Gastrointestinal System Disorders Q 117 - Gyan Darpan : Learning Portal
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Thursday, 14 April 2022

Gastrointestinal System Disorders Q 117

In a client with Crohn’s disease, which of the following symptoms should not be a direct result of antibiotic therapy?
    A. Decrease in bleeding.
    B. Decrease in temperature.
    C. Decrease in body weight.
    D. Decrease in the number of stools.

Correct Answer: C. Decrease in body weight

A decrease in body weight may occur during therapy due to inadequate dietary intake, but isn’t related to antibiotic therapy. Effective antibiotic therapy will be noted by a decrease in temperature, number of stools, and bleeding. For people with Crohn’s, antibiotics may help lower the amount and change the composition of bacteria in the intestines, which may relieve symptoms.

Option A: Antibiotics also work to control infections. They may aid in healing abscesses and fistulas. Abscesses are small pockets of infection, and they can contain fluid, dead tissue, and bacteria. Fistulas are unusual connections between your intestines and other body parts, or between two loops of your intestines. Abscesses and fistulas occur when your bowels are inflamed or injured.
Option B: Metronidazole is used alone or in combination with ciprofloxacin, metronidazole (Flagyl) is commonly used to treat complications such as abscesses and fistulas. It may also help reduce disease activity and prevent a recurrence.
Option D: Rifaximin (Xifaxan) has been used for years to treat diarrhea. However, it has recently emerged as a promising treatment for Crohn’s. Possible side effects may include skin rash or hives; bloody urine or diarrhea, and fever.

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