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Re: Medicine
Posted: Tue May 14, 2024 7:31 am
by Ajay
Am having soft stools and stomach cramps
How to deal with narrowing of colon
Re: Medicine
Posted: Tue May 14, 2024 7:16 pm
by tex
I can tell you from personal experience that if you have a stenosis in your colon, soft stool is a blessing, because it may prevent you from having a blockage.
Tex
Re: Medicine
Posted: Tue May 21, 2024 10:33 am
by Ajay
How to deal with bam.issues
Re: Medicine
Posted: Wed May 22, 2024 5:57 am
by tex
There Is a discussion about BAM in the newsletter published by the Microscopic Colitis Foundation in January of this year. For your convenience, here's a link where you can either read or download a copy of that newsletter:
https://www.microscopiccolitisfoundatio ... mplate.pdf
Tex
Re: Medicine
Posted: Sat Jun 01, 2024 11:27 am
by Ajay
Am having direha after taking vit d3 doctor best brand no gmo no gluten free
And have to go toilet 4 to 5 times in normal day
What to do i ate rice only rice noodles however i cheat on some days
Am taking no medicine.
Re: Medicine
Posted: Sat Jun 01, 2024 5:05 pm
by Gabes-Apg
are you sure it is the Vit D3?
what is your full day eating plan and drinking plan?
what other supplements are you taking?
Re: Medicine
Posted: Sat Jun 01, 2024 9:40 pm
by Ajay
After taking vit d3 i have go to toilet
Eating boiled rice with potato three times a day
One cup of tea in morning
Am not even taking protein
Re: Medicine
Posted: Mon Jun 03, 2024 6:56 am
by tex
If that's brown rice, that's the problem. If it's white rice, it should be okay. You have to have protein in order for your intestines to heal.
I've never heard of anyone having diarrhea because of taking vitamin D, but stop taking it for a day or two to see if that's the problem, and if it is, either start using a different brand, or doing without until after you recover.
Tex
Re: Medicine
Posted: Tue Jun 04, 2024 8:10 am
by Ajay
Am Taking white rice
I have bam issue also
I Take tea also
Re: Medicine
Posted: Tue Jun 04, 2024 8:12 am
by Ajay
Am Taking white rice
I have bam issue also
I Take tea also
However vit d3 also
Not taking protein
They various reasons can cause me direha
But its trigger after taking pills
However oils could be reason for direha
Main problem i can't resolve it
Re: Medicine
Posted: Tue Jun 04, 2024 5:29 pm
by tex
Why do you continue to take the pills, if they cause you to have diarrhea?
Here is how to treat BAM:
Published research shows that in a trial involving 27 collagenous colitis patients who were refractive to conventional treatment, 78% of them achieved prompt remission after they were treated with a bile acid sequestrant.
Wait to treat until gluten free for 8 weeks.
The reason we don't recommend attempting to treat BAM initially (for MC patients), as some gastroenterologists attempt to do, is because unless gluten has been avoided for six or eight weeks, in order to allow the antigliadin antibody level to decline to levels below the threshold at which a reaction is triggered, treating BAM prematurely, in most cases, will not be successful, because the immune system will be dominated by the antigliadin antibodies, so that it continues to react against them. But after 6 to 8 weeks of faithfully following a gluten-free diet, gluten should no longer be dominating the immune system, so if no improvements in diarrhea symptoms are noted, then there is a very good chance that treating BAM will bring remission (assuming that BAM is the issue preventing remission).
Treating BAM is not always easy.
Although BAM sometimes responds to the labeled dose recommended on the bile acid sequestrant that our doctor prescribes, in many cases (probably most cases) the ideal dose will have to be determined experimentally, by trial and error. Too much will cause cramps and constipation, and too little, will not experimentally, by trial and error. Too much will cause cramps and constipation, and too little, will not resolve the diarrhea. It takes approximately two weeks for the effects of an adjusted dose of bile acid sequestrant to completely stabilize, but estimates of how well the dose is going to work can usually be seen sooner than that. An ineffective, or partially effective dose is usually too small, and by continuing to experiment with the dose, we can eventually find a dose that controls our diarrhea to our satisfaction.
Specific brand may be important
For the worst cases of BAM, a specific brand may be required. Many of the members of our discussion and support forum who need to use a bile acid sequestrant, seem to have the best results using a cholestyramine product that was originally sold under the brand name Sandoz, and is now branded Epic. Apparently, Epic was manufacturing these products for Sandoz, prior to the name change. For anyone who might need to seek out these particular products, they are:
42806-266-95 Orange 60 USP packets
42806-267-97 Orange Can
42806-270-95 Light Orange 60 USP packets
42806-271–97 Light Orange Can
Other common problems with BAM
Typically, those who are unable to successfully find a dose of cholestyramine that will resolve BAM, either haven't waited long enough for their antigliadin antibody level to decline sufficiently before attempting to treat BAM, or the dose of bile acid sequestrant they are using is insufficient. As many as eight packets, or the equivalent dose, may be required in severe cases. Use of a bile acid sequestrant carries a relatively low risk of any adverse outcomes. When bile acid sequestrants are prescribed in order to lower cholesterol levels, they are recommended to be taken with meals. However, when using bile acid sequestrants to treat BAM, that rule should be ignored. Nutrient malabsorption is already a problem with either active MC, or diarrhea caused by BAM, and bile acid sequestrants will only further reduce the absorption of nutrients. So, we definitely don't want to take
bile acid sequestrants with meals (unless we're also trying to treat high cholesterol levels).
Since bile acid sequestrants also tend to significantly reduce the effectiveness of certain medications, and they tend to prevent the normal absorption of folic acid, and fat-soluble vitamins, such as A, D, E, and K, we need to be careful about the timing of when we take a bile acid sequestrant. In order to minimize the risk of losing nutrients or deactivating medications, bile acid sequestrants should either be taken at least 4 to 6 hours before eating or taking any medications or supplements; or at least an hour or two after eating, or taking medications or supplements. If it becomes necessary to bend those rules a little, that shouldn't cause any major problems, we just won't get optimal results.
Tex
Re: Medicine
Posted: Wed Jun 05, 2024 4:55 am
by Ajay
Can i Take choletramine empty stomach in morning
Re: Medicine
Posted: Wed Jun 05, 2024 3:41 pm
by tex
Yes.
Tex
Re: Medicine
Posted: Fri Jun 07, 2024 6:12 am
by Ajay
Can i fried fish for protein intake
Re: Medicine
Posted: Fri Jun 07, 2024 7:03 am
by Ajay
Can i fried fish for protein intake