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Suggest Treatment For Fecal Incontinence
Question: I have fecal incontinence. I have been diagnosed with IBS. Adding fiber gives me diarrhea. Eating fruit does the same. I have improved somewhat by eliminating sugar. Eliminating dairy and wheat does not seem to help. When I get diarrhea I have no control. I am pretty much homebound.
Brief Answer:
pharmacological options for diarrhea predominant
Detailed Answer:
Hi,
Thank you for contacting on HCM. Since dietary changes havent helped you much especially in the face of diarrhea episodes, next step would be the use of antidiarrheals only at the time of diarrhea episodes.
1.Diphenoxylate hydrochloride 2.5 mg with atropine sulfate 0.025 mg
This drug combination consists of 2.5 mg of diphenoxylate, which is a constipating meperidine congener, and 0.025 mg of atropine to discourage abuse.
2. Loperamide
Loperamide, which is available over the counter, acts on intestinal muscles to inhibit peristalsis and to slow intestinal motility.
Alosetron is your last option if your diarrhea doesn't get controlled with anything else. Although its very effective, however its use is discouraged unless having very severe symptoms because of its numerous GI adverse effects
Please know you can not use any of those medications continuously for long term, they are only for temporary relief best used only at the time of diarrhea episodes. In some cases Psychotherapy referral can also help with this condition.
Please don't forget to close the question.
Dr. Khan
pharmacological options for diarrhea predominant
Detailed Answer:
Hi,
Thank you for contacting on HCM. Since dietary changes havent helped you much especially in the face of diarrhea episodes, next step would be the use of antidiarrheals only at the time of diarrhea episodes.
1.Diphenoxylate hydrochloride 2.5 mg with atropine sulfate 0.025 mg
This drug combination consists of 2.5 mg of diphenoxylate, which is a constipating meperidine congener, and 0.025 mg of atropine to discourage abuse.
2. Loperamide
Loperamide, which is available over the counter, acts on intestinal muscles to inhibit peristalsis and to slow intestinal motility.
Alosetron is your last option if your diarrhea doesn't get controlled with anything else. Although its very effective, however its use is discouraged unless having very severe symptoms because of its numerous GI adverse effects
Please know you can not use any of those medications continuously for long term, they are only for temporary relief best used only at the time of diarrhea episodes. In some cases Psychotherapy referral can also help with this condition.
Please don't forget to close the question.
Dr. Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am on warfarin because of Factor V Liden, hydrochlorothiazide and lisinopril for HBP, levothyroxine, pravastatin,citalopram ropinirole (restless legs) and 65 mg of iron daily. Vit D, a Mega Red with Krill Oil. About 1 year ago I was diagnosed with IgA nephrology. Will of those meds interfere with the anti diarrhea meds?
Brief Answer:
warfarin and levothyroxine serious interaction
Detailed Answer:
Hi,
The antidiarrhea medications are not interacting with your other drugs. However I noticed with the use of levothyroxine and warfarin, there is a serious interaction. You need to replace warfarin preferably with rivorxaban which is a little more expensive but would be safer. Warfarins level can increase to levels with levothyroxine to dangerous levels, so a replacement is recommended by international guidelines.
Please do talk to your physician about it. Thank You
Dr. Khan
warfarin and levothyroxine serious interaction
Detailed Answer:
Hi,
The antidiarrhea medications are not interacting with your other drugs. However I noticed with the use of levothyroxine and warfarin, there is a serious interaction. You need to replace warfarin preferably with rivorxaban which is a little more expensive but would be safer. Warfarins level can increase to levels with levothyroxine to dangerous levels, so a replacement is recommended by international guidelines.
Please do talk to your physician about it. Thank You
Dr. Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am on warfarin because of Factor V Leiden, hydrochloroththiazide and lisinopril for HBP, levothyroxine, thyroid, pravastatin, cholesterol, citalopram, ropinrole, restless legs, daily iron tablet, vitalmin D, mega red with Krill Oil. About a year ago I was diagnosed with IgA nephrology. Will any of the meds interfere with anti diarrhea meds? Do I go to my GP for Rx?
Brief Answer:
please look at the answer given above
Detailed Answer:
Hi,
I have already answered your question previously. You may go to your GP and inform him of the serious interaction between warfarin and levothyroxine and ask his opinion. I suggest you may go on rivoraxaban.
Dr. Khan
please look at the answer given above
Detailed Answer:
Hi,
I have already answered your question previously. You may go to your GP and inform him of the serious interaction between warfarin and levothyroxine and ask his opinion. I suggest you may go on rivoraxaban.
Dr. Khan
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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