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Suggest Treatment For Symptoms Of IBS

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Posted on Wed, 22 Mar 2017
Question: I have about 5 bowel movements/day and have urgency to go most of the day. I have no urgency the moment i am in the shower, hot tub, or sleeping. I have been to the mayo Clinic and they have prescribed a concoction of cymbalta, gabapentin and colestid. Any thoughts?
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Details below.

Detailed Answer:
Hi
Thanks for choosing Health care magic for your query,
Have noted all the details.

Most likely the doctors at Mayo are treating you on guidelines of irritable bowel syndrome.

Crymbalta contains duloxetine,It is a SNRI,primararily used as a antidepressant;duloxetine appeared to be effective for many features of IBS. Severe constipation is one of the main side effect of this drug,However as your bowel moments are frequent,This side effect of constipating is going to help you in your case.

Colestid contains Colestipol, Basically used to lower high cholesterol levels in the blood.Colestipol is a medicine which absorbs bile acids from the intestines.Too much bile acid can result in diarrhea, so Colestid is generally used to control IBS diarrhea.

Gabapentin -The rectum plays a role as a dynamic reservoir for the temporary storage of faeces with rectal pressures being maintained at a low level until defecation is initiated. Rectal compliance is a measure of the resistance of the rectal wall to distension reflecting the tone of the rectal wall. Apart from disturbances in rectal sensitivity, significant alterations in rectal tone and compliance may be observed in a subset of IBS patients.Gabapentin reduces rectal sensory thresholds through attenuating rectal sensitivity to distension and enhancing rectal compliance in diarrhoea-predominant irritable bowel syndrome patients.

Follow this treatment as adviced and is definitely going to help you.

Though not asked by you yet some general life style changes I would recommend are-
-Add fibres to your diet. Fiber adds bulk to your digestive system. It is broadly accessible in grains, vegetables and natural products. Concentrate on soluble fiber. This includes vegetables and natural products.
-Consume plenty fruits and vegetables.
-Take carbohydrates in required quantity like bread, rice, oats, pasta, potatoes, and plantain.
- Include substitutes like soya, rice or oat, milk and yogurts that are rich in calcium in your diet.
-Take a limited amount of foods high in fats and sugars..
-Drink a lot of liquid, no less than 66 ounce every day.
Regards.


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (34 minutes later)
Thank you

I have been taking Citrucil once a day, too. Should I continue....or stop and try to get just natural fiber. One more thing......the Mayo found out that I am lactose intolerant and that food moves though my body at a faster rate then it should.
doctor
Answered by Dr. Ramesh Kumar (8 minutes later)
Brief Answer:
Follow up advice.

Detailed Answer:
Hi again,
As you are already on a number of medicines,Initially i would suggest you to go for natural sources of fibres,However if required then you can take Citrucil or fybogel sachets daily.
Lactose intolerence is one of the major cause of irritable bowel,See you have to avoid any thing which irritates mucosa of your intestine;Whether it is glutein or lactose.
As you are diagnosed as lactose intolerant avoid all foods containing lactose.

Follow the medicines follow all the general advice i gave you.You will start feeling much better in a week.
Thanks.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Treatment For Symptoms Of IBS

Brief Answer: Details below. Detailed Answer: Hi Thanks for choosing Health care magic for your query, Have noted all the details. Most likely the doctors at Mayo are treating you on guidelines of irritable bowel syndrome. Crymbalta contains duloxetine,It is a SNRI,primararily used as a antidepressant;duloxetine appeared to be effective for many features of IBS. Severe constipation is one of the main side effect of this drug,However as your bowel moments are frequent,This side effect of constipating is going to help you in your case. Colestid contains Colestipol, Basically used to lower high cholesterol levels in the blood.Colestipol is a medicine which absorbs bile acids from the intestines.Too much bile acid can result in diarrhea, so Colestid is generally used to control IBS diarrhea. Gabapentin -The rectum plays a role as a dynamic reservoir for the temporary storage of faeces with rectal pressures being maintained at a low level until defecation is initiated. Rectal compliance is a measure of the resistance of the rectal wall to distension reflecting the tone of the rectal wall. Apart from disturbances in rectal sensitivity, significant alterations in rectal tone and compliance may be observed in a subset of IBS patients.Gabapentin reduces rectal sensory thresholds through attenuating rectal sensitivity to distension and enhancing rectal compliance in diarrhoea-predominant irritable bowel syndrome patients. Follow this treatment as adviced and is definitely going to help you. Though not asked by you yet some general life style changes I would recommend are- -Add fibres to your diet. Fiber adds bulk to your digestive system. It is broadly accessible in grains, vegetables and natural products. Concentrate on soluble fiber. This includes vegetables and natural products. -Consume plenty fruits and vegetables. -Take carbohydrates in required quantity like bread, rice, oats, pasta, potatoes, and plantain. - Include substitutes like soya, rice or oat, milk and yogurts that are rich in calcium in your diet. -Take a limited amount of foods high in fats and sugars.. -Drink a lot of liquid, no less than 66 ounce every day. Regards.