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Doctor insights on: Rowasa Gastroenterology Drug

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Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds

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

Dr. Charles Cattano
1,318 doctors shared insights

Gastroenterology (Definition)

Gastroenterology is a field of study in which a person specializes in the function and disorders of the entire digestive tract, which begins at the lips and ends at the anus. Included organs are the pancreas, ...Read more


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How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?

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

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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?

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

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Doctor prescribed me mesalamine enema for hemorroids today. Will the enema or mesalamine suppositories work better?

Doctor prescribed me mesalamine enema for hemorroids today. Will the enema or mesalamine suppositories work better?

Not sure: mesalamine enemas are used for colitis that extends up to the second half the colon, while mesalamine suppositories are used for colitis of the rectum (proctitis). I do not use mesalamine for hemorrhoids.. so you may want to double check on this with your doctor. ...Read more

Dr. Alvin Lin Dr. Lin
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Can ulcerative colitis, lialda (mesalamine), and omeprazole cause erectile dysfunction?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
Can ulcerative colitis, lialda (mesalamine), and omeprazole cause erectile dysfunction?

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

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Dose having Ulcerative colitis go against ICSI treatment working for me?

Dose having Ulcerative colitis go against ICSI treatment working for me?

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

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Endocort for diarrhea instead of asacol (mesalamine) is it better?

Depends!: Entacort-la 3mg is a mostly non-absorbed steroid given for bowel inflammation. If you have diarrhea from a non-inflammatory cause, you should not take it. But Asacol (mesalamine) is also for inflammation of the bowel. If you do, it is what works best for you! ...Read more

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Which is better for gastroparesis amitiza (lubiprostone) or linzess?

Which is better for gastroparesis amitiza (lubiprostone) or linzess?

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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For GI issues. Taking Ranitidine , Carafate , Compazine, (prochlorperazine) and GasX... any contradictions interactions to watch out for ? Medications by primary dr. and Gastroenterology dr.

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

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Ulcerative colitis - pancolitis: how long before the medicine helps?

Ulcerative colitis - pancolitis: how long before the medicine helps?

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 more

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35/m.Chronic constipation 5yrs, using na.Picosulfate syp.From many yrs.Colonoscopy, blood tests normal.Anal erosions, pain defecation.How to start rx.

35/m.Chronic constipation 5yrs, using na.Picosulfate syp.From many yrs.Colonoscopy, blood tests normal.Anal erosions, pain defecation.How to start rx.

Your doctor will hel: Your doctor can help you with this problem. The same doctor who did your colon check is the best person to seek help from. You need to eat foods with more fiber (fruits and veggies)and drink more water. This will help reduce constipation. ...Read more

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What is the difference between asacol (mesalamine) ec and asacol (mesalamine) hd dr?

Asacol (mesalamine): Regular Asacol (mesalamine) is 400 mgs in strtength.Asacol (mesalamine) hd is double strength it has 800 mgs. ...Read more

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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 more

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Does donnatal (phenobarbital atropine hyoscyamine and scopolamine) work for ibs?

Does donnatal (phenobarbital atropine hyoscyamine and scopolamine) work for ibs?

Helps spasms: Smooth muscle relaxant and Phenobarbital (barbiturate/sedative). Can be usefulas part of the overall rx picture. Not the only muscle relaxant available. Won't improve constipation, may slow down bowel. ...Read more

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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?

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?

Yes: most likely specially if it burn with watery BM you have UC stay in touch with your physician because your risk of cancer increased each year after ten years so keep in touch with your GI good luck ...Read more

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Dr. Robert Richards
62 doctors shared insights

Mesalamine 5 Asa (Definition)

Mesalamine 5-ASA ...Read more


Dr. Gerald Mandell
4 doctors shared insights

Rowasa (Definition)

Rowasa ...Read more