Doctor insights on:
Cymbalta And Ibs
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 more
Has anyone studied the use of cymbalta (duloxetine) to treat IBS symptoms? Have heard it has helped some patients even though it's not marketed for that use.
As above : I am not aware of any studies regarding that , however, patient with ibs can have pain and depressive symptoms and therefore , it may be helpful. ...Read more
I have severe pmdd and probably ibs, also diagnosis with anxiety years ago, would cymbalta (duloxetine) be good for all of these? Is it appropriate to bring up to gyno?
Started Cymbalta (duloxetine) 60 mg one month ago. now experiencing hypersomnolence & IBS sx (constipation 1 day, diarrhea the next) . side effects?
Yes: Constipation is an unusual but difficult side-effect of Cymbalta (duloxetine). Most people feel stimulated with drugs like this but a small percentage will feel tired. You can try taking it in the evening and using some OTC for constipation (Metamucil will help both parts of IBS) but if theses things are severe this may not be the drug for you. ...Read more
Is cymbalta (duloxetine) (20 mg) safe and effective for anxiety and nervous stomach? I was/is experiencing IBS like symptoms such as gas/bloating
Cymbalta primarily for treatment of Depression, it is also used for Anxiety.
Its side effects can be- nausea
abdominal pain, dyspepsia, and flatulence.
Discuss with Psychiatrist:
•Diagnosis of Anxiety
•Severity of symptoms now needing medication
•Side effects of Cymbalta
•Medications-Ativan, Xanax or Buspar
•Therapy for stresses in your life
•Visual Imagery of National Parks ...Read more
IBS/C. Diff: Small percentage of patients will have linger symptoms after an episode of c. Diff infection or any intestinal infection chronically. This is known as post-infectious ibs. Suggest to work closely with your GI specialist to rule out other causes (recurrent or incomplete treatment of infection) and treat your symptoms accordingly. ...Read more
No,totally different: Linzess is not a laxative! it acts locally in intestines in two ways: helping to calm pain-sensing nerves ; accelerating bowel movements. It is taken once daily to proactively treat both ibs-c ; chronic idiopathic constipation. Ex-lax is a stimulant laxative, that cannot safely be taken daily without risk of dependency. It triggers rhythmic contractions of intestine causing cramps ; nausea. ...Read more
It's possible: The bacteria in your gut actually 'train' your immune system. An imbalance (sibo) can leave your immune system reacting inappropriately (too little or too much) to foods, infections, stressors, etc. Work with an integrative or functional medicine doctor to address this and keep track of any foods that make you feel worse. Elimination diets and appropriate pre- and probiotics can help. ...Read more
IBS-C. When ever I manage to go for a BM (big or small) I feel drained and sickly after it An have to have a lie down.. why is this ??
Unusual: This is not normal . Have you consulted a gastroenterologist? ...Read more
Had loads wind yest then in night got a dull/discomfort feeling tucked up under left rib near my side still have the feeling now, I also have ibs-c?
Neuro is adding Lexapro 2 my meds, hope u can c my med list now! & on Cymbalta (duloxetine) but then quit Cymbalta (duloxetine) after 2wks. These 2 meds safe 2 take together?
Dose duration matter: Cross-tapering antidepressants is often done to prevent negative side effects from coming off a medicine. Even a medicine that isn't working well enough is often doing 'something' and patients may miss it when it's gone. Although Cymbalta (duloxetine) interacts with A LOT of drugs, Lexapro doesn't. Over a short period (2 weeks), at reasonable doses, there shouldn't be problem. ...Read more
Diet and fluids: I rarely prescribe meds for ibs. In my experience teaching people to eat and drink properly resolves most if not all symptoms when the patient is compliant and follows through. Hi fiber, 80-100 ounces non caffeine, non alcoholic beverages each day, regular meal times, excercise. Consistency is the key to being symptom free. ...Read more
R/O IBS: IBS is a diagnosis of exclusion. SX can be managed 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 EGD/ 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 TX LEVSIN/BENTYL ...Read more
Mild neutropenia (1.2-1.4) for three years (annual test) no sign of autoimmunity. Should I worry, can IBS-C be a symptom.
I have IBS-C so im use to knowing what helps.but I had a recent car acc. havent had bm in 7 days dispite laxs and taking ducalax. and extremly nausea?
See a doctor: It is not normal not to have a BM for more than a week in spite if the car accident need to see your doctor to rule out any injuries related to the accident and treat the constipation more aggressively and maintain normal daily BM stay hydrated increase your fiber and eat more fruits and vegetables and exercise by walking thank you for using health tap and good luck ...Read more
I was prescribed Bentyl10 mg, twice a day for IBS-C. It has helped me out, but will this csuse me to be more constipated? N can i take morning & night
Should not: If Bentyl (dicyclomine) is helping your IBS-C I would continue it. It is an antispasmodic that treats underlying IBS and helps both those with constipation and diarrhea. It should treat the spasm in your colon and not change the long term nature of your intestine. If it starts to make your constipation worse I would cut it back or stop it. Taking it twice a day is fairly low does but if it helps continue. ...Read more
It can be: chronic ˈkrɒnɪk (of an illness) "persisting for a long time or constantly recurring" In people with Irritable Bowel Syndrome (IBS) the tendency to abdominal pain / bloating with bouts of diarrheoa or constipation can persist for some time, and indeed recur. The severity of symptoms however varies from person to person. Many people do achieve a degree of control over symptoms. See patient.info IBS ...Read more
R/O IBS: IBS SX BLOATING/PAIN/GAS/DIARRHEA/CONSTIPATION is a diagnosis of exclusion. IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD to a gluten free diet . Ie gutbliss.com and Wholeapproach.com The SX wax and wane. MEDS: BENTYL / LEVSIN (hyoscyamine) ...Read more
IBS is nebulous. : In working up IBS, blood testing, EGD, colonoscopy, abdominal CT and ultrasound scanning are important steps to rule out other causes of the symptoms. IBS is a diagnosis of exclusion, so other identifiable conditions must be ruled out before we consider settling upon an IBS diagnosis. ...Read more
IBS: See book called "Breaking the Vicious Cycle" by Elaine Gottschall. Consider getting a food sensitivity lab test. Great Plains lab in KS USA has a good one. Consider behavioral interventions like meditation. See www.relaxationresponse.com for self-help and stick w/your doctor. Peace and good health. ...Read more
R/O IBS: IBS iCAN BE FELT DAILY . IBS IS DX OF EXCLUSION . IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD STICK TO A gluten free diet . Ie gutbliss.com and Wholeapproach.com The SX wax and wane. ...Read more
Depends on symptoms: After a positive diagnosis of IBS made in conjunction with your Dr, the condition is best managed with reflection and change to diet, lifestyle. Medication options include; antispasmodics (Buscopan, Mebeverine) for pain, Loperamide for diarrhoea, Laxative for constipation and antidepressants (SSRI or TCA) which probably modify the body/mind pain processing and promote a feeling of wellbeing. ...Read more