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What Are Your Thoughts On Anti-Diarrhea Meds?


carecare

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carecare Enthusiast

Are they safe to use? I have been miserable lately...and have to wait until Dec. 12 for my endoscopy before I can go gluten free again. This past week has been particularly bad. I was telling my husband I feel like my intestines are dry heaving...well, not dry but you know when you have that involuntary stomach movement when dry heaving or vomiting...but it's my intestines. It's so uncomfortable. I am guessing my intestines are spasming pretty severely when this is happening. I used to take anti diarrhea meds when traveling if I had any stomach issues and they helped a ton. I'm wondering if it's safe to take them on a regular basis to relieve the cramping. My visits to the bathroom this week have been horrible...and I don't feel like moving or having anyone near me or touch me for hours after. Gosh, I can't wait until I can eat healthy again...and never have gluten again.


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ravenwoodglass Mentor

Have you called the doctor and told them how severe your reaction is? If not do so. Ask to speak to a nurse if your doctor doesn't do call backs. This is especially the case if your D is waking you up at night as that is a typical Celiac symptoms and not a symptom of IBS. Some will call off the challenge or they may put you on a cancelation list to get you in sooner. They may also be able to prescribe an antispasmodic or anticholeragenic to help you get through it. Your body is telling you what you needed to know and I am sorry you are having to go through this.

As to taking Immodium, well I lived off multiple doses a day for about 15 years. If you have to leave your home then go ahead and take it. If you can be at home then I would let the offending substance leave your body as much as possible.

Do keep in mind that you can still have negative biopsy results even after going through the challenge so do go back to the diet if it helped as soon as the biopsy is done.

kendon0015 Rookie

If you have any chance of having a bacterial overgrowth causing the diarrhea, DO NOT take anti-D meds. It keeps the bacteria in your intestines, which is counter productive.

mushroom Proficient

Sometimes necessary, but a long-term no-no. I have a neice who travels often around the Pacific islands and one of her suitcase staples is "starters" and "stoppers" :D Plus I think she is probably also one of the great undiagnosed (her mother is an unbeliever).

Skylark Collaborator

I agree that you need to talk to your Dr. There are prescription anti-spasmodics that can relieve cramping and your Dr. can probably find you something safe to use daily until your scope.

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    • trents
      Let me hasten to add that if you will be undergoing an endoscopy/biopsy, it is critical that you do not begin efforts to reduce gluten beforehand. Doing so will render the results invalid as it will allow the small bowel lining to heal and, therefore, obscure the damage done by celiac disease which is what the biopsy is looking for.
    • Scott Adams
      This article, and the comments below it, may be helpful:    
    • Scott Adams
      That’s a really tough situation. A few key points: as mentioned, a gluten challenge does require daily gluten for several weeks to make blood tests meaningful, but negative tests after limited exposure aren’t reliable. Dermatitis herpetiformis can also be tricky to diagnose unless the biopsy is taken from normal-looking skin next to a lesion. Some people with celiac or DH don’t react every time they’re exposed, so lack of symptoms doesn’t rule it out. Given your history and family cancer risk, this is something I’d strongly discuss with a celiac-experienced gastroenterologist or dermatologist before attempting a challenge on your own, so risks and benefits are clearly weighed.
    • Greymo
      https://celiac.org/glutenexposuremarkers/    yes, two hours after accidents ingesting gluten I am vomiting and then diarrhea- then exhaustion and a headache. see the article above- There is research that shows our reactions.
    • trents
      Concerning the EMA positive result, the EMA was the original blood test developed to detect celiac disease and has largely been replaced by the tTG-IGA which has a similar reliability confidence but is much less expensive to run. Yes, a positive EMA is very strong evidence of celiac disease but not foolproof. In the UK, a tTG-IGA score that is 10x normal or greater will often result in foregoing the endoscopy/biopsy. Weaker positives on the tTG-IGA still trigger the endoscopy/biopsy. That protocol is being considered in the US but is not yet in place.
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