Doctor insights on:
What sxs to fix?: Your choice of probiotics may depend on what symptoms you have, ; whether you are on antibiotics. Also, different probiotics work in different ways. Lactobacillus and acidophilus grow rapidly to crowd out "bad" bacteria, bifidobacter helps reduce "gas", and sacchromyces boulardes retards the growth of clostridum difficile and has the added advantage of being relatively antibiotic resistant. ...Read more
50 year old female with IBS diverticulitis/ delayed gastric emptying/ the bloating, pain diarrhea and nausea making me miss work any suggestions?
Too complex for this: You clearly have multiple complicated issues. The.Se can not be dealt with in this forum. You need personal medical attention to address these issues. ...Read more
Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds
Yes: Another cause of similar symptoms to to irritable bowel and ulcerative colitis can be celiac disease or gluten sensitivity. The test is very accurate to rule gluten sensitivity in or out. It would be nice to know that since gluten intolerance is very treatable by dietary avoidance of gluten. ...Read more
R/O IBS: IBS IS DX OF EXCLUSION.. You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/hpylori . you also need a baseline colonoscopy. While you are getting these items checked out you should stick to a gluten free high fiber diet . Ie gutbliss.com and Wholeapproach.com. Also 64-80oz water.KEFIR &YOGHURT HAVE NATURAL PROBIOTICS. ...Read moreSee 1 more doctor answer
Rome Criteria: There is no lab test or procedure to diagnose ibs, but labs, xrays, colonoscopy, endoscopy can be used to rule out other conditions that are similar to ibs. Ibs is often diagnosed when one has the signs and symptoms of the rome criteria. These are criteria that experts have set up to diagnose ibs. ...Read moreSee 2 more doctor answers
Bad acid reflux 18months, self medicating with 75mg of ?Ranitidine? Every 12hrs. Celiac test negative. Family history of IBS and crohnes.
Redundant colon,candidate for elective colon resection. Linzess, miralax no help. Milk of mag or Sennokot 2-3x week helps.Use instead of surgery?
Chronic constipation: Most often, surgery is only considered as a last resort. For some people, having a bowel movement 2 to 3 times per week is normal. If you are able to achieve this using milk of magnesia, then I would not consider surgery at this time. It is always possible to have complications of surgery, and in your situation, it doesn't sound absolutely necessary. Fiber and hydration are key. Good luck. ...Read moreSee 1 more doctor answer
IBS-C with bloating, indigestion, distention. Taking Bentyl (dicyclomine) 20mg x4 a day. Will this help with constipation & distention of stomach?
Hopefully: Bentley is a wonderful medication works well and well tolerated yes worth giving it a try ...Read more
All have them.: If the ada says it is real yogurt with active cultures, then you have your probiotics, but others tout specific strains of bifidus and lactobacilli as being better. There is little hard evidence that this is the case. ...Read more
Patient controlled years with UC without flares on Asacol (mesalamine).Now, Insurance won't pay unless patient fails trial of generic balsalazide.Refer back to GI?
What a shame!: You may have success getting Asacol (mesalamine) HD or a suitable similar 5-ASA approved on appeal for health plan coverage as a policy exception since the patient has done so well with it for so long. Or, prescribe the balsalazide (Colazal) alternatively. As an aside, is the patient with ulcerative colitis in question due for dysplasia surveillance now, in which case he/she deserves a GI referral anyway? ...Read moreSee 1 more doctor answer
More than 15 years of stomach pain, loose stools..colonoscopy/endoscopies found no crowns or colitis...is IBS the only answer? No treatment helps.
May help.: Probiotics in general are recommended for ibs, whatever form they come in, . ...Read more