Doctor insights on:
Pentasa Gastroenterology Drug
How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?
Complicated question: Inflammatory bowel disease, such as ulcerative colitis & Crohn's disease, is a complicated illness linked to many other conditions eg erectile dysfunction. It's unclear if IBD or its treatment/complications causes ED. ED is a rare side effect of omeprazole (http://www.drugs.com/sfx/omeprazole-side-effects.html) but I couldn't find any link w/Lialda http://www.drugs.com/sfx/lialda-side-effects.html ...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
Very safe: Azathioprine a very useful drug in crohn's disease. It is an anti-inflammatory which is steroid sparing. Many patients with cd who are initially given steroids should be converted to azathioprine/6mp therapy for long-term use. Monitoring of blood counts and general examinations to monitor and screen for cancer are necessary. It is questionable azathioprine/6mp increase the risk for cancer. ...Read more
Taking 50mg-zoloft, 50mg-vyvanse, 40mg-protonix, donnatal-4 daily, viokase16-4 daily, 5000-vit.D3, aleve-440mg 4 pain.Could meds damage liver?Were elevated.
Possibly: See your doctor to adjust your regimen as some can cause liver enzymes elevations. ...Read more
UC and pregnancy: It depends. If your ulcerative colitis is well-controlled, your miscarriage rate will be slightly higher than the 1 in 6 of the general population and will, therefore, be followed as a high-risk pregnancy. Here is a good resource: http://www.ccfa.org/resources/pregnancy-and-ibd.html ...Read moreSee 2 more doctor answers
Zyrtec (cetirizine) with UC: Thanks for asking--its always a good idea when you have a systemic disease to check with doctor before taking a new drug. Zyrtec (cetirizine) is an antihistamine. Per pdr, referrable to the GI tract, when taking zyrtec (cetirizine) 5% get dry mouth, 5.6% get abdominal pain, 2-3% get diarrhea, 2-3% get nausea &/or vomiting, less than 2% get constipation, flatulence, rectal hemorrhage, % mouth ulcers. Sounds safe enough w/uc. ...Read moreSee 1 more doctor answer
For GI issues. Taking Ranitidine , Carafate , Compazine, (prochlorperazine) and GasX... any contradictions interactions to watch out for ? Medications by primary dr. and Gastroenterology dr.
Ok: These medications all have different mechanisms of action and I don't think there are contraindications or interactions to worry about. In situations or questions like this, your pharmacist, who has access to information about almost all medications, can be very helpful. ...Read moreSee 1 more doctor answer
I hv Erosive Gastritis (through endoscopy) with Hematemesis. No H Pylori detected. Dr prescribe 3x1 Lansoprazole, 3x1 Rebamipide. How long to healing?
Gastritis : Variable. Anywhere from at least 4-8 weeks ...Read more
Gastroparesis: Have you already been diagnosed with gastroparesis? Documentation of delayed emptying of gastric contents is required before treatment. All patients with symptoms of gastroparesis which include nausea, vomiting, early satiety &fullness/bloating need to be screened for diabetes mellitus,hypothyroidism, neurological disease, autoimmune disease, past surgery. Please see your MD for a full exam. ...Read more
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