Abdominal Pain, Bloating, Chronic Diarrhea
Conditions
Keywords
chronic diarrhea, travelers, Parasites, albendazole, tinidazole
Brief summary
Study hypotheses is that Antiparasitic therapy in patients with chronic diarrhea after travel to a developing country, with a negative stool findings, will be significantly effective in eliminating diarrhea and other gastro-intestinal complaints compared to similar patients receiving placebo.
Detailed description
It is common to encounter travelers from developing countries who suffer from persistent diarrhea after returning home. In many cases repeated stool samples are negative for bacteria, parasites and helminthes and the cause of the diarrhea is not found. The main debate is whether this condition is a persistent parasitic infection (unidentified) or post-infectious irritable bowel syndrome.However, clinical experience suggests that some of these travelers respond to antiparasitic therapy. This study aims to answer the question whether antiparasitic treatment in these cases is beneficial.
Interventions
Tinidazole 2 gr/daily for 2 days followed by Albendazole 400mg X2 /day for 7 days
2 placebo pills X2 /day for 2 days followed by 1 placebo Pill X2 / day for 7 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Diarrhea (3 or more soft stools per day) for at least two weeks after a trip to a developing country in the past year * Stool sample negative for bacteria, parasites and helminthes at least once * Has not received, until now, antiparasitic or antihelminthic therapy
Exclusion criteria
* Bloody diarrhea * Fever during enrolment 5. Allergy to the offered medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| improvement in gastrointestinal complaints | 3 months |
Countries
Israel