Doctor insights on:
Medicine For Short Bowel Syndrome
Too Little Intestine: Certain medical conditions require emergency removal of a significant amount of the small intestine. We see this in infancy associated with necrotizing enterocolitis and in adults when the blood supply to the small intestine is cut-off. The small bowel is responsible for digesting nutrients within our diet; if a lot of the small intestine is missing, nutritional deficiencies occur. ...Read more
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
See website: Shortbowelfoundation. Org.Get a more detailed answer ›
Insufficient bowel: Short bowel is the condition where too much intestine is removed resulting in insufficient ability to maintain nutrition. Conditions such as ischemia or crohn's disease can require large resections of bowel resulting in this condition. Often, patients require special medications to rehab their remaining bowel, peripheral nutrition, or even small bowel transplants. ...Read more
Avitaminosis ADEK.: The lipid-soluble vitamins a, d, e, k and several other micronutrients that are not adequately absorbed in short bowel syndrome can cause pregnancy complications for both mother and fetus. Consult with an experienced gastroenterologist and a maternal-fetal medicine specialist to prevent/minimize these risks. Supplements by mouth or parenterally may be required to sustain a normal pregnancy. ...Read more
What is the likelihood of having complications with pregnancy if you hsave short bowel syndrome and what are some common complications?
Former preemie?: The great majority of women born as preemies can have normal pregnancies. Short-gut syndrome after necrotizing enterocolitis makes it hard for a pregnant woman to get enough nutrition (she has trouble absorbing the necessary vitamins, nutrients, calories) for herself, but she also has nourish her unborn baby — sounds like a problem in the making. The nutritional deficiencies can be bad for a baby. ...Read more
Does having short bowel syndrome effect my ability to get pregnant? I have all my collen removed and part of my small intestines when I was 2 days old
Women with active crohns disease my have difficulty conceiving, and may have low birth weight infants.
The data on fertility after colectomy for inflammatory bowel disease are mixed- two studies demonstrated a decrease in fertility of 25-80% in such patients, however a third study suggested that the risk of infertility is much lower. ...Read more
If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?
It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more
Please clarify: Short bowel syndrome results from removal of a significant portion of the small intestine, which is responsible for nutrient absorption. Symptoms include diarrhea, fatigue, and weight loss. The colon is responsible for water absorption, therefore, removal of a large portion of the colon may increase the frequency of bowel movements, but will not cause profound nutritional deficiencies. ...Read more
My 3 yr old daughter was diagnosed with short bowel syndrome when she was born. She has been pooping on her self lately so what's going on?
See your doc!: This sort of thing is unusual. An increase in the number of bowel movements should be investigated further. It can mean that the bowel is not absorbing the food nutrients effectively, and that it is just passing through. Has your child's diet changed? Another cause could be an infection. Ignoring this situation could cause dehydration or irreversible damage, so you really need to see her doctor. ...Read more
What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?
Maybe long: The colectomy and ileostomy will not typically shorten life expectancy. Short bowel syndrome may shorten life span, but it depends on severity. There are a few centers in the US that perform bowel lengthening procedures and small bowel transplant. Ask you surgeon about the severity of the short bowel, and think about support groups for ileostomy help. Hope this helps! ...Read more
SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?
Difficult question: To answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...Read more
I've severe Crohn's & short bowel syndrome. I'm on TPN but still have Bloating & vomiting daily. What do you think of taking genEssential digestion?
Ask your doctor.: When you're on TPN due to short bowel syndrome, even small changes in dietary intake can be important. It is not clear whether trying this supplement would be useful, but I would not do it until you have first discussed it with the doctor who prescribes your TPN. Good luck. ...Read more
I was recently diagnosed with Short Gut/Bowel Syndrome. Are there any doctors in the orlando area that can treat me.
There are multiple online resources to find doctors with all specialities in geographic locations, such as webMD's physician directory, doctorfinder of AMA or doctorDirectory.comding, locateAdoctor.com.
Healthtap also facilitates referrals if needed. ...Read more
Irritable bowel syndrome, with pain, cramping and gases, with what medicines, drugs, can be treated?
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
I was diagnosed with an irritable bowel syndrome, had taken medicines. Is dat life threatening? What wud be the best food for me to eat for ibs. Thanks!
Rome 3 criteria: Irritable bowel syndrome (ibs) is a non-critical condition w/ abdominal discomfort, altered/ alternating stool pattern, accompanying nausea, bloating, gassiness. Often improved by stooling, ibs is defined by changes in perception of gut distension, motility, sensation. Diet (keep a food diary) & emotional stress may be a factor but first rule out inflammation, ischemia, infection, malabsorption. ...Read more
I have diabetes and irritable bowel syndrome. Is there a stomach sensitive diabetes drug for me? A drug that doesn't cause diarrhea.
A number of them:
putting it backwards metformin, glip1 agents (byetta. victoza (liraglutide) etc), ddp4 (januvia, tradgenta etc), 1 glucosidase (precose etc) can all give diarhea. Welchol (bile acid resin binder) gives constipation. Degree of GI intolerence varies enormously.
Other classes have only rare GI issues. ...Read more
What over the counter medicines help with irritable bowel syndrome? My lower stomach burns and ACHES with gas pain every time I eat or drink milk.
Lactose intolerance: 18 year old woman with burning and aching with gas every time she eats or drinks dairy products. Have you tried a lactase supplement? You may just have lactose intolerance. How are your bowel and bladder habits? Pain around the time of period? Diagnosed with IBS criteria? If so, have you tried a low FODMAP diet for 6-8 weeks? See a dietician. Read: http://tinyurl.com/jku9bqz ...Read more
My GP gave me a PPi for Irritable Bowel syndrome i have taken 15 mg a day for couple of years now,it stops the stomach cramps I used to get,but I want to review this medicine if this best treatment?
For things like Irritable Bowel Syndrome, I think if it is controlling your symptoms, it is ok to continue taking it. You are on a pretty low dose. The next best thing would be to try to switch to a less potent medication or to try tapering off the PPI to see how you do. Hope this helps ...Read more
Irriatable bowel syndrome what kinds foods should I eat and other things I can do to ease symptoms
IBS ,SPASTIC COLON: Avoid caffienated, carbonated beverages, sugarless gum, mint and chocolate. ...Read more
My friend just told me that she has empty bowel syndrome. I said, "Never heard of it, but it sounds unpleasant." So now I'm trying to look it up.
Anybody: Anybody. Ibs causes sudden onset diarrhea associated to stress, or to particular foods or beverages. Pts. With IBS may alternate episodes of constipation with episodes of diarrhea. It is very common to have flatulence, crampy abdominal pain. Spastic colon, irritable bowel, nervous stomach are the same. It is associated to anxiety. ...Read more
Yes: Most experts recommend increasing fiber intake, including the use of fiber supplements. Osmotic laxatives, lubiprostone, and antispasmodic medications are used. Low dose tricyclic antidepressants and ssri medications can also be effective for ibs symptoms. See your doctor for additional help. ...Read more