Doctor insights on:
Rowasa Gastroenterology Drug
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
How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?
SFZ vs Asacol (mesalamine): Sfz is the best drug for intestinal disease, certainly "1" for regional enteritis and crohn's in the si. However, colonic bacteria breaks down sfz, and Asacol (mesalamine) is not. So for large bowel disease Asacol (mesalamine) is preferred for reasons of efficacy. ...Read more
Recent UC flare, on 750 ml balsalazide 3 capsules 3 times day. dr prescribed canasa suppository.Will canasa work immediately overnight or in a week?
Not overnight: But hopefully soon! It'll probably take time to calm things down but if you haven't had any improvement by a week, you should let your GI doc know. Hope you feel better soon! ...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
Doctor prescribed me mesalamine enema for hemorroids today. Will the enema or mesalamine suppositories work better?
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
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 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
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 more
Autoimmune Paleo: The best way to improve colitis is by stopping foods like grains, lentils, potatoes based items. Avoid nightshades (peppers, tomatoes, eggs) and milk protein. Healthy foods: fish, meats, vegetables, avocados, some saturated fat (butter, coconut oil), olive oil are very effective. Probonix probiotic, vitD3 10k IU/day. It takes 1-4 mo to see an improvement. The Paleo Solution by R Wolfe is helpful ...Read moreSee 1 more doctor answer
35/m.Chronic constipation 5yrs, using na.Picosulfate syp.From many yrs.Colonoscopy, blood tests normal.Anal erosions, pain defecation.How to start rx.
Doc prescribed Carafate for my gastritis. I'm taking propranolol, synthroid, omeprazole, amitiza, (lubiprostone) fish oil, multi vitamin daily. Any interactions?
Chronic diarrhea from iliestomy and j pouch. Imodium, lomotil doesn't work. Should i try carafate (sucralfate)?
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
In a UC flare up. On rowasa (mesalamine) and HC supp. Formed stool today. After had blood, and have had blood since. I can feel a cut inside. Anal fissure?
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