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Suggest Treatment For Diarrhea Due To Bowel Inflammation

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Posted on Fri, 21 Mar 2014
Question: 15 months ago I had a hitatis hernia operation (left with inability to burp) - immediately after appeared to contract indeterminate colitis. Treated with steroids which immediately resolved passage of blood and mucus. Maintenance dose of Pentasa (2mg daily) prescribed. Averaged 3 - 4 bowel motions daily with medium to soft stool. Over last month this has increased to up seven a day. Immodium initially worked for a few weeks. Now I can take 3 Immodium at say 7am and not suffer need to visit toilet by 4pm (during break I feel perfectly well and without IBD symptoms). Stools are now generally liquid. Occasional wet flatulence is experienced (never happened previously). Need arrives out of no-where and after briefly passing of significant gas (usually uncontrollable) passage of a motion is incredibly urgent. Once this happens I get 3 - 4 motions about an hour apart - some respite happens then need to visit toilet throughout night. What medications are available to reduce bowel motions and regain control (regularity). Current situation impacts on my ability to work.
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Answered by Dr. Dr. Klerida Shehu (7 hours later)
Brief Answer: Suggested to restart steroid therapy.... Detailed Answer: Hi, I have gone through your query carefully and understood your concerns. I am sorry for the situation you are in. Diarrhea you are experiencing is due to bowel inflammation. Furthermore, the fact that you go to the toilet at night is also a strong indicator for bowel inflammation. I strongly suggest to discuss with your gastroenterologist to increase pentasa doses and start corticosteroid treatment again with low maintenance doses (10-15 mg/day) for more than 6 weeks. I also suggest to do some other exams : - complete blood profile (to check for the leukocytes levels) - PCR - Endoscopy (to evaluate endoscopically your bowel condition) Hope it was of help! Dr.Klerida Feel free to ask me other questions you might have!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest Treatment For Diarrhea Due To Bowel Inflammation

Brief Answer: Suggested to restart steroid therapy.... Detailed Answer: Hi, I have gone through your query carefully and understood your concerns. I am sorry for the situation you are in. Diarrhea you are experiencing is due to bowel inflammation. Furthermore, the fact that you go to the toilet at night is also a strong indicator for bowel inflammation. I strongly suggest to discuss with your gastroenterologist to increase pentasa doses and start corticosteroid treatment again with low maintenance doses (10-15 mg/day) for more than 6 weeks. I also suggest to do some other exams : - complete blood profile (to check for the leukocytes levels) - PCR - Endoscopy (to evaluate endoscopically your bowel condition) Hope it was of help! Dr.Klerida Feel free to ask me other questions you might have!