A patient present with lower gastrointestinal bleed. Sigmoidoscopy shows ulcers in the sigmoid. Biopsy from this area shows flask-shaped ulcers. Which of the following is the most appropriate treatment :
Answer is B (Intravenous Metronidazole) Presence of the classic .flask shaped ulcers' in a patient presenting with lower gastrointestinal bleeding suggests a diagnosis of 'Intestinal amebic colitits'. 'Patients with amebic colitis should be treated with intravenous or oral Metronidaz,ole.'-
Intravenous ceftriaxone
Intravenous mentronidazole
Intravenous steroids and sulphasalazine
Hydrocoscone enemas