I still consider myself a newbie and have not had a "real" flare since my diagnosis last October of LC. I had my tonsils out on April 30 (I know, at 42, what was I thinking?!) and am now feeling like I am reliving last summer. I am on a fairly new pain med, Nucynta, which should actually be constipating me but instead has left me running to the bathroom. Also, because of the tonsillectomy, I have not really eaten anything yet. I am drinking plenty of water and gatorade, had a small amount of chicken broth but no solid foods. How D is even possible at this point, I am clueless. LOL!
Can surgery do this? Do I need to call my GI? Besides the Nucynta, the only other pain reliever I have taken is Tylenol as the effects of Advil can irritate.
Thank you in advance for any advice!
Recent tonsillectomy and reflare?
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The physical trauma of surgery can trigger mast cell reactions, but the most likely culprit is any antibiotic you may have been given during or after the surgery. (I'm assuming that you received an antibiotic -- often they're administered by IV during surgery). If you did, then a good probiotic may help.
It's unlikely that Nucynta is causing your D, since it's an opiate-based pain drug. In addition to the active ingredient, Nucynta contains microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, povidone, magnesium stearate, and opadry II, a proprietary film-coating mixture containing polyvinyl alcohol, titanium dioxide, polyethylene glycol, talc, and aluminum lake coloring. Those are not usually a problem for most of us, but it's certainly not impossible that you might react to one or more of them.
With MC, secretory D does not require food -- it can continue until the patient runs out of water and/or electrolytes, (but since that can have fatal consequences, be sure to stay hydrated, and maintain your electrolyte balance).
Hopefully it will end soon, but if it does not, or if you are having severe cramps, or if any blood should appear in the stool, a C. diff infection is possible, which could be detected by a culture test. C. diff can be difficult to diagnose, though, so in many cases 2 or 3 cultures are necessary before a positive result will be detected.
Tylenol is also safe for most of us to take.
Tex
It's unlikely that Nucynta is causing your D, since it's an opiate-based pain drug. In addition to the active ingredient, Nucynta contains microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, povidone, magnesium stearate, and opadry II, a proprietary film-coating mixture containing polyvinyl alcohol, titanium dioxide, polyethylene glycol, talc, and aluminum lake coloring. Those are not usually a problem for most of us, but it's certainly not impossible that you might react to one or more of them.
With MC, secretory D does not require food -- it can continue until the patient runs out of water and/or electrolytes, (but since that can have fatal consequences, be sure to stay hydrated, and maintain your electrolyte balance).
Hopefully it will end soon, but if it does not, or if you are having severe cramps, or if any blood should appear in the stool, a C. diff infection is possible, which could be detected by a culture test. C. diff can be difficult to diagnose, though, so in many cases 2 or 3 cultures are necessary before a positive result will be detected.
Tylenol is also safe for most of us to take.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Deanna in CO
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I'm sure others will chime in here, but I'm wondering about the Gatorade. Check the ingredients list for: sugar, corn syrup, artificial sweeteners, "natural flavors" (which could be from wheat or something else you're sensitive to), citric acid (which could be from corn and you might be sensitive to). Also am wondering about the Nucynta - if it's an NSAID, it could be causing your problem. Check ingredients on anything you are drinking to be sure there's not even a trace of gluten, dairy, soy or eggs.
How are you getting nutrition if you haven't eaten anything since April 30? Are you drinking something like Ensure? You might be better off with applesauce and hot rice cereal than with liquids that contain problem foods.
That's about all I can suggest - again, I'm sure others will have better counsel. :)
How are you getting nutrition if you haven't eaten anything since April 30? Are you drinking something like Ensure? You might be better off with applesauce and hot rice cereal than with liquids that contain problem foods.
That's about all I can suggest - again, I'm sure others will have better counsel. :)
Deanna is quite correct that some/many of us react to some of the ingredients in Gatorade, (ingredients vary by flavor, so you have to check labels carefully).
Here's a recipe for an electrolyte drink that you can make yourself, that should be safe:
http://www.perskyfarms.com/phpBB2/viewtopic.php?t=992
The energy/supplement drinks such as Ensure, Encore, Boost, etc., all have ingredient lists as long as your arm, and most of them are loaded with proteins from dairy ingredients and soy, and other ingredients that most of us can't tolerate.
Homemade chicken soup is usually one of the safest bets for most (not all) of us, when we're in a flare.
Tex
Here's a recipe for an electrolyte drink that you can make yourself, that should be safe:
http://www.perskyfarms.com/phpBB2/viewtopic.php?t=992
The energy/supplement drinks such as Ensure, Encore, Boost, etc., all have ingredient lists as long as your arm, and most of them are loaded with proteins from dairy ingredients and soy, and other ingredients that most of us can't tolerate.
Homemade chicken soup is usually one of the safest bets for most (not all) of us, when we're in a flare.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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paceys wife
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Thank you Tex and Deanna for the responses. I will check out the Gatorade! I have had small amounts of applesauce as well as the chicken broth the last two days but that's it food wise. The ENT said the most important thing the first week was to stay hydrated. It is extremely difficult to swallow fluids let alone even wanting to attempt food.
I did ask the ENT prior to surgery about antibiotics (as I was worried about the colitis) and he said he would not be giving me any. He said it varies physician to physician and he is not one who prescribes for tonsillectomies. Perhaps I did get some IV during surgery. I go Friday for follow up and will ask.
I did ask the ENT prior to surgery about antibiotics (as I was worried about the colitis) and he said he would not be giving me any. He said it varies physician to physician and he is not one who prescribes for tonsillectomies. Perhaps I did get some IV during surgery. I go Friday for follow up and will ask.