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Doctor insights on: What Is Pouchitis Is It A Major Problem

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What is pouchitis? Is it a major problem?

What is pouchitis? Is it a major problem?

Infl ileoanal pouch: Some with ulcerative colitis need surgery (colectomy) for control. Connect ileum (small bowel) to anus: get rid of diseased colon, prevent colon cancer. Fashion a reservoir of loops of ileum for the connection; same appplies to ileostomies. Inflamed pouch, increased discharge, frequency, pain, fever, occasionally bleeding. Rx acutely with antibiotics; might prevent with probiotics.

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Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom. Pouchitis sporadic problem. Any way to decrease number of stools?

Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom.  Pouchitis sporadic problem. Any way to decrease number of stools?

Yes: Pouchitis? I assume your colostomy gets inflamed. Begin with diet and start a low fiber diet. If no better after 1 or 2 weeks try bulking agents ( fibercon or equivelent). It's counter intuitive so first try no fiber then trying more fiber to see which helps. If still a problem consider small amounts of Imodium (loperamide) regularly. Look into all your medicines and make sure diarrhea is not induced.

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Is there a particular type of probiotic I should try to reduce pouchitis in my j-pouch?

Is there a particular type of probiotic I should try to reduce pouchitis in my j-pouch?

Need more than that: For your pouchitis , make sure you are going for follow up visits , most common problem is growth of abnormal bacteria , large blind loop , stasis of loop etc , when corrected any probiotic will help , good luck.

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Are there any new treatments to prevent pouchitis from occurring every 3 months? Flagyl makes me ill.

Are there any new treatments to prevent pouchitis from occurring every 3 months? Flagyl makes me ill.

Yes: Once you have gotten better with the flagyl, you can see if a probiotic will help you maintain remission. Another mediation to try is ciprofloxacin. Pouchitis is the most common complication after ileal pouch creation, affecting up to 30% of patients.

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I have autoimmune pouchitis if i go back to a iealostomy will the pouchitis go away. I am afraid of taking imuran (azathioprine) or 6mp. ?

I have autoimmune pouchitis if i go back to a iealostomy  will the pouchitis go away. I am afraid of taking imuran (azathioprine) or 6mp. ?

You may feel better: Returning an ileostomy will reduce many symptoms. Some symptoms may persist, depending on the cause of the pouchitis. Returning the ileostomy is recommended if you are not responding to the normal treatments and the symptoms are making your life difficult or impossible to live. Most patients tolerate Imuran (azathioprine) and 6mp well, so discuss fully with your physician.

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My last dose of Flagyl and Cipro (ciprofloxacin) was taken this morning for pouchitis flareup. I now have a yeast infection, when can I take Diflucan 150mg?

My last dose of Flagyl and Cipro (ciprofloxacin) was taken this morning for pouchitis flareup. I now have a yeast infection, when can I take Diflucan 150mg?

Not on your own: Inflammation of pouch is a complex problem , is the result of various reasons , like obstruction , blind loop , poor motility , poor vascular supply , and due to partial obstruction etc , speak to your doctor , Diflucan (fluconazole) will be one of the consideration for your treatment.

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I have been feeling some pain on my kidney when I don't eat enough. is it a major problem?

I have been feeling some pain on my kidney when I don't eat enough. is it a major problem?

GI-related pain?: Based on the briefly described note, the pain seems related to GI, but it is hard to tell it for sure without further detailed history on the specifics, relevance, and sequence of events of all symptoms + physical exam + testing as needed. However, it is not that hard to get the right care process done correctly by following instructions in http://www.formefirst.com/onDealSickness.html.

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My husband has noted an infection when he taken semen anaysis.is it a major problem?

My husband has noted an infection when he taken semen anaysis.is it a major problem?

Depends!: What kind of infection? Tuberculosis? HIV? Something simple to treat like Chlamydia? The healthiest baby is made from the healthiest parents. Wait until the infection is cured and all meds out of his system before you think about making a baby.

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I have a daughter that is 11 years old and her eyes have some black parts on the sclera. Is it a major problem?

I have a daughter that is 11 years old and her eyes have some black parts on the sclera. Is it a major problem?

Not Usually: Most times those black flecks are only scattered pigment around the sclerae and are benign. Nothing beats a visit to an ophthamologist and a good eye exam. :)

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My daughter complains about her having headaches when she shakes her head. Is it a major problem? We can't really take her to the doctors...

My daughter complains about her having headaches when she shakes her head. Is it a major problem? We can't really take her to the doctors...

Comments: Cannot fully advise you based on information provided, as many conditions both benign and hazardous could be present. Most likely this represents tension headache, or even migraine. If pain gets more persistent, she has dizziness, falling, vomiting, loss of vision, go to local hospital ER. We may be able to help further with a Concierge visit.

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Chronic lacunar infarcts in right putamen-this is MRI report.what is its treatment?is it a major problem?age is 49 years of patient.

Chronic lacunar infarcts in right putamen-this is MRI report.what is its treatment?is it a major problem?age is 49 years of patient.

Chronic lacunar: infarct is a small old stroke. There is no treatment because it has already occurred. It won't get worse. Speak with your doctor. If you have risk factors or medical conditions predisposing to stroke, they may be treatable. The goal is to prevent future strokes.

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Major dandruff problem can anyone help?

Major dandruff problem can anyone help?

OTC: Over the counter dandruff shampoos can help. They should be left on for several minutes prior to rinsing. Head&shoulders, selsun, t-gel, t-sal, all work for some people. There are several prescription topcials your doctor can prescribe too.

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Could jumpiness be a major mental health problem?

Could jumpiness be a major mental health problem?

Perhaps: Some people are just a little anxious, but it doesn't impair their ability to function. However, "jumpiness" or increased startle response could be a sign of posttraumatic stress disorder. It could also indicate that a person is very tense as a result of anxiety. I'd say if it a person finds the jumpiness is causing problems functioning then it would be worth consulting with a psychologist.

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What is major cause of attention problems in 10yo boys?

What is major cause of attention problems in 10yo boys?

Depends: Many things can cause attention issues, can be sleep issue, hormone issue, social issue, learning issue, and much more. Check with your doctor for treatable causes, work with the teachers to put the pieces of the puzzle together and find the best way to address. Again, i recommend additudemag.Com for many resources.

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What are the major health problems associated with diabetes 1?

What are the major health problems associated with diabetes 1?

The big 5: Blindness, amputation, renal failure, overall poor health, premature arteriosclerosis, cardiac disease, premature death.

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When I bend my neck to look up I feel major pain what's the problem?

When I bend my neck to look up I feel major pain what's the problem?

Neck muscle spasm: Neck muscle spasm is probably the problem. If the pain is radiating down an arm or to the jaw, then get checked right away. Also, if you had a recent head or neck injury, you should get checked right away.

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I'm having major problems my head feels it's going to explode and it's not a head.Ake?

I'm having major problems my head feels it's going to explode and it's not a head.Ake?

Maybe, maybe not: Head pressure can represent a form of migraine but also more serious problems, such as severe hypertension, blood clots in brain, hydrocephalus (water on brain), tumor or brain swelling (from a variety of causes). Since all but choice 1 are bad, you better get a check up.

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Please somebody answer, I have a major drink problem which is spiralling out of control. Do you have any tips to offer?

Please somebody answer, I have a major drink problem which is spiralling out of control. Do you have any tips to offer?

Please pick up the: Yellow pages or google 'alcoholics anonymous'. Call the number listed. Aa is a 12 step program that can aid you in your recovery. You will learn other ways to cope & will receive an automatic support system. Also consider working with an addiction medicine specialist.