microscopic colitis

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New Member

Date Joined Aug 2016
Total Posts : 2
   Posted 6/15/2017 5:35 PM (GMT -7)   
I was diagnosed with Microscopic Colitis 1 year ago. There are two types and I have the Collagenous colitis. I have a flare up once in a while but last month a flare up started and is still going on. My Gastro. doctor ordered blood tests and stool sample. Blood work came back normal but still waiting for stool test. I couldn't get a doctor's appointment for another week. Getting worried that I might get dehydrated. Changed my diet to more bland but not eating much of anything anyway. Taking Imodium and Pepto Bismol but not helping much. Any ideas until I con see my doctor? Goatlover

Veteran Member

Date Joined Mar 2007
Total Posts : 1653
   Posted 6/15/2017 6:24 PM (GMT -7)   
How many BMs per day are you having?

How much pepto bismol are you taking? One of the first-line treatments for microscopic colitis is in fact pepto bismol, at up to 8 doses a day (best if you can spread it out over the day), for a couple of months if needed.

If pepto-bismol can't control it, your doctor can prescribe entocort or uceris, two formulations of the steroid budesonide. That usually works well and quickly. But it's best to only take these for a few weeks at a time (steroids over a long period of time can have bad side effects).

Sometimes people with micro-colitis go on one of the mesalamine drugs like Pentasa or Apriso or Asacol or many other brands and generics. You can take these long term if needed.

For the time being, use more pepto if appropriate, and make sure you're getting enough fluids - water, soups, watered-down gatorade, things like Boost or Ensure.

Signs of you being too dehydrated and needing an IV of fluids at urgent care include dry mouth, dry eyes, lack of urination and/or dark urine, feeling weak or faint, skin that "tents" when you pull on it (ie, pull on the skin on the back of your hand and it should return right back to normal. If it stays up like a tent for a second or two too long, that's called "tenting" and can be a sign of dehydration.)

New Member

Date Joined Aug 2016
Total Posts : 2
   Posted 6/16/2017 5:01 AM (GMT -7)   
Beave, thank you so much for all the advise. I have heard of some of these prescriptions and I will certainly ask the doctor about them. I am hoping to see him before next week. I am getting very tired of this. Thanks again.
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