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Stomach pain, hungry all time, sertraline and kodymagnyl usage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi. For 2 years ago I had a stomach problem cause by taking kodymagnyl
User :   I took it on empty stomach
Doctor :   Ok
User :   Furthermore I take sertraline and I ve read that those kind of "happy pills" can make some kind of interaction and make the effect of kodymagnyls stronger
User :   Afterwards I had a lot of stomach pain felt hungry all the time and had some sort of secretion coming out of my rectum
User :   Then I went to a specialist.
Doctor :   Ok
User :   He examined my stomach with a camera and told me I didnt have any stomach "wound" but looked a bit irritated.
Doctor :   Ok
User :   Then he gave me some pills to lower the production of acid
User :   I think it was ranitidine but im not absolutely sure
Doctor :   Ok
User :   Ok that helped and the rectal secretion stopped
Doctor :   Ok
User :   Now it seems to have come back a bit
User :   I have not exactly diarrea but very liquid stol
Doctor :   Ok
User :   And the secretion has come back a little bit. Not as much as before but still so much so it annoys med
User :   me
User :   Could it be related to the issue 2 years ago?
Doctor :   How frequently are you seeing these secretions?
Doctor :   Do you notice them only while passing stools or do they occur always staining your undergarments?
User :   well I just basically feel "weat" all the time
User :   But its not much coming out
User :   They occour all the time
User :   Its looks a bit yellow
User :   not much almost colorless
Doctor :   Have you undergone a per rectal examination?
User :   No
User :   Could it be from overproduction of acid in the stomach?
Doctor :   No, Acid secretions are not related to rectal secretions.
User :   Well why did it help on that at that time?
User :   I really dont understand then
Doctor :   Do you have history of constipation?
Doctor :   Do you have pain while passing stools?
User :   no
User :   No
Doctor :   Ok
User :   I have a history of more liqued stool
User :   if I have something
User :   If those pills helped at that time how come it also helped on the rectal condition?
User :   I swear the pain in stomach and rectal secretion started exactly at the same time after taking those pills
Doctor :   Let me explain to you,
Doctor :   kodymagnyl is a pill that contains morpine and paracetamol
Doctor :   Sertraline is known to accentuate the effects of morphine
User :   ok
Doctor :   And as your doctor suggested, they can be responsible for gastritis and increased acid secretions.
Doctor :   And as predicted, your symptoms are down with acid lowering drugs.
Doctor :   However rectal secretions on the other hand are not related to acid secretions.
Doctor :   They are known to occur due to lower colon inflammation or infections.
User :   Ok. But they came exactly at the same time
Doctor :   Sertraline possibly can increase intestinal secretions, but not many have reported constant rectal secretions as reported by you.
User :   So what would you suggest me to do?
User :   Taking husk?
User :   If we run out of time will you catch me when getting back after payment?
Doctor :   A per rectal examination along with a colonoscopic examination can help us in revealing if there is an associated lower gut inflammation/infection.
Doctor :   Hence according to me, you will need to consult a gastroenterologist - per rectal examination as well as colonoscopy.
User :   Hmm ok
Doctor :   further steps of management and the probable cause will be revealed after the test.
Doctor :   Hope I have answered your query.
User :   Actually I made a wrong payment before
User :   I payed two times because i wanted live chat
Doctor :   I shall put this across to the customer support team
User :   but I didnt succeed I payed for the wrong thing first
User :   Yes thank you very much
Doctor :   they will confirm this and refund if there is a double payment.
User :   Ok thanks for your help
Doctor :   Thanks for consulting me.
User :   ok bye
Doctor :   Have a nice day!!
Doctor :   Bye for now.
User :   you too
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