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Doctor insights on: Cymbalta And Ibs

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How is IBS diagnosed?

How is IBS diagnosed?

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

Dr. Charles Cattano
1,353 doctors shared insights

Irritable Bowel Syndrome (Definition)

A long-term disorder of gastrointestinal functioning. It results in abdominal discomfort, pain, bloating, stomach ...Read more


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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.

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

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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?

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?

Yes: You should discuss thoroughly with your gynecologist. Don't be afraid to discuss and / or to try several different medications. Remember, you have to give each med a chance to work (4 to 8 weeks at a given dose). ...Read more

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Started Cymbalta (duloxetine) 60 mg one month ago. now experiencing hypersomnolence & IBS sx (constipation 1 day, diarrhea the next) . side effects?

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

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Is cymbalta (duloxetine) (20 mg) safe and effective for anxiety and nervous stomach? I was/is experiencing IBS like symptoms such as gas/bloating

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 effects: 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
•Breathing Relaxation
•Visual Imagery of National Parks ...Read more

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Ibs from c. Diff? Can c diff cause ibs?

Ibs from c. Diff? Can c diff cause ibs?

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

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I have IBS c. What is the difference between linzee and exlax. They are both stimulates.

I have IBS c. What is the difference between linzee and exlax. They are both stimulates.

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

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Can ibs-c symptoms get worse overtime or untreated/suspected sibo symptoms get worse overtime?

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

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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?

Constipation: IBS tends to leave you with loose stools and discomfort, but you can have constipation as well. Emptying your colon by whatever gentle method you can should relieve this feeling. See your GI doc if it's lasted more than 2-3 days ...Read more

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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?

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

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Can a c section make IBS worse?

Can a c section make IBS worse?

Post op ileus: A c/section is surgery and the intestines don't like to be handled as their natural movements(peristalsis) stop. This is temporary after surgery but can continue for several days.(ileus). It isn't IBS, but when the movements start up again, it may feel like it. ...Read more

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Dose hep c cause IBS or aggravate ibs?

Not usually: Ibs and hep c are different entities- although significant liver dysfunction from advanced hep c with cirrhosis can certainly have an effect on your bowel symptoms. ...Read more

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Ibs c hemmroids and blood after bm help?

Ibs c hemmroids and blood after bm help?

Drugs and creams: Nonprescription: can try laxatives i.e. Miralax (polyethylene glycol) and topical creams/suppositories i.e. Anusol, prep h.

Otherwise, will need to see a doctor to be prescribed drugs for c-ibs and rx creams/suppositories. ...Read more

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I have bloating from ibs-c what can I take ?

I have bloating from ibs-c what can I take ?

Probiotics: Probiotics and digestive enzymes may be of help to you. Consider food sensitivities. Eliminate sensitive foods. ...Read more

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Any new meds or treatments coming up to treat fir IBS c?

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

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Ibs-c symptoms, making the fullness/bloating go away, what to do?

Ibs-c symptoms, making the fullness/bloating go away, what to do?

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

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Is their any treatment to help ibs-c besides diet or life style changes?

Is their any treatment to help ibs-c besides diet or life style changes?

Diet and fluids: Work the best in mjy opinion. Be sure to eliminate caffeine and alcohol from your fluid intake as they both contribute to constipation. Be consistent with quantities of food and meal times and drink 80-100 ounces per day, more if you work out. ...Read more

Dr. Le Wang Dr. Wang
2 doctors agreed:
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Mild neutropenia (1.2-1.4) for three years (annual test) no sign of autoimmunity. Should I worry, can IBS-C be a symptom.

Dr. Le Wang Dr. Wang
2 doctors agreed:
Mild neutropenia (1.2-1.4) for three years (annual test) no sign of autoimmunity. Should I worry, can IBS-C be a symptom.

Possibly benign: Sounds like an ethnic neutropenia, which is a benign condition of neutropenia, more commonly seen in African population. Does not relate to IBS-C. Seeing a hematologist to rule out other conditions is essential. ...Read more

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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?

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

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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

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

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Is IBS chronic?

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

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How is IBS suspected?

How is IBS suspected?

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

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How is IBS diagnosed?

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

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I have ibs any advice ?

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

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Is IBS pain felt daily ?

Is IBS pain felt daily ?

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

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Types of IBS medications?

Types of IBS medications?

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

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What are symptoms of ibs?

What are symptoms of ibs?

Diarheea: Diarheea, constipation, abdominal cramps are the main symptoms of ibs. It s a exlusion diagnosys, meaning if you can't find any other causes for these symptoms you are probably dealing with ibs. ...Read more