Diarrhea -- Align and Asacol dosing plus exercise,

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/30/2011 2:06 AM (GMT -6)   
For one week, I've been having abnormal stool -- semi-firm to loose, watery -- about 2 BMs a day, down from 12 on Monday.

My questions is how much Align (my probiotic) can I take? The packaging says one a day.

I had one perfect day, in which I was still most of the time and ate salmon and sweet potato for dinner.

Also, should I up my asacol from 8 to 12?

I don't want to take immodium because I don't have serious urgency. I feel I will become dependent on it.

quincy
Elite Member


Date Joined May 2003
Total Posts : 25711
   Posted 1/30/2011 2:58 AM (GMT -6)   
There are much better probiotics out there.

You could try to up the asacol...why not go up to 10 and see if that helps.

I don't think you would need imodium if you have 2 bms a day.

Are you still on the enemas nightly?

What did you want to know about exercise?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Symbicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4000 IU
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

imagardener2
Veteran Member


Date Joined Jan 2010
Total Posts : 3736
   Posted 1/30/2011 6:57 AM (GMT -6)   
I would try half an Immodium. The fact that when you were "still" you had better BM's leads me to think your transit time is too fast when you have normal activity. I personally don't think the Immodium harms the GI tract, nor have I seen a need to "up" the quantity to achieve the effect.

Immodium used to be an Rx. So why not use it as if you had been prescribed by your doc. My doctor told me to use it when necessary and so I do after shunning it for a long time. It's a tool to help your gut re-gain it's function.

If you think you are not causing your D through food/drink and that it's more because of a too rapid transit time then use Immodium. If the D is being caused by other factors try and eliminate those other factors (caffeine would be one but there are many others as you know.)

Certain probiotics could cause D. Mine doesn't do that and I take it at night mostly.
In remission April 2010 after 10 years of UC with no remission ever
Jan 2010 began SpecCarbDiet (modified to remove dairy, fruit & juices,)
Gluten-free=bleeding stopped in 3 days, 95% remission in 5.5 months on SCD
SCDiet: Gluten/grain-free, starch-free, low carb, honey as sweetener
(9)Balsalazide+(6)Citrucel+VSL#3 daily, mesalamine enema as needed
Curcumin/turmeric pill, D3 5000, L-glutamine

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 10259
   Posted 1/30/2011 11:43 AM (GMT -6)   
A week with abnormal stools is a bit worrisome. Have you had a change in diet or something that would have caused this? Maybe you had a bug and it stirred up very mild inflammation. It sounds like you're improving but not feeling 100%. Didn't you say you are going to see your GI this week? I don't know if you need to increase your Asacol if you're only going 2x a day and not experiencing other symptoms. Probiotics are a good idea, I don't know much about align so I can't help with that. As quincy said, align isn't known to be the best probiotic, the really good ones are very expensive though. I've been eating yogurt lately instead of taking pills. I don't even eat it often, maybe 2x a week. I am not 100% convinced that probiotics help my situation. Hopefully you don't have a bug that requires antibiotics.
Co-moderator: Ulcerative Colitis
03/07: Diagnosis: Mild Proctitis | 08/08: Diagnosis: Pancolitis - FLARE & Anemic! Asacol (3600mg) + Canasa (1000mg morning/night) | 01/10: FLARE! Prednisone + Cortifoam + Asacol + Canasa + Rowasa | Currently: stable - Asacol (3200mg) + Canasa (nightly) + 6mp + Allopurinol + Prednisone + Ponstel + Klonopin + Ambien

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/30/2011 12:57 PM (GMT -6)   
Probiotics are becoming a big expense, in which I'm not seeing returns. VSL 3 did nothing, I had problems tolerating Mutaflor.

I do eat whole milk yogurt and I'm going to finish up my align.

Quincy, are you taking (RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime) Are these two probiotics? How much is this costing you a month.

I'm still on the fence about immodium. If I couldn't make it to the bathroom in time, I think I'd give it a go. I'll probably end up taking it based on your advice, I'm a Gardner, if things worsen but I'm not ready yet.

I think the diarreah was contributed by this Mucinex. The first two days were violent diarrhea--12, now it's a pattern of a couple bms a day that are big and watery, and the pattern doesn't seem to be easing up except for that one day where I ate right and just sat around.

I went on a gentle bike ride yesterday and I believe it contributed to a lot of problems. I don't think I stayed hydrated enough.

I'm feeling great so I'm really hungry and eating some of the wrong things. So I have to stop that.

I'll up the Asacol to 10.

I'm handling everyting for rectal inflammation

It's rapid transit time as I'magardener said. I've never had this particular pattern, and of course last time severe diarrhea was a flare (I couldn't hold anything in).
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/30/2011 1:47 PM (GMT -6)   
Q, how did you settle on your probiotic regime. Is that costing you more than $60 a month?
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3250
   Posted 1/30/2011 7:25 PM (GMT -6)   
My son takes 2 Align per day, for whatever that's worth.

I watch for sales and use coupons.

Probiotics do wonders for me, but.... we're all different! If they don't help you, I wouldn't think you should feel you needed to continue taking them.
Co-Moderator, UC Forum
Age 54. Diagnosed UP 1983, UC 1986
Asacol - 16 pills/day,
steroid enemas, Canasa occasionally
Metamucil - 2 doses/day
VSL#3DS 3 x daily, Multivitamin, Calcium and D
homemade yogurt each day
trying Slippery Elm again
fending off a flare......
Son, 17, dx pancolitis 2007, in remission

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/31/2011 12:46 AM (GMT -6)   
Songlady, I'm going to try what Quincy takes. Tell me, how can you tell that probiotics do wonders for you? I'm looking for that proof...
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

quincy
Elite Member


Date Joined May 2003
Total Posts : 25711
   Posted 1/31/2011 2:58 AM (GMT -6)   
I'm in Canada...everything costs more here.

Each for 30 caps would be $30...so yes, I'd say $60ish is about right. I do sometimes double the Reuteri more than the UFCC.

Yes...one each at bedtime.

Try to eat as balanced as you can...and I don't see a problem here and there with a treat. Just don't base your whole food intake on stuff that can cause you looser stools,discomfort, etc.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Symbicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4000 IU
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

Ugh Just Ugh
Veteran Member


Date Joined Jan 2010
Total Posts : 1004
   Posted 1/31/2011 10:51 AM (GMT -6)   
I take UFCC, too and I like it. I got the poopies Saturday night and it cleared up a lot faster than those things usually did before I was on probiotics. Of course I had a panic attack! But it turned out to be just a bug or something! So, I highly recommend getting back on a good probiotic. You may not see the results until a situation like this where you aren't taking it and can see what it was doing for you! I am switching to the UF Critical Colon for my next bottle. Its a bit stronger and more expensive. Seems to have a different mix. I'll keep everyone posted. :o)
Jennifer
Current Meds: Remicade (5mg/kg), Rowasa (4g, as needed).
Past Meds: Canasa, Hydrocortisone Enema & Supp., Oral Mesalamines, Imuran, Oral Prednisone 2/10-9/10.
Current condition: Delicate Remission. Riding the Remi-coaster!

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/31/2011 12:28 PM (GMT -6)   
I ate properly (bland, smooth, etc..) yesterday and I didn't have a bowel movement at all. This morning I had a small one. The stool floated but eventually dropped (not usual for me). Lighter colored than normal. No cramping. No urgency.
'
I'm going to stick to the diet again today, do the probiotic and be assured that it's not a flare, but a reaction to the Mucinex that didn't resolve itself is n a couple of days like it would with people with normal digestive systems.

Fingers crossed. New situation for me even though I've had UC for a year and a half.

I decided not to increase asacol. Switching probiotics.
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/31/2011 12:32 PM (GMT -6)   
Exercise is a wild card.... not sure how that's going to effect things, but I can't stop exercising.
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3250
   Posted 1/31/2011 12:43 PM (GMT -6)   
Journey, I've experimented with myself and VSL, because when I first started taking it, I wasn't sure it was doing anything for me. Twice within the first 6 months I was taking it, I was coming out of a mild but lingering flare and I wasn't sure the VSL was doing anything for me, so I stopped it - and the bleeding started again within about 3 days. I restarted VSL, and the bleeding stopped in 2-3 days.

Again, recently, I was headed into a flare, and I doubled VSL....(and upped the rectal meds). Things were going well, and for a few days I only took one dose: and I began to go downhill again. SO, I've been doing 2 VSL DS every day, and things are going well again, and I'm tapering the rectals.
Co-Moderator, UC Forum
Age 54. Diagnosed UP 1983, UC 1986
Asacol - 16 pills/day,
steroid enemas, Canasa occasionally
Metamucil - 2 doses/day
VSL#3DS 3 x daily, Multivitamin, Calcium and D
homemade yogurt each day
trying Slippery Elm again
fending off a flare......
Son, 17, dx pancolitis 2007, in remission

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/31/2011 12:57 PM (GMT -6)   
Well, that's certainly proof. I guess if you can afford it, it's indispensable.

Quincy, why do you take two probiotics.
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2675
   Posted 1/31/2011 3:43 PM (GMT -6)   
I got Q's RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules

Is it OK to finish out my Align in conjunction? Or should I drop the Primadophilis Reuteri until I finish my Align?

I'm anxious to start something new because Align didn't protect me this bout of diarrhea.
In delicate remission--pancolitis. 8 Asacol, Rowasa nightly, Canasa, Psyllium husk, Align probiotic. turmeric, Vitamins. Avoid greasy, fried, spicy, citrus, dairy (except yogurt), red meat, caffeine, alcohol. Bipolar/anxiety/depression: lamictal, Lexapro; Sleep-zinc magnesium B6--Zyprexa, klonopin if sleep regime fails.

quincy
Elite Member


Date Joined May 2003
Total Posts : 25711
   Posted 1/31/2011 4:42 PM (GMT -6)   
Hi Ellen....neither the Reuteri or the UFCC has the bifidus infantis that the Align has...I might add it eventually, but why not drop it for now and see how the others work for you.

I use both because the Reuteri isn't in the UFCC, and it doesn't have a high count of the others..just tops off the UFCC.

I have a friend who I gave some of the Reuteri pearls to try and she didn't like them because they caused her bms to be a bit too solid.

I've sometimes doubled on both, but that's ONLY when I've either been flaring or have eaten something that hasn't agreed with me in a most nauseating way...

I've also given one each to my husband if he's had a bout of diarrhea from ingesting whatever.

REgarding your exercise...don't stop...just don't do extreme.

Bland diet should still be well balanced.

Keep us posted.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Symbicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4000 IU
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

vitaka
Veteran Member


Date Joined Jun 2006
Total Posts : 743
   Posted 11/8/2011 1:39 PM (GMT -6)   
This in an old thread, but I thought I'd bring it back to ask a question. How long should you take a probiotic if it is causing significant changes in your bowel habits? I recently started taking 40mg/Bentyl per day and Align. Today is only my fifth day taking Bentyl and my third day on Align. I take the Align as soon as I wake up and within 10-20 minutes, I start having BMs, which usually last for 90min-2 hours (anywhere from 5-10 times), and they're all loose/watery. I started taking these medications because I've been having a lot of anxiety-related diarrhea (i.e., I only tend to have diarrhea in certain situations like traveling and teaching days--I'm a college instructor). My gastro wanted me to see if the Bentyl + probiotics could get that under control. If they don't then I'll probably get to have another colonoscopy.

So since starting the Align, I went from having really bad diarrhea 2-3 times per week to not-quite-as-bad diarrhea every day.

I want to give the Align a chance to see if these side effects go away, but how long should I wait before trying a different probiotic or treatment? Two weeks? A month?
New Topic Post Reply Printable Version
Forum Information
Currently it is Sunday, September 14, 2014 10:59 PM (GMT -6)
There are a total of 2,218,103 posts in 246,856 threads.
View Active Threads


Who's Online
This forum has 156254 registered members. Please welcome our newest member, jojo1971.
324 Guest(s), 22 Registered Member(s) are currently online.  Details
bigcc_1976, Arbee_DC, Tunnelvisionary, Chotti, Cardamon, brt4545, Dixie6, Roxie60, Michael In NY, maximuslee, tiredstresseddone, Carolinpa, QiDoc, rb001, lesweet1971, Purgatory, Lost200119, Gunner34, LexieGirl0491, marigold33, LupronJim, Cornell


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest  Follow HealingWell.com on YouTube
Advertisement
Advertisement

©1996-2014 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer