loperamine and water absorption

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Jan625
Regular Member


Date Joined Feb 2008
Total Posts : 115
   Posted 3/12/2008 1:51 PM (GMT -6)   
When useing loperamine on regular basis such as four times daily, what happens to the water while motility is slowed? Is the water reabsorbed, or is it just held back?

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 3/12/2008 4:18 PM (GMT -6)   
Jan - that's a good question. I didn't have any issues with dehydration when I was taking 9 pills a day. So I assume the water has a better chance of being absorbed. Which is what you really want. What has been your experience with it?
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


Jan625
Regular Member


Date Joined Feb 2008
Total Posts : 115
   Posted 3/12/2008 5:30 PM (GMT -6)   
Peggy,
Been having a horrible time with dehydration. Had to go the hospital yesterday for two IVs. This getting old for me. Don't unstand whats going on as I have tried everything I can think of.

Did you have very mane side effects from taking 9 a day? How long was your output fast? Seems like I'm emptying the bag every half ab hour. It has been ten week for my ileostomy and I thought it would solw down by now.

I don't know what were going to do. We can't go anywhere.

Jan,

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 3/12/2008 6:38 PM (GMT -6)   
Sometimes they make me tired, but not always.

My output was fast for years BUT it finally improved when I really took a hard look at my diet and what I was eating and what I could eat to help it. Also, when my stress level lowered, my output improved too. For a long time, I ate what I wanted - when I wanted it. I can still eat pretty much whatever I want (except for really fiberous stuff), but I choose foods to slow down my output before or during what I know will increase my output. For example, and I know I have mentioned this in another post, I like coffee in the morning. I KNOW that caffeine increases my output, so I went to decaf BUT I eat a fruit grain bar and a ripe banana with my coffee in the morning. That just works for me. High sugar foods really increase my output. But I still eat those items but pair it up with something that will slow it down.

Some other things that speed up my output is iron, like in multi vitamins. I just can't tolerate it. I also found out that rolaids are set in a carbonate base, and that can cause diarrhea (that's what the pharmacist told me). I was eating rolaids to get calcium since they were chewable and I was having ulcer issues at the time anyway. Just little things that I have picked up over the years.

What do you start out your day eating? That seems to be the best time to set the pace for my day. If I start out eating a donut (greasy and sugary) which I love, then it makes it difficult to slow things down the rest of the day. But, there are just those days that I eat them anyway -- I may eat a banana with them tho!! That is just my personal experience.
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


RITAS
Regular Member


Date Joined Feb 2006
Total Posts : 140
   Posted 3/12/2008 7:25 PM (GMT -6)   
Hey u guys,
What's lapormine?? My ileostomy is 8 months old and my output is high as well. I eat eat eat and for the most part maintained weight due to the protein bars but i still lose a few pounds here and there. I drink lots and lots of fluid throughout the day. I tend to eat whatever I want and I think really paying attention to my diet would help but I'm just so happy to be eating everything without being in pain i'm just taking advantage....lol...

I was told not to eat fruit at all because it flushes the system...
Rita
Crohn's Free Since April '06
Total colectomy/ileostomy April '06
Reversal July '06
Bowl resection/ileostomy July '07
Currently trying to learn about the "new me"


Jan625
Regular Member


Date Joined Feb 2008
Total Posts : 115
   Posted 3/12/2008 7:30 PM (GMT -6)   
Peggy,

I start out in the morning with oat meal, tst, ban,and ensure. That is around 9:oo and snack on pretzels around 10:30.

Noon I have a san, and mabe soup. I have tried other things and nothing seems to work.

I eat ban , pretzels,applesauce and crackers between meals.

Dinner I still eat pot,noodles,carrots, chicken.Nothing seems to help. Things just go right threw me.

I,m at the point that I wonder if I will make it if I don,t get this thing slowed down. I can you any help that you can give.

What foods are you talking about when you say fiberous foods? I use to eat alot of salads before all of this happened to me.

I have been under alot of stress this past six months. That is when this all started. I have had four operations in five months and two of them were major.

Thank you so much for getting right back to me. Jan,

Jan625
Regular Member


Date Joined Feb 2008
Total Posts : 115
   Posted 3/12/2008 7:33 PM (GMT -6)   
Peggy, How many leperamine do you take a day now?

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 3/12/2008 7:47 PM (GMT -6)   
Loperamide is generic for Imodium (RX)

Many folks can eat anything in moderation by chewing well and drinking lots. Personally, I can eat a few fruits, no skins, and only a small amount at a time. For example - cantalope and honeydew are much harder to digest FOR ME than watermelon. Unless the cantalope is really ripe. I can tolerate ripe bananas well, and nearly all canned fruit vs fresh (like peaches, pears, tropical fruit, mandarin oranges).

So try a little at a time and experiment. Most folks have problems with fruits causing blockages rather than flushing the system.

Hope this helps.
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


RITAS
Regular Member


Date Joined Feb 2006
Total Posts : 140
   Posted 3/12/2008 7:54 PM (GMT -6)   
yes thanx peggy,

i will try the canned fruit...i sometime take imodium. Is loperamide perscribed by the doctor?
Rita
Crohn's Free Since April '06
Total colectomy/ileostomy April '06
Reversal July '06
Bowl resection/ileostomy July '07
Currently trying to learn about the "new me"


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 3/12/2008 8:02 PM (GMT -6)   
Loperamide is the same as Imodium only in generic form (here in the U.S.) so if the doc writes a RX for Imodium and allows generic substitutions, then loperamide is the comparable.  Does that make sense?
 
If you don't have problems with salads, I can't imagine you'd have any problems with fruit - just watch the skins!  And seeds!!
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 

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