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Dientamoeba Redux

I’m publishing this with the goal of perhaps helping someone else who runs into a similarly unsettling and baffling issue.

See Apparently Infection After All (Dientamoeba) and On Flagyl (Metronidazole), Dientamoeba Killed (not).

It was so nice to feel normal again (for 11 days). No growly stomach, completely regular elimination, no pain in my right side, etc.

But the Dientamoeba fragilis seems to be back, all at once and all of a sudden, starting November 30: identical symptoms—growly stomach, moderate bloating, disrupted elimination schedule, minor fatigue.

The night of Nov 30 I knew something was up because my body was hot all night, apparently running a mild fever. The next day, back to square one (symptoms of past 5 months). Then a fever again on Dec 4, so it’s oscillating, clearly there is level of immune system response. And it’s draining my energy—not in a major way but enough to be very discouraging and certainly to preclude full performance on the bike.

So what does this mean? Did the bug survive 2 weeks of Flagyl/Metronidazole, thus becoming a resistant strain that took ~11 days to multiply up again? (nasty thought) Or was I somehow reinfected via an unknown vector? (perhaps more nasty, what is it?)

It’s discouraging. Another stool test to confirm presence/absence of Dientamoeba will take at least 2 weeks.

Infection with D. fragilis, called dientamoebiasis, is associated variously with symptoms of abdominal pain, diarrhea, weight loss, and fever.

In one study, D. fragilis was identified in 0.9% of patients observed. Its coincidence with enterobiasis has been reported

As for symptoms, abdominal pain and low-grade fever are a match, but no weight loss and never any diarrhea. But what else could it be? All other parasitic stool tests were negative (giardia, salmonella, shigella, campylobacter, endolimxa nana).

Thanks to ObamaCare (“vicious” is too kind), I’ve lost all my doctors, my rates have tripled and the doctors I can see in-plan take days to respond and are backed up for weeks. All independent doctors are out of plan, or will be soon, being forced out by laborer-level reimbursement by “Covered California” plans.

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