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Doctor insights on: Why Is Lactulose Used For A Patient Who Has Azotemia

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Why is lactulose used for a patient who has azotemia?

Why is lactulose used for a patient who has azotemia?

If liver problems: Lactulose is a poorly absorbable carbohydrate, causes gas, bloat, diarrhea; changes pH in bowel, affects bacteria; causes less ammonia production which somehow affects thought process, mentation in patients with chronic liver disease who can't clear these chemicals as well as norm. Sometimes given for chronic constipation. Sorbitol works similarly, cheaper, found in sugarless candies, mints, gu. ...Read more

Dr. Debra Rosenblatt
121 doctors shared insights

Lactulose (Definition)

Lactulose is a laxative which is a ...Read more


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What is lactulose, and why is it given to liver patients?

Non-digestible sugar: Lactulose is a non-digestible sugar. When ingested, it is metabolized by normal colon bacteria into small fatty acids, acetic acid, & lactic acid. The extra h+ attracts & binds ammonia (nh3) from the blood creating ammonium (nh4+). This is trapped in the colon & defecated out. This reduces the overall blood ammonia concentration which worsens hepatic encephalopathy. But it also causes diarrhea. ...Read more

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Is lactulose helpful in advance stage liver cancer patients for removing toxicity from blood?

Is lactulose helpful in advance stage  liver cancer patients for removing toxicity from blood?

Useful in liver fail: Lactulose like you have suggested, is commonly used for the treatment of chronic liver failure due to cirrhosis. In your case, liver cancer has complicated this matter by adding another complication. So the value of Lactulose will be limited and questionable. yet it is relatively harmless especially if you have problem with constipation. ...Read more

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What are the side effects of lactulose?

What are the side effects of lactulose?

Gi: This is used for a variety of conditions but can cause nausea/bloating/vomiting/severe diarrhea/intestinal cramps and abdominal distention, as well as complications from excessive diarrhea if excessive amounts are used. ...Read more

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Is constulose the same thing as lactulose?

Brand name: Constulose is a brand name for lactulose, a non-absorbed synthetic sugar that is used to rid the body of excess ammonium in people with cirrhosis (severe liver disease), and can be used to treat constipation. ...Read more

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Why are alcoholics given lactulose?

Why are alcoholics given lactulose?

For confusion: Alcoholics, who develop cirrhosis can have "encephalopathy", which is predominantly due to high ammonia. This can cause several symptoms, such as forgetfulness, low concentration, change in sleep, confusion, etc. These symptoms can be treated with lactulose. ...Read more

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Is it dangerous to take lactulose with mdma?

Is it dangerous to take lactulose with mdma?

MDMA: Mdma is dangerous enough to take on its own, with risk of neurotoxicity from too much serotonin stimulation in the brain. Lactulose is a synthetic sugar used to treat constipation -- also to treat buildup of ammonia in patients with liver failure. They can become very ill and confused --even obtunded -- with this. It's not likely to deliver a pleasant high. ...Read more

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Is there a difference between Dulcolax pills and lactulose solution bp?

Yes: Ducolax is a stimulant type of laxitive and should be used sparingly. Lactulose is not and is a osmotic . Since its not a stimulant u can use frequently without worry of dependance. ...Read more

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If i switch from lactulose to neomycin, will it start working right away?

Maybe in your case: Assuming you have confusion due to your liver disease called hepatic encephalopathy, some people don't respond to lactulose over time or might not like the taste or bloating associated with it, so other medications like antibiotics (neomycin, Flagyl and rifaximin) are used. Antibiotics take a couple days to work. Neomycin requires your hearing to be checked as it can cause hearing loss. ...Read more

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What do you think, could my ammonia levels rise if i stop taking lactulose?

What do you think, could my ammonia levels rise if i stop taking lactulose?

Ammonia Level: That depends what the cause of your elevated ammonia level is. If the cause is liver disease or failure, your ammonia levels will likely rise again when you stop the lactulose. If the reason for your high ammonia levels are not addressed, your levels will continue to rise after the lactulose is stopped. ...Read more

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I am on lactulose but still not been to poo for 10 days is this bad and what should I do?

Yes its bad: Its rare for lactulose not to be effective, if dosed properly. Regardless, 10 days without a bm needs to be evaluated by a medical doctor asap before dire consequences set in. ...Read more

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How many hours apart should lactulose 15ml be taking I'm taking 30ml a day?

Depends why taking: If lactulose is being used to soften stool or lower ammonia level, then twice daily (near breakfast and near dinner) would minimize diarrhea risk. Single doses can be up to 90-120ml, so dose size not a concern. ...Read more

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Can lactulose flush out THC from system?

Can lactulose flush out THC from system?

NO: No, but stopping using it will, after a couple of weeks. Then not restarting will keep it out of your system. ...Read more

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If a person has sibo (lactulose positive), what diet is best for them to be on?

If a person has sibo (lactulose positive), what diet is best for them to be on?

Low complex carbs : Small intestinal bacterial overgrowth (sibo) can have multiple causes, is excessive bacterial count in the small intestine. Can be associated with overuse of proton pump inhibitors, fistulas in the bowel, motility disorders, scleroderma, celiac disease, certain gastric ulcer surgery, some immune diseases. Rx is geared toward the underlying cause and antibiotics. Less complex cho (bread) may help. ...Read more

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I take 45ml (3 tbs) of Lactulose everyday for about 5 months now. It has caused dehydration and my bp has gone from 120/75 to 108/70. Is this safe?

Lactulose safety: Unless you are a diabetic lactulose is a safe medication, however, like anything else if you are taking too much, especially if not necessary( having normal BM or diarrhea) it can cause issues. I am not sure what other signs of dehydration you are having but 108/70 is still a normal BP unless you are feeling weak and dizzy. Drink plenty of fluids and consult with your doctor the need of lactulose. ...Read more

Dr. Debra Rosenblatt
107 doctors shared insights

Chronulac (Definition)

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Dr. Andrew Berry
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Cephulac (Definition)

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