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Is It Advisable To Take Rifaximin For Acidity And Bowel Issues?

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Posted on Mon, 20 Jul 2015
Question: Hello Doctor,

I have asked several questions on this forum regarding my acidity and neurological problems but am still struggling with these problems. However, in the last one week or so, I have started taking Rifaximin 200mg once daily (after breakfast) and observed that these symptoms are subsiding to a great extent.

However, I am not completely sure if my decision to take rifaximin is correct and if yes, for how long and how much should I take it.

I have also been taking esomeprazole 40mg once daily since a long time, but started seeing larger benefits only in the last one week when I started taking rifaximin.

Can you please help me understand why rifaximin could be helping me with these symptoms? I do not think this is a placebo, but do let me know if you have any more questions to ascertain that as well.

Thanks for your help.

Regards,
XXXX
doctor
Answered by Dr. Anshul Varshney (31 minutes later)
Brief Answer:
IBS.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Reading your history my diagnosis for you is Irritable bowel syndrome (IBS).
Your symptoms fit into it and the response to Rifaximin also supports it.
Rifaximin is a non absorbable antibiotic and has very good role in IBS. However the response is variable.
Some people get the effect and some don't.
So in my opinion if you are getting benefitted then you can carry on with the Rifaximin and at least for 4 weeks.
As such it is not going to cause any harm to you.
I would also recommend you to use Mebeverine for Abdominal discomfort.
You would be benefitted a lot.
If you have any further query, please ask me.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (3 minutes later)
Thank you Doctor. Is my dosage of Rifaximin (200mg once after breakfast) correct, or do you think I need to increase it or change it? And regarding mebeverine, can you let me know the dosage?
doctor
Answered by Dr. Anshul Varshney (11 hours later)
Brief Answer:
take as advised by your doctor.

Detailed Answer:
Hi,
Usually i prefer to give Rifaximin 200 mg twice a day and Meberverine sustained release 200 mg twice a day.
You should share my opinion with your doctor and let him decide the appropriate dose for you.
Take Care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Is It Advisable To Take Rifaximin For Acidity And Bowel Issues?

Brief Answer: IBS. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. Reading your history my diagnosis for you is Irritable bowel syndrome (IBS). Your symptoms fit into it and the response to Rifaximin also supports it. Rifaximin is a non absorbable antibiotic and has very good role in IBS. However the response is variable. Some people get the effect and some don't. So in my opinion if you are getting benefitted then you can carry on with the Rifaximin and at least for 4 weeks. As such it is not going to cause any harm to you. I would also recommend you to use Mebeverine for Abdominal discomfort. You would be benefitted a lot. If you have any further query, please ask me. Stay Healthy.