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What Causes Bowel Incontinence After Taking Bifilac?
Question: Mt father has
Ckd 5
Cld with portal hypertension
Hypertension
Hypertension
Type2 diabetes
Cad post pic
Cld with portal hypertension
He is taking bifilac 2 times and galamon total before breakfast.
From last 3 days after meal immediately he passes stool.
What medicine you suggest. Or continue with bifilac
Ckd 5
Cld with portal hypertension
Hypertension
Hypertension
Type2 diabetes
Cad post pic
Cld with portal hypertension
He is taking bifilac 2 times and galamon total before breakfast.
From last 3 days after meal immediately he passes stool.
What medicine you suggest. Or continue with bifilac
Brief Answer:
adding fibre could help
Detailed Answer:
Hello,
I have gone through your labs
I would suggest to continue bifilac. Adding fibre supplement like psyllium husk could help to control his symptoms
Do get back in case you have further queries
Regards
Dr Samir Patil
adding fibre could help
Detailed Answer:
Hello,
I have gone through your labs
I would suggest to continue bifilac. Adding fibre supplement like psyllium husk could help to control his symptoms
Do get back in case you have further queries
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Yogesh D
What benefits of bifilac . Is this problem is due to liver (portal hypertension).
My other Mediicne
Monit 20 bd
Livogen z bd
Clopitorva 75
Galamon total before breakfast
Dytor 50
Bifilac bd
Cobadex
filo it
Is occurrence of stool controls after giving phys liu m husk
My other Mediicne
Monit 20 bd
Livogen z bd
Clopitorva 75
Galamon total before breakfast
Dytor 50
Bifilac bd
Cobadex
filo it
Is occurrence of stool controls after giving phys liu m husk
Brief Answer:
related to diabetes
Detailed Answer:
Hello,
Bifiloc is a pro biotic and it changes the intestinal bacteria and replaces bad bacteria with good bacteria and cause sreduced stool frequency.
The problem is more related to diabetes. Plyllium will increase stool bulk and cause complete evacuation and will help with the enhanced gastro colic reflex( passing stools after meals.
In case this doesn't help the next step would be to use rifaximin and try to stop ganaton if possible as ganaton can cause increased GI motility
Regards
Dr Samir Patil
related to diabetes
Detailed Answer:
Hello,
Bifiloc is a pro biotic and it changes the intestinal bacteria and replaces bad bacteria with good bacteria and cause sreduced stool frequency.
The problem is more related to diabetes. Plyllium will increase stool bulk and cause complete evacuation and will help with the enhanced gastro colic reflex( passing stools after meals.
In case this doesn't help the next step would be to use rifaximin and try to stop ganaton if possible as ganaton can cause increased GI motility
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Yogesh D
rifaximine is an antibiotic. is there any side efdect of it on kidney. Cretanine level already high 5.5
Brief Answer:
ruifaximin can be given
Detailed Answer:
Rifaximin is not absorbed from the intestine < 1 percent is absorbed. So shouldn't pose a problem with renal failure. Nor dose reduction is recommended in renal failure.
Regards
Dr Samir Patil
ruifaximin can be given
Detailed Answer:
Rifaximin is not absorbed from the intestine < 1 percent is absorbed. So shouldn't pose a problem with renal failure. Nor dose reduction is recommended in renal failure.
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Yogesh D
As you suggested to give phylum husk.
I have given but no results. There is not complete evacuation. stool coming again and again with the time period of 1.2 hour . stool is not loose. It is bulky but small amount
I have given but no results. There is not complete evacuation. stool coming again and again with the time period of 1.2 hour . stool is not loose. It is bulky but small amount
Brief Answer:
wain for a few days to asses response
Detailed Answer:
Hello,
I would advise to continue psyllium and bifilac and rifaximin in case the symptoms persist after 3 weeks the we can consider changing the treatment plan.
Regards
Dr Samir Patil
wain for a few days to asses response
Detailed Answer:
Hello,
I would advise to continue psyllium and bifilac and rifaximin in case the symptoms persist after 3 weeks the we can consider changing the treatment plan.
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Sir, as our previous follow up. i want to clear one thing that 25 days back, my father ammonia level boost upto 123. but after treatmetn it comes down to 33. aCCORDING TO ultrasound report, CLD with portal hypertension. Now doctor recommend to take the followingm medicine for liver. Now Frequency of Stool COmes Down with Psyllum Husk as you suggested.
Galanon Total XXXXXXX Hepacure-TDS
Lactihep Syrp. 20 ml. TDS
Bifilac OD
Rifaugit 550.
Is it need of such medicine, Becuase he is already taking
MONIT 20 BD
Livogen Z BD
Filtovit
Clopitorva 75
Dytor 50
ZOlfresh HS
CObadex
Feboz 40 for uric acid.
Can some medicine be avoided, AT which level the Liver is. Is there any serious.
ULTRASOUND REPORTS HAS BEEN ATTACED.
RFT REPORTS HAS BEEN UPLOADED.
LFT REPORT
Billirubin Total 0.9
Billirubin Direct 0.2
Billrubin Indirect 0.7
Total Protein-Sreum 6.3
ALbumin Serum 2.5
Globulin Serum 3.8
A/G Ration Serum 0.7
SGOT (AST) Serum 32
SGPT (ALT) 29
Alkaline Phosphate Serum 58
GGT Serum 27
What you opinion. Pateint having felling of cold after evening.
Galanon Total XXXXXXX Hepacure-TDS
Lactihep Syrp. 20 ml. TDS
Bifilac OD
Rifaugit 550.
Is it need of such medicine, Becuase he is already taking
MONIT 20 BD
Livogen Z BD
Filtovit
Clopitorva 75
Dytor 50
ZOlfresh HS
CObadex
Feboz 40 for uric acid.
Can some medicine be avoided, AT which level the Liver is. Is there any serious.
ULTRASOUND REPORTS HAS BEEN ATTACED.
RFT REPORTS HAS BEEN UPLOADED.
LFT REPORT
Billirubin Total 0.9
Billirubin Direct 0.2
Billrubin Indirect 0.7
Total Protein-Sreum 6.3
ALbumin Serum 2.5
Globulin Serum 3.8
A/G Ration Serum 0.7
SGOT (AST) Serum 32
SGPT (ALT) 29
Alkaline Phosphate Serum 58
GGT Serum 27
What you opinion. Pateint having felling of cold after evening.
Brief Answer:
Stage B (Child Classification) Cirrhosis
Detailed Answer:
Hello,
I have seen the reports you have uploaded and reviewed the medications list.
Bifilic lactihep and rifagut will help control the ammonia levels and prevent the recurrence of hepatic encephalopathy ( Drowsiness ).
Ganaton Total is for nausea abdominal bloat and can be discontinued when these symptoms subside.
Hepacure sachets can be discontinued as they do not have a major role in liver disease
If fitovit is a multivitamin it can be discontinued as cobadex is also a multivitamin
Your father Has Grade B Cirrhosis. Survival in b stage is 50 % at 5 years which means that half of the people with Stage B do not survive beyond 5 years.
Regards
Dr Samir Patil
Stage B (Child Classification) Cirrhosis
Detailed Answer:
Hello,
I have seen the reports you have uploaded and reviewed the medications list.
Bifilic lactihep and rifagut will help control the ammonia levels and prevent the recurrence of hepatic encephalopathy ( Drowsiness ).
Ganaton Total is for nausea abdominal bloat and can be discontinued when these symptoms subside.
Hepacure sachets can be discontinued as they do not have a major role in liver disease
If fitovit is a multivitamin it can be discontinued as cobadex is also a multivitamin
Your father Has Grade B Cirrhosis. Survival in b stage is 50 % at 5 years which means that half of the people with Stage B do not survive beyond 5 years.
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Sir. As you diagnose Stage B Cirroshsi. What is the major Blood Test to Diagnose. I have Upload 1 more report in WHich HBaSG is non reactive. {;ease gp thoprugh that report. Give you opinion,
Brief Answer:
Band C are negative .treatment not to be changed
Detailed Answer:
Hello, staging is done using albumin, bilirubin, prothrombin time and clinical features like presence of abdominal fluid and effects on brain due to ammonia.
The reports suggest that hepatitis B, C and HIV are negative. So the treatment will remain the same
Regards
Dr Samir Patil
Band C are negative .treatment not to be changed
Detailed Answer:
Hello, staging is done using albumin, bilirubin, prothrombin time and clinical features like presence of abdominal fluid and effects on brain due to ammonia.
The reports suggest that hepatitis B, C and HIV are negative. So the treatment will remain the same
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
What should be dose of refugit, bifilac & lactihep
Brief Answer:
RIFAGUT 550 LACTIHEP 15 ML bifilac ONCE A DAY
Detailed Answer:
Hello,
I use rifaximin in the dose of 550 mg twice a day. Bifilac is used once a day, dose can be increased to twic a day if required.
Lactihep should be started at a dose of 15 ml at bed time the aim is to have 1- two stools per day. In case there is constipation the dose can be increased to 30 ml at bed time and upto 3- 4 times a day.
Discuss about these options/doses with his treating doctor.
Regards
Dr Samir Patil
RIFAGUT 550 LACTIHEP 15 ML bifilac ONCE A DAY
Detailed Answer:
Hello,
I use rifaximin in the dose of 550 mg twice a day. Bifilac is used once a day, dose can be increased to twic a day if required.
Lactihep should be started at a dose of 15 ml at bed time the aim is to have 1- two stools per day. In case there is constipation the dose can be increased to 30 ml at bed time and upto 3- 4 times a day.
Discuss about these options/doses with his treating doctor.
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Prasad
How long bifilac; refugit has to given
Brief Answer:
one month
Detailed Answer:
Hello ,
I usually ask to continue bifilac for 3, to 4,weeks.
I prescribe Rifagut for a month. If symptoms of increased ammonia like drowsiness of forgetfulness recurring after stopping rigagut recur the it might be needed on along term basis maybe several months.
Hope this helps
Regards
Dr Samir Patil
one month
Detailed Answer:
Hello ,
I usually ask to continue bifilac for 3, to 4,weeks.
I prescribe Rifagut for a month. If symptoms of increased ammonia like drowsiness of forgetfulness recurring after stopping rigagut recur the it might be needed on along term basis maybe several months.
Hope this helps
Regards
Dr Samir Patil
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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