I have been stooling for the past 3 months, getting tired also. I have taken metronidazole .it would stop for sometime and start again .

Professional Assessment: Given the chronic diarrhea (3+ months) and fatigue in a young female patient, primary differential diagnoses include inflammatory bowel disease (particularly ulcerative colitis or Crohn's disease), celiac disease, irritable bowel syndrome, or chronic parasitic/bacterial infection resistant to metronidazole. The recurrent nature of symptoms after metronidazole treatment suggests either an incomplete treatment of an infectious cause or, more likely, a non-infectious inflammatory or autoimmune condition, which is particularly relevant given the patient's age and gender as these conditions often present in young adulthood. Additional testing should include comprehensive stool studies (including C. difficile, ova and parasites, culture), celiac antibodies, inflammatory markers (CRP, ESR), complete blood count to assess for anemia, and consideration for colonoscopy with biopsies to evaluate for inflammatory bowel disease, especially given the age of onset and chronic nature of symptoms.

Take a combination of Saccharomyces boulardii probiotic (250mg twice daily) and Loperamide (2mg after each loose stool, max 8mg/day) for 5-7 days to address both the diarrhea and restore gut flora balance. Additionally, start oral rehydration therapy with electrolyte solutions and maintain a BRAT diet (Bananas, Rice, Applesauce, Toast) during this period. For fatigue management, supplement with Vitamin B12 (1000mcg daily) and Iron (65mg elemental iron daily) to help restore energy levels while your digestive system heals. For additional treatment recommendations, ask in the chat.