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Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/22/2008 2:27 PM (GMT -7)   
I went to see my family dr yesterday.  She believes that my ostomy may be slow because of problems with the neurotransmitting receptors in the gut.  Well, she said that anxiety and stress affects the level of serotonin in the body.  There are more serotonin receptors in the gut than in any other part of the body so if I am holding the stress in my gut, I am preventing my body from allowing my bowels to function.  She wants me to start a medicaion called Lexapro.  Although I am not depressed at all (just frustrated and annoyed but not depressed), this medication is used to treat depression and anxiety.  She said this medication has very few side effects compared to some others. 
 
Before I take this medication, I wanted to get some feed back from this forum and see if anyone has ever heard of this medication or has taken it personally.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


candyland
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 1/22/2008 3:28 PM (GMT -7)   

Amey - I've never taken Lexapro but I know people that have who were satisfied with the results. My PCP prescribed Xanax for me before my surgery for anxiety and I never took it until after I got home from the hospital. I was so frustrated and irritable with my new situation that I finally resigned to taking a 1/2.  It worked it's magic and I've only felt the need to take it once or twice since then. I know you don't like to take medications and put toxins in your body and I don't disagree with that, but feeling constantly frustrated and annoyed isn't healthy either - for your gut or any other part of you.  Maybe taking Lexapro or another kind of "happy pill" will help you relax and let things flow.  I'm so sorry you're having these problems.

BTW - how was the bike ride last weekend?


Shaz032
Forum Moderator


Date Joined Feb 2003
Total Posts : 1250
   Posted 1/22/2008 8:29 PM (GMT -7)   
I took Lexapro for depression a few years back. Before it, I'd tried, I think from memory, 6 other different meds but they all had unwanted side effects, eg weight gain, they'd come out whole in my bag (the XR ones even after I explained they wouldn't work for me) and one even made me vomit non-stop for the next 4 hours after taking it. Lexapro worked well for me :)
I have had an ileostomy for 32 years now due to UC.
 
Moderator of the Ostomy Forum
_______________________________________________
 
I'm not a complete idiot - some parts of me are missing!


Indabag
Regular Member


Date Joined Aug 2007
Total Posts : 254
   Posted 1/22/2008 8:39 PM (GMT -7)   
Hi Amey:

Although I don't take Lexapro myself I know others who do and they have found it to be very effective. It is not a medication like Zanax, that works right away but is only for short term & periodic use. I believe you need to take Lexapro daily and it takes one to two weeks before you start to feel the effects. There is an excellent website, healthyplace.com, that has an excellent FAQ section regarding Lexapro.

If I were in your shoes I would try it. The upside saeems to be better than any potential downside.

On another topic, have you seen the nephrologist yet? How are you doing with your hydration issues?

Richard
Indabag
 
Ileostomy since August 2005.
As result of surgery (modified whipple) for necrotising pancreatitis. Removal of gallbladder, 2/3 of pancreas, resections of large and small intestines. Massive infection. 8 months in ICU at Westchester County M.C. (I think that's a record). Second surgery for resection due to fistulas in January 2007. Been slowly recovering since then. Possible reconnection candidate.


Irish_Mom
Regular Member


Date Joined Apr 2007
Total Posts : 385
   Posted 1/23/2008 12:37 AM (GMT -7)   
Hi Amey,
 
I've never taken it, but we have patients that take it. The most common complaints are that it causes headaches, nausea, vomitting, and insomnia.
Terri
 
_________________________________________________________________________________
Breast Cancer at 36. Diagnosed in 2000. Bilateral mastectomy with reconstruction.
Total colectomy in September 2007 for colonic inertia.
Son diagnosed with Crohn's and UC at 17 (now 20). Taking Asacol and 6MP with Prednisone and Rowasa added during flareups.
Husband HLA B27 postive with ankylosing spondylitis and psoriatic arthritis.


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/23/2008 6:03 PM (GMT -7)   
Thank you for your feed back. I started taking Lexapro yesterday and within hours my body started "working" more than usual. I thought maybe this was a placebo affect but then today it was "working" faster than before the medication. I do have this on going headache and I did have insomnia last night. I always take a small dose of Melatonin to sleep which I will probably increase a little tonight. I do feel a little more relaxed and kinda tired during the day. I am hoping that these side effects will subside over time. The plus side is that the medication helps my body to relax better so things move along. I did not have any pains at my stoma today which has been GREAT. I am hoping this will allow me to increase my diet...eggs, chicken, fish, and yogurt are really starting to get old. I would love an apple!!! I appreciate your comments. They were a huge help to my decision.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/23/2008 6:41 PM (GMT -7)   

Amey,

Such great news...   I am so glad that you are trying other means of moving things along, even if it means taking a RX.  Isn't it a good feeling..   take it slow adding additional fiber.  Steer away from the peels and just a few bites at a time to start.  Increase it as you feel comfortable knowing what your output will be.

Congrats!!!


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


Indabag
Regular Member


Date Joined Aug 2007
Total Posts : 254
   Posted 1/23/2008 10:54 PM (GMT -7)   

Amey,

Great News! Keep us posted.

Richard


flchurchlady
Veteran Member


Date Joined Jul 2007
Total Posts : 2765
   Posted 1/24/2008 5:00 AM (GMT -7)   
Amey,
That is great news that your body relaxed and started working better. Can you take it before bedtime, so you feel sleepy at night instead?
Cecilia
 
Dx'd Crohn's in '99 at 28. Proctocolectomy & ileostomy in '06.
Pain-free, med-free, and very thankful to be healthy again :)


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/24/2008 11:40 AM (GMT -7)   
Good idea Cece!

Richard, I went to see the Nephorologist on Tuesday. She sat with me for 75 minutes just talking with me about kidney function, dehydration, and such. She wants me to keep a 30 day record of my intake and output. I have to chart everything that goes in my body and everything that goes out. She wants to see if I am putting more "out" than I am taking "in" which would explain the dehydration. Yesterday, I put 105 oz in and put out 55 oz....(this new medication has helped my ostomy to work better) However, I worked out in the morning and you can lose a lot of water through sweat. She took some blood work and did a urine test and said we will talk again when the results come back. Also, she wants to give me a "pass" of some sort that will allow me to go into a local center to receive IV fluids when ever I notice that I am getting dehydrated. She did not give me this pass yet; we are waiting for the test results.

Thanks for asking and for your support..
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Indabag
Regular Member


Date Joined Aug 2007
Total Posts : 254
   Posted 1/24/2008 12:18 PM (GMT -7)   

Amey:

That sounds like a good plan. It also sounds that the doctor was really interested in helping, which is always good. I too take note of inflows and outflows. Occasionally he has me submit samples to a lab as well. It is extra work but it has kept me out of the ER since last January! Glad to hear things are on the upswing!

Richard

 


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/24/2008 3:14 PM (GMT -7)   

Amey,

Sounds like this doc is a "keeper" if you know what I mean.  Not many will let you determine when you are dehydrated and just let you schedule IV fluids.  My doctor will, though I haven't had to do that but one time (I had a really bad intestinal bug).  But he does take my word when I call and tell him I need to schedule an EGD to take care of the adhesions that wrap around the duodenum and stomach.  When he blows the air into the stomach to do the EGD, it releases the adhesions and my pain goes away.  I am just prone to this.  But, he knows that I know when I need that and doesn't even question me.  No appt with him prior is needed - he just schedules the EGD and that's where he sees me prior to the procedure.  I really, really like this GI doc.  It is sooo good to have a doctor that believes in you and knows that you are truly wanting the best for your body.  Good luck to you.  And I see that the Lexapro is still working well?  WOOOO HOOOOOO!!!


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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