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bad day
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bad day
it's been a while since i have posted b/c i have been doing pretty well. and now for some strange reason, yesterday and today have been horrible. i hate to be disgusting but it's like i am pooping out yellow/orange water! what the heck!!??? i have not done anything different other than the occasional immodium ad multi symptom pill. do you think that could do it? this is a complete mystery to me and now frustrating b/c i was doing pretty good. any thoughts, suggestions would be welcomed!
Well, one possibility that comes to mind is a giardia infection. That will cause yellow stool. Have you been drinking or eating anything that could have been contaminated? Or have you been swimming or camping out, lately?
Another possibility is too much bilirubin in your blood. That can cause orange-yellow poop, but it would also probably cause your skin to appear slightly yellow-colored. Too much bilirubin wouldn't necessarily cause watery D, tough.
You haven't by any chance been severely constipated lately, have you? Leakage around an intestinal obstruction/blockage can have those characteristics.
Otherwise, it's difficult to make a guess.
Tex
Another possibility is too much bilirubin in your blood. That can cause orange-yellow poop, but it would also probably cause your skin to appear slightly yellow-colored. Too much bilirubin wouldn't necessarily cause watery D, tough.
You haven't by any chance been severely constipated lately, have you? Leakage around an intestinal obstruction/blockage can have those characteristics.
Otherwise, it's difficult to make a guess.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
nope nothing like that. as i was doing some errands today, i also wondered if it could be the cup of coffee i had on friday morning? i have not had coffee in a long time and was craving a cup instead of tea? what happened yesterday and today with the watery D, and color is kind of how it was about a year ago or so when i was figuring this all out.
A yellow-y/orange-y liquid poo, for me, sometimes has to do with mucus, which happens for me when things are pretty irritated, such as when I've eaten a food that doesn't work for me. It could be that some food that you have been tolerating has 'tipped over' to cause you to react???
I'm sorry to hear you've had a setback, after doing well. I hope you feel better soon,
Sara
I'm sorry to hear you've had a setback, after doing well. I hope you feel better soon,
Sara
Willabec, I can't remember what you've used in the past - I'm a Pepto Bismol person, but not everyone can tolerate that. Other than symptom relief, when something like this kicks in, I go "back to basics" with super-simple diet - boiled potatoes, homemade chicken broth, and not much else. I would definitely avoid *all* processed and bottled foods, sauces, etc., till you're back on your feet. Sometimes even things we can eat don't work once we're really under the weather.
Feel better soon,
Sara
Feel better soon,
Sara
my dr. has me on lialda and then in july put me on 6-8 pepto a day as well. that was helping some, i am much better than i was before (except for the past couple of days), now i don't know what to do. i usually like immodium that seems to help some as well. i did take the immodium ad multi symptom and after i took it i looked on line and it said the only ones confirmed gluten free are the immodium ad multi symptom chewables and something else. not what i took. you think it could be that?? i need to call them and make sure it is gluten free before i take more, just in case.
'stomach "burning"' is not a normal MC symptom. It can happen when we ingest something that doesn't agree with our stomach, (whether we have MC or not). For example, when I tried a mix of digestive enzymes, my stomach "burned", (but the worst symptom was nausea/vomiting).
One of the things that can cause those symptoms is medications, such as the mesalamine-based drugs, (which includes Lialda). One of the side effect risks of the mesalamine-based drugs is pancreatitis, (inflammation of the pancreas). If you've been taking Lialda for a couple of months or longer, the sudden onset of pain in the upper abdominal area can be a symptom of acute pancreatitis, especially if the pain becomes worse after eating, and the area is sensitive, (painful), to touch, (palpation). I'm not saying that this is what is causing your problem, I'm just saying that it's possible with Lialda.
If that pain has persisted for 3 days now, (which your posts suggest), it might be a good idea to call your doctor to ask about this. Most doctors aren't very familiar with the pancreatitis risk that's associated with these drugs, because originally it wasn't on the labels of most of them. Since Lialda is a relatively new drug, though, pancreatitis is probably listed as a possible side effect on the Lialda label - it's certainly available in the literature that's available to professionals. This is not a common side effect - it's quite uncommon, but it's not as rare as most doctors believe it is. We've had at least 2 or 3 members who have had this problem after taking one of the 5-ASA drugs, so the safest policy is to check with your doctor, just in case.
http://www.drugs.com/sfx/lialda-side-effects.html
Tex
One of the things that can cause those symptoms is medications, such as the mesalamine-based drugs, (which includes Lialda). One of the side effect risks of the mesalamine-based drugs is pancreatitis, (inflammation of the pancreas). If you've been taking Lialda for a couple of months or longer, the sudden onset of pain in the upper abdominal area can be a symptom of acute pancreatitis, especially if the pain becomes worse after eating, and the area is sensitive, (painful), to touch, (palpation). I'm not saying that this is what is causing your problem, I'm just saying that it's possible with Lialda.
If that pain has persisted for 3 days now, (which your posts suggest), it might be a good idea to call your doctor to ask about this. Most doctors aren't very familiar with the pancreatitis risk that's associated with these drugs, because originally it wasn't on the labels of most of them. Since Lialda is a relatively new drug, though, pancreatitis is probably listed as a possible side effect on the Lialda label - it's certainly available in the literature that's available to professionals. This is not a common side effect - it's quite uncommon, but it's not as rare as most doctors believe it is. We've had at least 2 or 3 members who have had this problem after taking one of the 5-ASA drugs, so the safest policy is to check with your doctor, just in case.
http://www.drugs.com/sfx/lialda-side-effects.html
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Yes, pancreatitis can cause diarrhea, (though it doesn't always cause that symptom), because the inflammation can interfere with the production of lipase, (which helps to digest fats), and other enzymes. If the pancreas is unable to produce sufficient enzymes, diarrhea is the result.
Another possibility is salicylate toxicity. If you've been taking 6-8 Pepto-Bismol tablets daily, on top of Lialda, you're taking two drugs for which concurrent treatment is contraindicated. The active ingredient in Pepto is bismuth subsalicylate, and the active ingredient in Lialda is aminosalicylic acid. IOW, both are salicylates.
The overdose risk for Lialda states:
Obviously, the two drugs together put the salicylate dosage in the "risky" range. If your liver should become overwhelmed, and unable to metabolize all the salicylate imposed on it, and/or your kidneys should become "overworked", they might not be able to handle such a high dosage of salicylates.
You don't seem to have any of the symptoms of salicylate poisoning, (at least you didn't mention any - it's normally, primarily a neurotoxic effect), so this probably isn't your problem at the moment, but it might become a problem in the future, if you continue to take such a high salicylate dose.
Another possibility is the Lialda itself - you may have developed a sensitivity to it, since case studies show that for some individuals who have an inflammatory bowel disease, (such as MC), the mesalamine-based drugs can stimulate the production of leukotrienes, (just as NSAIDs do), resulting in diarrhea and/or intestinal inflammation.
http://www.nejm.org/doi/full/10.1056/NE ... 3263381320
Tex
Another possibility is salicylate toxicity. If you've been taking 6-8 Pepto-Bismol tablets daily, on top of Lialda, you're taking two drugs for which concurrent treatment is contraindicated. The active ingredient in Pepto is bismuth subsalicylate, and the active ingredient in Lialda is aminosalicylic acid. IOW, both are salicylates.
The overdose risk for Lialda states:
http://www.drugs.com/pro/lialda.htmlLialda is an aminosalicylate, and symptoms of salicylate toxicity may include tinnitus, vertigo, headache, confusion, drowsiness, sweating, seizures, hyperventilation, dyspnea, vomiting, and diarrhea. Severe intoxication may lead to disruption of electrolyte balance and blood-pH, hyperthermia, dehydration, and end organ damage.
Obviously, the two drugs together put the salicylate dosage in the "risky" range. If your liver should become overwhelmed, and unable to metabolize all the salicylate imposed on it, and/or your kidneys should become "overworked", they might not be able to handle such a high dosage of salicylates.
You don't seem to have any of the symptoms of salicylate poisoning, (at least you didn't mention any - it's normally, primarily a neurotoxic effect), so this probably isn't your problem at the moment, but it might become a problem in the future, if you continue to take such a high salicylate dose.
Another possibility is the Lialda itself - you may have developed a sensitivity to it, since case studies show that for some individuals who have an inflammatory bowel disease, (such as MC), the mesalamine-based drugs can stimulate the production of leukotrienes, (just as NSAIDs do), resulting in diarrhea and/or intestinal inflammation.
http://www.nejm.org/doi/full/10.1056/NE ... 3263381320
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.