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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From IBS. No Appetite, Abdominal Pain, Frequent Bowel Movements. Taking Immodium, Spsmonal, Edicet. Advice?

I have been suffering from Irritable bowel syndrome .So doctor gave me 4 tablets.immodium(dosage over),spamonal,edicet and econorm. I took liver , stool and thyroid tests.all are normal. but i am suffering from this problem for 1.5 months. am not feeling hungry,abdominal pains come now and then and am gng for motion 2 to 3 times a day. kindly advise
Mon, 3 Sep 2012
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Gastroenterologist 's  Response
Hello, vivekanandan.natarajan,
Before you were diagnosed with IBS , I am assuming that your doctor has ruled
out some of the conditions that mimic the same. Especially Lactose Intolerance
is very common among asian population. There is a simple breath test that can
detect this.If you have this avoiding lactose containing products and supplementing
Lactase enzyme (Available in drug stores-over the counter) would be helpful.
Another condition that needs to be ruled out is Celiac disease. This is an autoimmune
mediated disorder in which gluten sensitivity occurs causing damage to the lining
of the small intestine. Gluten is present in wheat,barley and oats. Again a very good
blood test is available to rule this out.
You are on Imodium to control diarrhea. Spsmonal is a smooth muscle relaxant and
econorm is a form of probiotic that helps to improve the good bacteria in the colon.
I see you are also on pain medication. I am not sure if you are taking any fiber
supplements or bulking agents to firm up the stool.
You can ask your doctor about taking Dicyclomine or Hyocyamine to control the
spasms in place of Spasmonal and use only 1-2 Imodiums if you still have diarrhea.
Hope this gives you some more information.
Wish you good health.
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Suffering From IBS. No Appetite, Abdominal Pain, Frequent Bowel Movements. Taking Immodium, Spsmonal, Edicet. Advice?

Hello, vivekanandan.natarajan, Before you were diagnosed with IBS , I am assuming that your doctor has ruled out some of the conditions that mimic the same. Especially Lactose Intolerance is very common among asian population. There is a simple breath test that can detect this.If you have this avoiding lactose containing products and supplementing Lactase enzyme (Available in drug stores-over the counter) would be helpful. Another condition that needs to be ruled out is Celiac disease. This is an autoimmune mediated disorder in which gluten sensitivity occurs causing damage to the lining of the small intestine. Gluten is present in wheat,barley and oats. Again a very good blood test is available to rule this out. You are on Imodium to control diarrhea. Spsmonal is a smooth muscle relaxant and econorm is a form of probiotic that helps to improve the good bacteria in the colon. I see you are also on pain medication. I am not sure if you are taking any fiber supplements or bulking agents to firm up the stool. You can ask your doctor about taking Dicyclomine or Hyocyamine to control the spasms in place of Spasmonal and use only 1-2 Imodiums if you still have diarrhea. Hope this gives you some more information. Wish you good health.