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Constant loose bowels


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#1 Waterfall

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Posted 10 August 2006 - 08:51 AM

I know this is sort of disgusting, but every morning I have loose bowels. I'm not eating or drinking anything that would cause this. I'm on Lamictal and Abilfy. Has this happened to anyone else???
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#2 GroovyGwen

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Posted 10 August 2006 - 02:43 PM

I had exploding diarrhea for 4 months, so I have no problem getting graphic. How loose is loose? Still semi-solid, completely smooth or really watery? How long has this been going on? Does the timing coincide with any med/dosage change? Is it only in the AM or all day?

Mine turned out to be microscopic colitis, but I kind of think it may have been Cymbalta too. The timing was too perfect. I went off the cymbalta and took some antibiotic for the MC and was healed. Not before having to have a colonoscopy, but whatever. I got to see a pic of my large intestine.

Things to avoid: Raw veggies - veggies in general - milk products - eggs - realllly fatty stuff or fried stuff - spicy foods.
Things to eat: BRAT diet - Bananas, WHITE RICE!! (I cannot stress enough that white rice was my savior), apples and toast. I didn't take well to the apples or bananas, but that's me. Drink massive water, diluted gatorade is even better. Ginger ale rocks if your tummy is upset.

Most importantly - tell your doc. And if it continues even if you try to treat it, go see a specialist asap. Once I saw my first doc, it was another month and a half of having an exploding ass while the diagnosis was happening.

Depressive bipole on Venlafaxine (Effexor) 225mg & Lamotrigine (Lamictal) 200 mg


#3 Waterfall

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Posted 10 August 2006 - 05:57 PM

It's only in the morning and I get bad abdominal pain before. It can be just loose or it can be watery. It's usually just two or three times every morning. It's wierd for me as I used to be constipated all the time. I should have asked my pdoc about it the other day.

#4 GroovyGwen

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Posted 11 August 2006 - 07:46 AM

Watery is not good. That means that the intestines are really unhappy about something and are trying to flush it out as fast as possible. Make sure you don't get dehydrated, as that is a worry. Did you take anything (fiber supplements etc) for the constipation? That could have pissed off your colon (which is the another name for the lower large intestine- I've learned so much!)

Call Pdoc - but I don't think Lamictal or Abilify would do this. After you talk to him/her, go to the regular doc. They will probably have you poop in a cup (most. horrible. ever.) and do blood tests. But watery is bad and you should get it taken care of!

Depressive bipole on Venlafaxine (Effexor) 225mg & Lamotrigine (Lamictal) 200 mg


#5 Panz

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Posted 11 August 2006 - 08:44 AM

The loose thing after constipation, may be the beginning of Irritable bowel syndrome too. I laughed the malady off until I wound up in the hospital with a nasty case of dehydration and vital mineral/vitamine depletion. Ok, don't take my word, because I'm not a doctor, but I was told by a nurse that your bowels go to screen saver mode when you sleep. I cannot stress how important it is to keep hydrated and get to a doctor. Sorry, I am not quite awake, but I don't want another soul in the hospital due to this. The fact that it only occurs in the morning is baffling to me. Have you tried any thing for the constipation? how long has the loose bowels gone on? Lamictal gave me icky tummmy and bloat, I have no exprience with Abilify.Ummm...baby food bananas really helped me with the fruit thing and baked potatoes and cream of rice. BUT YOU NEED TO TELL YOUR BLEEDING DOCTOR...ok LOL, ask me about trying to poop into a small zip lock bag if you want inspiration. ;)

Edited by Panz, 11 August 2006 - 08:49 AM.

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#6 ncc1701

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Posted 11 August 2006 - 09:32 AM

Heya Waterfall,

When do you have a doctor's appointment?

Hydration, tests, etc.

One of the main functions of the colon is to absorb water from the stool. If the lining is damaged, it absorbs less water and the stool becomes more watery. If the lining is irritated (think of a rash) it sometimes absorbs water and sometimes doesn't.

Watery often follows an infection, and can go on after the infection has cleared. The lining of the gut gets damaged and takes its time repairing itself, so can't absorb water as efficiently as it should.

Inflammation has a similar effect on the gut lining and can produce similar watery stool.

Irritable bowel can for sure produce the watery/crampy morning pattern you describe.

There are worse types of diarrhea than watery, namely bloody or black or fatty.

(I know, ick, but this is an icky thread.)

Not sure this looks like a med effect to me but what was the timing of medications relating to the onset of this gut problem? Particularly Abilify. (Monograph mentions constipation but not diarrhea.)

When do you take meds, and is there anything else you take? What's your diet like?

Also, any antibiotics in the last month or so? Travel history? Alcohol? Been overnight in a hospital or nursing home?

(Those are all questions you'll be asked.)

Main thing besides hydration and dietary measures is that even when your stool tests and bloods are normal, you still end up getting a scope, which is not so bad b/c most GIs will sedate you.

--ncc--
--ncc1701--

Dx: BPI with mixed episodes, social anxiety

Rx: Lamictal 300 @ 1830. Seroquel 25 @hs

Therapy: Went to the beach in a polkadot bathing suit. Once.

"Dammit, Jim, I'm a doctor, not a psychiatrist!" (ST:TOS:The City on the Edge of Forever)

#7 Waterfall

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Posted 11 August 2006 - 09:36 AM

It hasn't been watery in a while, just cramps and urgent loose bowels. Should I still go to the doctor? I haven't been in a hospital, taken antibiotics or traveled. I'm just here, not eating or drinking anything caustic or overyly fiberous. Whatever it is, it's driving me nuts.

#8 GroovyGwen

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Posted 11 August 2006 - 11:28 AM

Should I still go to the doctor?

Yup. I don't think it will clear up by itself. Once you get better you will be SO relieved!
(white rice, white rice, white rice...)

Depressive bipole on Venlafaxine (Effexor) 225mg & Lamotrigine (Lamictal) 200 mg


#9 ncc1701

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Posted 11 August 2006 - 04:57 PM

Heya Waterfall,

It hasn't been watery in a while, just cramps and urgent loose bowels. Should I still go to the doctor? I haven't been in a hospital, taken antibiotics or traveled. I'm just here, not eating or drinking anything caustic or overyly fiberous. Whatever it is, it's driving me nuts.


Yes.

The answer is always Yes.

If you're concerned, if it's not normal, if it's bugging you, go see a doctor.

(Read that in my *sternest* trust-me-I'm-a-doctor voice.)

--ncc--
--ncc1701--

Dx: BPI with mixed episodes, social anxiety

Rx: Lamictal 300 @ 1830. Seroquel 25 @hs

Therapy: Went to the beach in a polkadot bathing suit. Once.

"Dammit, Jim, I'm a doctor, not a psychiatrist!" (ST:TOS:The City on the Edge of Forever)

#10 Waterfall

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Posted 24 August 2006 - 01:03 PM

I added yogurt to my diet, and the loose bowels are gone! Doc thinks I have IBS. Thanks for all the replies!

#11 ncc1701

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Posted 24 August 2006 - 02:24 PM

Heya Waterfall,

Glad it's better.

Sometimes the simple answer is the most useful one.

IBS can really suck, but it's manageable.

And really common for some reason.

--ncc--
--ncc1701--

Dx: BPI with mixed episodes, social anxiety

Rx: Lamictal 300 @ 1830. Seroquel 25 @hs

Therapy: Went to the beach in a polkadot bathing suit. Once.

"Dammit, Jim, I'm a doctor, not a psychiatrist!" (ST:TOS:The City on the Edge of Forever)

#12 Tomboy

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Posted 14 November 2006 - 03:02 PM

I know this topic is all resolved, so I'm sorry to bump it back to the top, but I just wanted to say that I love this place. Y'all aren't afraid of the icky stuff.

I've had this problem, too, the um, watery explosive diahrrea, since I've been on generic metformin prescribed for prediabetes. It's worse in the morning after breakfast, but happens at least 2-3 times throughout the day. My general physician is aware of the problem, but he says he can live with it as long as it's not happening 5-6 times a day, which is really understanding of him since he's not the one spending 20 minutes in the bathroom several times a day with coworkers wondering what might have happened.

I definitely do better on brand name versions of metformin (fortamet and glumetza are the two I've tried, but the copay is higher for those. I've had worse side effects, but it's still annoying and uncomfortable. I'm debating if I can afford the brand name meds.

Um, my apologies for the hijack, but thanks, Supergwen for the BRAT info.
dx: add, anxiety, depression. 

daily rx: adderall xr 40mg , alprazolam 0.125mg x 2 (m-f only), emsam 9mg/24hrs, glumetza 500mg x 2, propranolol 10mg x 3, sonata 10mg

monthly rx: venofer iv iron, cyanocobalamin injection


#13 Libby

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Posted 14 November 2006 - 03:21 PM

If you get tired of yogurt, you can get probiotics in capsule form.
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because I know I'm not dumb...
and I also know that I'm not blonde.
~Dolly Parton



dx: severe, refractory double depression. GAD. OCD, paranoia, occasional psychosis.
Depersonalization and anxiety out the wazoo, no matter which meds I take.

current rx: Cymbalta 90mg as of 11/12, Trazodone 400mg as of 4/6/07. Clonazepam .5mg PRN.

Recent Titration: Seroquel 100mg>200mg>now 300mg>back to 200mg as of 11/10,
up to 300mg as of 11/29; up to 400 mg Seroquel as of 1/19/07.
Tapering down on Seroquel and adding Trazodone as of 3/26/07, much to my chagrin.
Now down to zero SQ, up to 400mg Traz. Can't sleep, but my girth is getting smaller.

And now: Stopped Traz. Added Navane. tripped off into some dissociation/psychosis shit. Off Navane. Back on 1,000mg Seroquel. Welcome to my nightmare.


previous rx: Tofranil, Desyrel, Pamelor, Prozac, Paxil, Zoloft, Wellbutrin,
Neurontin, Luvox, Serzone, Remeron, Effexor, Lexapro. Navane, Ativan, Inderal, Lithium.

#14 Waterfall

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Posted 16 November 2006 - 04:01 PM

Beer. I have found that beer does it to me too, and I'm not talking about large amounts of it. No more beer for me!

#15 zsandoz

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Posted 18 November 2006 - 10:49 AM

Beer. I have found that beer does it to me too, and I'm not talking about large amounts of it. No more beer for me!



beer will do that! (and other alcohol, in my experience)
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#16 LikeMinded

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Posted 19 November 2006 - 10:13 AM

I'm not sure what inspired me to join this thread, it probably has something to do with the TMI I wanted to share with y'all.

<TMI>
On rare occasions, my colon has an identity crisis and thinks it's my bladder.
</TMI>

In any event, this comes and goes (sometimes alternating with Verstopfung), so I think I might qualify for a diagnosis of alternating IBS now. =P

(Either that or it's one of my meds: Provigil, Lamictal, Cymbalta, Lunesta, Remeron)

CAUTION: I'm a graduate computational medicine/allied health information student, and NOT a licensed clinician of any sort in any part of the world.  I can come up with lots of algorithms, generalities, and statistics but cannot provide specific medical advice for you!  You, along with your healthcare provider/pdoc/tdoc/etc. are the best decision makers for what is best!

 

Me: MDD, AD/HD, Asperger's/HFA/PDD-NOS/WTF, REM behavioral disorder/misc. sleep issues, some variant of PTSD... toss in hypothyroidism, post-meningitis-related Parkinson's disease/tremor, early stage pulmonary hypertension from a connective tissue disorder that wants me dead before age 60, and a few misc. manly hormone issues, and you'll get a few insights on where that PTSD came from.

 

Now on: Cymbalta, mirtazapine, oxybutynin, clonazepam, lamotrigine, clonidine, levothyroxine, metformin, Testim.  As Velvet Elvis implied, I sound like a freakin' maraca salesman when I go through airport security.


#17 Waterfall

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Posted 19 November 2006 - 11:15 AM

Ok, no beer or alcohol and still loose. This is a pain in the ass. Literally!

#18 stable not balanced

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Posted 19 November 2006 - 07:58 PM

i have been suffering for the same reasons. the worst cramps (sometimes i think that this is what giving birth feels like!)

then, the lovely diarrhea, exploding. maybe happens 2-3 times before it becomes solid.

i am trying to keep a food diary to see what may set it off. could be lactose intolerant? fatty food? ibs?

have not looked for answers as of yet, so i am anxious to hear how you do.

hang in there!
kathy

Bipolar I
Meds: 200 Lamictal, 900 Lithium, .5 xanax prn


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It's waiting right outside the storm
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And find a place that's safe and warm?

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Let's put our hands out in time

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#19 GroovyGwen

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Posted 20 November 2006 - 10:23 AM

but he says he can live with it as long as it's not happening 5-6 times a day

My understanding is that this is NOT acceptable. If the colon isn't working correctly, then your whole body isn't working correctly. Get a 2nd opinion. Try a GI specialist.

<TMI>
On rare occasions, my colon has an identity crisis and thinks it's my bladder.
</TMI>

That is too funny. Laugh out loud at Herrfous' expense. Sorry!

the BRAT diet worked a bit for me - but white rice was a godsend. Until it cleared up, now I'm fine. I also went off the cymbalta, so who knows if it was the cymbalta or the microscopic colitis was unrelated. Don't know - don't care, because it's over! Get it taken care of, you will feel soooooo much better!

Depressive bipole on Venlafaxine (Effexor) 225mg & Lamotrigine (Lamictal) 200 mg


#20 Guest_pighead_*

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Posted 17 September 2009 - 10:49 AM

I also have been living with loose stools since the first of August. I am gluten intolerant (that means no bread, pasta or beer) and gluten tends to give me constitapation, instead of the usual diarreah/loose stools. I went to France in July (to visit extended family) and was given french bread with every meal - breakfast only consisted of bread! - and didn't want to be rude, so I ate it. I didn't poop for 15 days. Now I can't quit. Sometimes I will go 5-6 times a day, and by that time there is blood on my toilet paper. Wow. Just reading this lets me know I need to go to the doctor. I am already under care for prediabeties brought on by Cymbalta (I have since quit taking it - and actually feel better), but I noticed the posts regarding prediabeties, Cymbalta, beer and loose stools. I also have low iron and B-12, probably due to malabsorbition, but my general practictioner doesn't really believe in that sort of thing - medical school tends to "poo poo" ;) the idea of Cealic diease, teaching that it is very rare. An intergrative medicine doctor is the one who diag. gluten intolerence, but that was in a different state.

Not much to add. Just wanted to chime in that I have the same issues.





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