dr put him on flagyl (or metronidazol) and another microbiotic that starts with a "c" but I forget what he said. He started taking them 4 days ago. It's been absolutely horrible. The side effects hit him so hard. Immediately he felt "spaced out" and nauseous. Then he began getting dizzy spells and feeling really tired. Then dry mouth. And then - yesterday was the worst of it - he began having almost like halucinations. He said that he felt really paranoid and actually had thoughts of suicide running through his mind. Not like - I feel so bad I'd rather be dead than this - No - more like actual thoughts of suicide coming out of no where. He picked me up from work yesterday and was so agitated and uncomfortable.

He felt no good changes to his stomach at all. In fact - it seemed like the diarhea was almost worse. Over the weekend (before he started taking the antibiotics) he had taken a dose of Imodium and felt two days of utter relief. While his stomach did still gurgle - his anxiety was gone because he knew he was basically stopped up and he could enjoy himself. We actually did two amazing things - on Friday we went to his co-workers going away party at a bar and on Saturday went to my friend's wedding. In both instances - it was basically IBS hell - but with the help of the Imodium, he was able to enjoy himself in relative freedom. Of course, on Sunday, it all started to come out which was very uncomfortable - but he says he would rather that then deal with what these antibiotics have done to him.

So - (sorry this is so long) - he stopped taking the antibiotics. He couldn't do it anymore. He feels bad - almost as if he failed himself - but he felt there was just no way he could go through the whole 2 week dosage. He would rather have all the "normal" symptoms he generally has than almost feeling psychotic. He's going to call his doctor today and tell him and still go for the additional blood tests - but he is now so afraid of taking any medication other than the Imodium because of what he's been through. He now just wants to look into the effects of taking Imodium long term and be done with all the tests. He hasn't given up on his doctor completely - but this was the worst he's been since the whole thing started. Really really bad.

Thanks for letting me get it all out. I know we have to keep going through the tests - but I gotta tell you - this is really scary.

Flagyl (metronidazole) and Ciprofloxacin are probably the drugs he was given.  These are the first in line for parasitic infections.  I've been on them several times and recently went through a 2-week course of Flagyl myself.

I've got to say that some of that sounds very familiar.  The nausea, increased diarrhea, fatigue, metallic taste in the mouth, etc. are all side effects of the Flagyl.  It's a very potent drug, so you can expect that the side effects will be a bit rough.  The nausea was the worst.  The good news is, most side effects go away within five days of starting the drug.  Also, it's dangerous to stop taking an antibiotic before you are finished with the entire course because the bacteria can build up a resistance to that drug if they are not all killed off.  That's why it's so important to stay on it!

Tell your boyfriend to talk to his doc and let him know all the side effects he experienced and also that he quit the drug early because of them.  When I took them, I counteracted the side effects with an anti-nausea drug, which helped a lot.