Lactulose

What is Lactulose?

Lactulose is a synthetic, non-digestible sugar (a disaccharide of fructose and galactose) used in treatment of chronic constipation and hepatic encephalopathy. It is an osmotic laxative.

Questions and answers on "Lactulose"

Hi my 6 years old daughter can't pass stool easily all comes after 5-8 days with alot of pain, screeming and some bleeding. it is been like this for over 9 months start using lactulose solution and senna for the whole last month, when thoughts things getting better and everything back to normal. once again we are back to pint zero where comes the pain and the bleeding again..knowing that i havent stop the medication, feel like it is sth more deep need more attention..help plz.

doctor1 MD

Hi...Thank you for consulting in Health Care magic. I think your kid is having habitual constipation. I have certain questions and suggestions for you.
Questions:
1. Did your kid pass motion or meconium on day one of life?
2. Since how long is the kid constipated?
3. Does the kid have any...

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I am suffering from chronic constipation. After taking Cremaffin plus for three days, I have started Lactulose, 30 ml in the morning and 15 ml in the afternoon. I also have stated about 5 gms of Isabgol at bed time.
I do pass stools in the morning but always there is feeling of as if something is there in the rectum and even after straining only small amount comes out.
I try to take lots of water, high fiber food like fruits and vegetables, prunes and figs.
Can I increase the dose of Lactulose?
Can I take Cremaffin plus (once or twice in week) along with Lactulose?
Or can I add senna preparation to lactulose to be more effective?
I am 80 year old male with mild physical activity, still continue my histopathology practice.
Thanks for the help. Dr. H.M. K.Saxena

doctor1 MD

Respected uncle
Hello

I will suggest you to drink luke warm milk with MUNAKKA at bed time .
Drink only warm water 10 to12 glass.
some time you can use anima.
A Homoeopathic medicine Ylo tab will help you Two tab at bed time
Thankyou.

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Sir,I am a 21yr old male.I am a juvenile diabetic since 11yrs.I underwent anal sphincterotomy last month. SInce then I have been using cremaffin plus and lactulose solutions daily after my dinner. Since the last three weeks, I have been facing a situation of high postprandial blood sugars of around 280mg/dl after my lunch. Is there any link between these solutions and my afternoon hyperglycemia?? I have been using human mixtard 50-50 twice a day... What is the reason behind this state of hyperglycemia.... Please respond.....

doctor1 MD

Lactulose is a sugar so obviously it is going to cause a steep rise in blood sugar. the same applies to cremaffin plus which contains sweetening agents to make it more palatable. You need to swith over to non sugar containing bulk formers. thereafter get your sugars checked and inform your...

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Hello,
One week ago my father was prescribed lactulose (30ml, twice per day) for hepatic encephalopathy, he was first diagnosed with cirossis two years ago and takes tenofivir. Lactulose treatment has successfully eliminated all signs of agitation, defiance, and agressive behaviour . Is there any chance his memory and cognition could improve and would rifaximin be more effective. Up until now we have been under the impression that dementia caused all his cognitive problems. He has never respoonded positively to psychiatric medications or dementia medications including Aricept and Exelon and is currently not on these drugs.

doctor1 MD

Hello!

Thanks for posting your query.
Yes, rifaximin will be more effective.

For hepatic encephalopathy with cirrhosis syrup lactulose does help.
There can be improvement in memory and cognition with use of lactulose by decreasing the gastrointestinal microbial flora and decreasing the toxin...

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My son has got over a long standing constipation issue since potty training that he had lactulose for he no longer has hard stools. He now seems to not know that he keeps soiling pants up to 3 times a day. Don't know what to do. He is not quite 4 and I have him on a high fibre diet.

doctor1 MD

Hi XXXXXXX,
Welcome to Healthcaremagic forum.
Let me know the associated symptoms along with watery shit.
Does he has spasmodic abdominal pain/ excessive flatulence/ vomiting/ fever?
Are you still using lactulose ?
What was the cause of persistent hard stool (constipation)?

There may be...

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My grama just got hoe and hospice came today to help me take care of her until she passes, she was prescribed Lactulose Oral Solution to help clean out her bowels and they had said the bottle would say a different amount to give her nightly to start, with all the information they were telling me I forgot the dose they told me, she is 60lbs and can't eat or drink or move or talk anymore, Just on complete comfort care now until she passes, what dose do you recommend for palliative hospice patient care?

doctor1 MD

Hi,

Usually, the dose of lactulose oral solution is 1 tablespoon, thrice a day. You can start giving her 1 tablespoon at night slowly.

Give her plenty water as much as she can drink it.

All the best to your grandma and you all!
Dr.Bardha

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hi doctor, i have been constipated for about a week, i've been given lactulose solution and fibre gel, but my stools are still not loose and not frequant,i want to get rid of this bloatyness and everything in the stomach. Because of this problem my stomach is big and my bottom is gone big too, please could you tell me something which i can have and will start loose motions, thankyou regards YASMIN.

doctor1 MD

HI
Well come to HCM
I really appreciate your concern, some time such constipation could be due to chronic protozoa infection and in my opinion it can be given try with "Tab Metronidazole 40 mg" twice in day for 10 days, along with this, drink more water, have fiber containing diet, keep regular...

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I have cirrhosis. I have been told it is moderate to severe. I have the common conditions that go with it. Very low platelet count. (numerous esophageal bandings) I am not a new-comer to this affliction. These are the things that have been pounded into my head: three bowel movements daily, Lactulose, No salt, Diuretics, Vitamin K and Potassium. A doctor at our local hospital did a banding on me 2 days ago, and took away all my meds. I am now facing a paracentesis. What the HELL was he thinking?

doctor1 MD

Brief Answer:
Need more information to give a complete answer.

Detailed Answer:
Hi,
Thanks for posting in healthcare magic.
I am Dr.Ratnakar Kini and I am pleased to assist you.

May I know what your question is?

I would also like to know about the following.

1. Is your cirrhosis alcohol related...

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I had a bowel obtruction 10 year s ago . now i have had a 1 bowel movement after 13 days that is with taking pico salax and lactulose and now i;m on my 11 day again i;m bloated and pain in stomach and tired and having some memorie loss and the doctor has me on senokot-s 2 tablets 4 times a day lax a day17 gram lactulose 2 tbs 3 times a day and dulcolax suppository daily and i still cant go . Im having some gas so that is good but now what should i do and how long should i wait to see doctor again .

doctor1 MD

HI
Well come to HCM
If you have history of obstruction of bowel (Not exactly given which bowel was obstructed) neither stated what type of treatment you have given at that time, if the constipation is due to the intestine pathology then this need to be treated accordingly no question is there for...

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I have patient of cirrhosis with oesophageal varices .15 days back he had hemetemesis and landed into encephalopathy .patient recovered from encephalopathy and endoscopy revealed large bleeding eso.varices. His EVL was done and patient is fine now.there is no hemetemesis. He is on lactulose along with all other supportive therapy.for last two days despite taking lactulose 30 ml. Twice a day patient has not passed stool.should I increase the dose of lactulose or add some other laxative. His intake is not adequate also.on examination he is haemodynamically stable afebrile, no jaundice .no sign of chf/ lvf,his abdomen is soft bowel sounds normal .

doctor1 MD

Hi,
Welcome to HCM,
After going through the history of the patients, he is having Cirrhosis of liver with portal hypertension with Esophageal Varices.

The cause of hematemesis is varices and EVL (Endoscopic Variceal Ligation) is done to prevent the further bleeding. Blood in intestine causes...

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Recent questions on  Lactulose

doctor1 MD

I am 23 years old. I have suffered with constipation most of my life, and been hospitalized twice due to complications. Its been getting worse and the past few monthes I have had really hard impacted feces constantly. I have been to three doctors and all they say try enema's, laxatives, and stool softeners and to change my diet. I rarely eat meat anymore. I eat fiber filled foods all day and drink more water than I would like. The change in diet has done nothing(its been a couple of monthes). The laxative (lactulose) makes me feel like I need to go but even with stool softeners(Amitiza) I am still not able to pass much. I can't live like this. I am recently married and I am mortified to be going through this. Please help...is there something serious going on? Or maybe a magic pill?

doctor1 MD

Hi, im a 19 yrs old teen been having fever together with bloating stomach for 5 days. No diarrhoa and totally no bm, having nausea and been passing gas after i consumed some lactulose. The fever comes and goes together with the headache. Please help me, tq

doctor1 MD

i am 9 weeks pregnant, was seen in the er last week because I hadn t had a bowel movement for a week. I ve been drinking miralax taking docusate, lactulose drinking magnesium citrate......and another week later my stomach is severly distended, it hurts to breathe, still not going to the bathroom and SUPER uncomfortable. what should I do now?

doctor1 MD

my son has been badly constipated for 2 weeks now, he is eating normally but is screaming with pain more or less all day and throughout the night. He usually sleeps all night through. His first GP visit resulted in Lactulose and the 2nd, Movicol.

He is 2 yrs old, only drinks water as he doesnt like sweet drinks and has one bottle of milk at bed time. He eats plenty of veg, baked beans and most mornings has weetabix or shreddies so a good diet.

The GP said his tummy was soft, but it must be going somewhere! He doesnt appear to be holding it in. He keeps going very hot on his body and has been vomiting every so often, although the doctor said this could have been a reaction to Lactulose?

I am thinking of taking him to the local hospital tonight, as he has been taking movical for a week now and nothing.

doctor1 MD

My daughter is 3 years 8 months old. She doesn't pass motion regularly for last 7 months . We have been visiting doctors but situation is not improving. After 4-5 days also we need to give repository for forcing the motion. She eats a lot of...

doctor1 MD

I am a 49 yo female. I have had external hemorrhoids in the distant past. I pass a large (long), snakey, formed stool daily. The terminal part of the stool is sometime mushy. Occasionally the stool clogs the toilet. I have a very fibre rich diet...

doctor1 MD

The symptoms are for a 62 year old woman who is hypothyroid, takes 25 micrograms of tirosint and also takes 290 micrograms of Linzess for IBS . She has had symptoms of "emptying" her colon when it is like a "plunger" was used to unclog pipes....

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