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A 32-year-old member asked:

Why is lactulose used for a patient who has azotemia?

1 doctor answer1 doctor weighed in
Dr. Arthur Heller
Gastroenterology 44 years experience
If liver problems: Lactulose is a poorly absorbable carbohydrate, causes gas, bloat, diarrhea; changes pH in bowel, affects bacteria; causes less ammonia production which somehow affects thought process, mentation in patients with chronic liver disease who can't clear these chemicals as well as norm. Sometimes given for chronic constipation. Sorbitol works similarly, cheaper, found in sugarless candies, mints, gu.

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Last updated Feb 10, 2017
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