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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Cardiac Failure. Done Brain Surgery. Taking Lasilactone And Rejunex. Is It Causing Diarrhea?

my mother has been taking medincinesfor nearly 20years.Now she is suffering from diarhoea from some time. is it beacause of any of these medicines.She is suffering from right side cardiac failure due to RV EMF past 20 years and therefore has massive ascitis since 6 years and underwent brain surgery 3 years back for subdural heamatoma. Medicines taken lasilactone 50,lanoxin, pantoprazole ,ursodiol,gemcal,rejunex pls advice if diarhoea is caused as sideeffect of any of these due to its prolong intake
Wed, 16 Jan 2013
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General & Family Physician 's  Response
Hi,
Thank you for posting
From your description you did not mention for how long she has been having the diarrhea and for how long she has been taking each individual medications. Diarrhea has a good number of causes which are usually microorganism intoxication of the GI tract and hence diarrhea. A stool exams will be needed for your mother to determine if there are no particular germs to be accused. In the other hand, medications can also cause diarrhea as side effect ( short term and long term). Among your mother's medications the first to cause diarrhea is lasilactone (combination of furesemide and spironolactone, diarrhea is less common seen in lanoxin ( digoxin) , ursodiol and pantoprazole while gemcal and rejunex are just mineral and vitamin supplements respectively which would not result to any diarrhea side effects except perhaps over dosage of gemcal which can cause stomach upset, nausea.
I will advice you pay a visit to your mother's cardiologist and discuss this issue with him/her so he can either step off some other medications for a while before readministration until the crisis can be uplifted.
Meanwhile your mother would have to be orally re-hydrated in order to avoid dehydration even though she is suffering from fluid retention now ( ascitis).

Hope this helps
Dr Nsah
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Had Cardiac Failure. Done Brain Surgery. Taking Lasilactone And Rejunex. Is It Causing Diarrhea?

Hi, Thank you for posting From your description you did not mention for how long she has been having the diarrhea and for how long she has been taking each individual medications. Diarrhea has a good number of causes which are usually microorganism intoxication of the GI tract and hence diarrhea. A stool exams will be needed for your mother to determine if there are no particular germs to be accused. In the other hand, medications can also cause diarrhea as side effect ( short term and long term). Among your mother s medications the first to cause diarrhea is lasilactone (combination of furesemide and spironolactone, diarrhea is less common seen in lanoxin ( digoxin) , ursodiol and pantoprazole while gemcal and rejunex are just mineral and vitamin supplements respectively which would not result to any diarrhea side effects except perhaps over dosage of gemcal which can cause stomach upset, nausea. I will advice you pay a visit to your mother s cardiologist and discuss this issue with him/her so he can either step off some other medications for a while before readministration until the crisis can be uplifted. Meanwhile your mother would have to be orally re-hydrated in order to avoid dehydration even though she is suffering from fluid retention now ( ascitis). Hope this helps Dr Nsah