While Metrogyl is excellent at killing active amoebas, it sometimes leaves behind dormant cysts, which can cause the infection to return. Additionally, your ongoing gas and feeling of incomplete emptying could be post-infectious irritable bowel syndrome, where the gut remains sensitive and inflamed even after the amoeba is gone. I highly recommend speaking with your doctor to get a repeat stool test. They may suggest a follow-up generic medication specifically designed to target remaining cysts, alongside probiotics to help restore your gut health.

Given your history, the liver lesion, and elevated eosinophils (a type of white blood cell), we should consider conditions like a parasitic infection?which standard antibiotics do not treat?or an atypical liver cyst. Your beta-thalassemia minor is likely not the main cause here. I highly recommend seeing a gastroenterologist or infectious disease specialist next. They will likely suggest a liver MRI or specific blood and stool tests to pinpoint the exact cause and get you the right treatment.

Since your severe diarrhea and stomach pain are intensifying despite taking Metrogyl (metronidazole) and Pan 40 (pantoprazole), it is very important that you consult your doctor or visit an urgent care center right away. Worsening symptoms mean the current treatment may not be targeting the right cause, and you need a professional evaluation. In the meantime, please focus on staying hydrated by sipping water or an oral rehydration solution. Please don't worry, but do seek medical attention promptly so you can start feeling better soon.

Yes, Metrogyl DG Forte Gel is generally safe to use. Because it is a topical gel applied directly to the gums, very little of the active ingredients?metronidazole and chlorhexidine?enters your bloodstream. This means it is highly unlikely to affect your kidneys. Please apply a small amount to the affected area and try not to swallow it. While it is safe for temporary relief, I highly recommend consulting your dentist or nephrologist to safely treat the root cause of your tooth pain.

It is actually quite common to see a small shadow of infection on the X-ray even after starting a root canal, as bone healing takes several months. Since he is comfortable after taking his medications?amoxicillin/clavulanic acid (Augmentin), ibuprofen/paracetamol (Combiflam), and metronidazole (Metrogyl)?it is usually highly preferable to save the tooth. Once his dentist confirms the root canal is fully completed and sterilized, placing a crown is a safe and standard way to protect it. Extraction is typically reserved only if the crack extends too deep into the root. I recommend discussing the depth of the crack with his dentist.

Since the fever recurs as soon as paracetamol wears off, it indicates that the underlying infection may not be fully resolved or might require a different treatment than Metrogyl (metronidazole). I highly recommend consulting your doctor for a proper evaluation, which may include simple blood tests, to find the exact cause of the fever. In the meantime, you can continue taking paracetamol 650 mg as prescribed, ensuring you do not exceed the daily limit, and stay well-hydrated. Please seek immediate medical care if you develop severe shivering, breathing difficulties, or extreme weakness.