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Sue T.
Regular Member


Date Joined Feb 2007
Total Posts : 27
   Posted 12/25/2007 10:05 PM (GMT -7)   
Could imodium cause damage if you take it too often? I take one every day before I go to work and I was wondering if that could be dangerous.
                                                                             Sue T.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29859
   Posted 12/25/2007 10:31 PM (GMT -7)   
Hi Sue...are you at least on any meds? Where in the colon is your UC?

One of the side effects of taking imodium on a continual basis is that it can encourage/cause megacolon because it really, really slows down the peristalsis of the the colon.
In saying that, you must check with your doctor to see if one pill a day is OK.

Are you having IBS symptoms or are you having UC symptoms?

I don't think it will actually hurt you too much taking only one a day....but if you're not on any meds to deal with the inflammation, that would be a problem. Does imodium come in different dosages? If so, maybe a lower dosage one is better to take than a higher one.

Have you considered to take a fibre supplement instead to help bulk up the stool and to help keep the colon "exercised" to a more natural rhythm rather than too quickly?
There are different kinds to take...just a suggestion.

Another suggestion would be to take probiotics...sometimes diarrhea can be because of imbalance of the flora.

Do you take calcium? It's apparently a colon muscle calmer...no other way to describe it....that could be something to add to your supplementation.

What do you happen to eat in the morning? Sometimes a change in diet can help lessen diarrhea.

Just to add about the megacolon...when the colon is in a hyperstate of constantly spasming and eliminating at a high rate...it loses its rhythm and tone. When imodium is taken with that kind of colon...it stop the rhythm completely...then once the med has worn off, it goes back to a hyper state again. A meds that calms the smooth muscle such as dicyclomine (Bentyl/Bentylol) will slow down the peristalsis/spasming and encourage it into a more rhythmic movement rather than NO movement.

Has your doc given you any meds such as antispasmodics to try?

Well, enough questions....to answer yours...it can for some, but not necessarily for all. It's an option for use for occasions, but I don't think always. But, you must check with your doc and do some research to know whether it's good for you to take or if you have other choices.

quincy
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 12/26/2007 11:08 AM (GMT -7)   
I take it twice a day with my GI's blessing. He has told me I can go as high as 4 occasionally, but not ongoing.

Maybe because only the last 21cm of my colon is involved the risk of megacolon is decreased. But it's a good idea to check with your GI about any meds you take.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Intolerant to Asacol and rectal mesalamine preparations.
On Prednisone then Entocort 2001-2006 with only short periods off. 
Current meds are Colazal, Azathioprine and Remicade.
In remission since April, 2006. Remicade has been my wonder drug.
 


Sue T.
Regular Member


Date Joined Feb 2007
Total Posts : 27
   Posted 12/27/2007 9:03 PM (GMT -7)   
Thanx! I have crohns colitis and am on azasan, colazal and iron. I've tried probiotics
and fiber. My problem is that I usually need the bathroom on the way to work. It takes me almost an hour to get to work.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29859
   Posted 12/27/2007 10:48 PM (GMT -7)   
Personally, I can't see that ONE in the morning would be a problem. You have a reason to take it and it's better than you know what!

Could you not consider rectal meds since you're already on two 5ASA meds.

quincy
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


kittycat
New Member


Date Joined Jan 2008
Total Posts : 11
   Posted 1/2/2008 10:52 PM (GMT -7)   
what is megacolon


kittie

quincy
Elite Member


Date Joined May 2003
Total Posts : 29859
   Posted 1/3/2008 12:59 AM (GMT -7)   
http://www.nlm.nih.gov/medlineplus/ency/article/000248.htm
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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