Medical Imaging and Post-Surgery Care- Contrast Use, Antibiotics, and Probiotics

Medical Imaging and Post-Surgery Care- Contrast Use, Antibiotics, and Probiotics

Hello,

Let me begin with the question regarding whether the CT scan will be with an IV contrast or an oral contrast. Accordingly, the CT scan will be with an IV contrast. My decision is based on the symptoms that the 22-year-old female patient presents with and the most suspect condition. The patient’s chief complaint is abdominal pain that migrates to the right lower quadrant of the abdomen, nausea and vomiting, fever, rebound tenderness, and right lower quadrant tenderness. Based on these, the likely gastrointestinal issues are either appendicitis, diverticulitis, ectopic pregnancy, or irritable bowel syndrome. The most likely issue out of the three is appendicitis. This makes the use of a CT scan with IV contrast necessary to enhance the visualization of the structures within the abdomen and draw clear diagnostic conclusions on the cause of the presented GI symptoms. The oral contrast, on the other hand, would only help enhance the GI tract.

Next, antibiotics would be appropriate post-surgery. Since the patient will undergo an appendectomy as a treatment for appendicitis, she will be more prone to develop bacterial infections at the site of infections, as well as other infections that may exist within the GI tract that may be contributing to some of the symptoms. As such, this makes antibiotics, like the recommended ceftriaxone and metronidazole, necessary.

Lastly, probiotics are advisable after taking antibiotics. Antibiotics kill different types of bacteria, thereby disrupting the intestinal microbiota and increasing the risk of the intestines getting colonized by bacteria that may further cause GI issues (Huang et al., 2022). In this regard, probiotics help repopulate the intestines with beneficial bacteria that improve the intestinal microbiota (Wieërs et al., 2020). As a result, this improves GI and digestive health.

References

Huang, C., Feng, S., Huo, F., & Liu, H. (2022). Effects of four antibiotics on the diversity of the intestinal microbiota. Microbiology Spectrum, 10(2). https://doi.org/10.1128/SPECTRUM.01904-21

Wieërs, G., Belkhir, L., Enaud, R., Leclercq, S., Philippart de Foy, J. M., Dequenne, I., de Timary, P., & Cani, P. D. (2020). How probiotics affect the microbiota. Frontiers in Cellular and Infection Microbiology, 9, 490925. https://doi.org/10.3389/

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Hi Shajaira

Thanks for your note.

Would the CT scan be with IV contrast? Oral contrast?

Medical Imaging and Post-Surgery Care- Contrast Use, Antibiotics, and Probiotics

Would antibiotics be appropriate post-surgery?
Would you advise a probiotic after taking antibiotics?