Poor baby (and it isn't much easier on you, I am sure!).
The diarrhea may be from the antibiotics. Once someone is on them for a while, especially when they have been switched from one to another, the normal organisms in the gut get knocked out of commission. These are the "good" bacteria that help to provide for digestion. When these good guys get knocked out, the bad guys take over. this often includes the clostridium difficile germ - called "C diff" by most of us, because we know him too well! He should have stool cultures sent to the lab along with a specimen marked specifically to check for this C diff.
There are meds that can be given to correct the stool flora - such as probiotics, yogurt, acidophillus, and the real meds like vancomycin by mouth and flagyl by mouth. These will generally imrove things within a couple of days when given every 6 hours.
The vac is a good thing - it really helps to drain the wound and encourage the blood supply to return.
The bleeding is not good of course. This may be due to the sepsis - there is a dysfunction of the clotting mechanism with sepsis and that can cause the bleeding to be a slow continuous ooze from various parts of the body - stomach, bowels, and any small cut or puncture that we add to the skin.
Paleness is either from blood loss or from anemia from the chronic illness. Of course he is weak as he is spending all his energy in healing wounds. The depression is certainly something that can be treated if he is able to have pills through a feeding tube.
Was there anything else in partiular that I can answer for you tonight?
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