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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Trouble With Bowel Movements

My mom is bed ridden, is diabetic, on a colostomy bag , a feeding tube and has dementia. Her blood pressure is 154/99. I gave her a clonidine. She is fed glucerna 1.2 cal. She is having trouble with bowel movements. I don t know what to do. Any suggestions?
Mon, 1 Jun 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

This could be irritable bowel syndrome.
Irritable Bowel is a very long term issue and needs constant therapy.

There is no permanent cure for the problem and it's management relies on diet and lifestyle modifications along with certain medications. Diet and Lifestyle Modifications in IBS like avoiding Pulses and Beans, food with high amounts of refined sugars will help.

Medications in IBS like Loperamide (Brand Name: Eldoper) has been used in the management of IBS with diarrhea (man many bowel movements a day, like in your mother ). But it must be used with caution because the more you use it, the higher risk of getting an infection in your bowels. If you must use it. Use only 1 or 2 tablets in a day and don't use more than Once or twice a month.

Antispasmodics like Mebeverine (Brand Name: COLOSPA) has also been used to regulate the bowel in IBS.

Lastly, Tricyclic Antidepressants (TCA's) like Amitryptalline have been shown in studies to help with IBS. But those drugs can have many many side effects so they are not commonly used.

Regards,
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Suggest Treatment For Trouble With Bowel Movements

Hi, Welcome to health care magic, This could be irritable bowel syndrome. Irritable Bowel is a very long term issue and needs constant therapy. There is no permanent cure for the problem and it s management relies on diet and lifestyle modifications along with certain medications. Diet and Lifestyle Modifications in IBS like avoiding Pulses and Beans, food with high amounts of refined sugars will help. Medications in IBS like Loperamide (Brand Name: Eldoper) has been used in the management of IBS with diarrhea (man many bowel movements a day, like in your mother ). But it must be used with caution because the more you use it, the higher risk of getting an infection in your bowels. If you must use it. Use only 1 or 2 tablets in a day and don t use more than Once or twice a month. Antispasmodics like Mebeverine (Brand Name: COLOSPA) has also been used to regulate the bowel in IBS. Lastly, Tricyclic Antidepressants (TCA s) like Amitryptalline have been shown in studies to help with IBS. But those drugs can have many many side effects so they are not commonly used. Regards,