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Okay, I Have Had A History Of IBS For 30
Question: Okay, I have had a history of IBS for 30 plus years. Recently, I had an Endoscopy, Colonoscopy, Abdominal MRI, and ultrasound of abdomen and gall bladder.
Dr found one polyp and mild gastritis; these were the only findings.
The reason for the tests is I have been feeling RUQ intermittent pains for a good portion of every day...not while sleeping or upon waking. I'm taking FD Gard for what the dr called dyspepsia???
I also take some Hyoscyamine for IBS. I have been taking these drugs for about 5-6 weeks and note little change....no worse no better. Pain is a 3 out of 10, but annoying as it has been going on for 3 months. What do you think is the problem? Any other likely possibilities? If you are familiar with FD Gard would I be better to take IB Gard or both? Any other medications that may help?
Dr found one polyp and mild gastritis; these were the only findings.
The reason for the tests is I have been feeling RUQ intermittent pains for a good portion of every day...not while sleeping or upon waking. I'm taking FD Gard for what the dr called dyspepsia???
I also take some Hyoscyamine for IBS. I have been taking these drugs for about 5-6 weeks and note little change....no worse no better. Pain is a 3 out of 10, but annoying as it has been going on for 3 months. What do you think is the problem? Any other likely possibilities? If you are familiar with FD Gard would I be better to take IB Gard or both? Any other medications that may help?
Okay, I have had a history of IBS for 30 plus years. Recently, I had an Endoscopy, Colonoscopy, Abdominal MRI, and ultrasound of abdomen and gall bladder.
Dr found one polyp and mild gastritis; these were the only findings.
The reason for the tests is I have been feeling RUQ intermittent pains for a good portion of every day...not while sleeping or upon waking. I'm taking FD Gard for what the dr called dyspepsia???
I also take some Hyoscyamine for IBS. I have been taking these drugs for about 5-6 weeks and note little change....no worse no better. Pain is a 3 out of 10, but annoying as it has been going on for 3 months. What do you think is the problem? Any other likely possibilities? If you are familiar with FD Gard would I be better to take IB Gard or both? Any other medications that may help?
Dr found one polyp and mild gastritis; these were the only findings.
The reason for the tests is I have been feeling RUQ intermittent pains for a good portion of every day...not while sleeping or upon waking. I'm taking FD Gard for what the dr called dyspepsia???
I also take some Hyoscyamine for IBS. I have been taking these drugs for about 5-6 weeks and note little change....no worse no better. Pain is a 3 out of 10, but annoying as it has been going on for 3 months. What do you think is the problem? Any other likely possibilities? If you are familiar with FD Gard would I be better to take IB Gard or both? Any other medications that may help?
Brief Answer:
Please go through detailed answer.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
Some medications that could be tried in single or in combination to treat IBS related symptoms are-
A combination of Chlordiazepoxide, Clidinium Bromide, and Dicyclomine as per the suggestion of your primary doctor.Hyoscyamine is a way old medicine much better anti cholinergics are now available which are meant specifically to treat IBS related symptoms specifically. Consult your gastro with a print out of this suggestion and ask him to put you on these medicines(If not then why?).Please have his views too.
Let me brief you about them-
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.
Taken as 10 mg twice in IBS.
Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug.
Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
They are all antispasmodics and would help with spasms in intestines.
Usually all three are used in optimal combination.
IB Gard Fd Gard are all peppermint etc .They are not specific medications which are meant to treat gastritis. Right upper quadrant pain has straight forward two differencials-
Gastritis
Gallbladder pathology.
You are having mild gastritis.
Start taking Omeprazole 40 mg twice daily to help you relieve gastritis.(otc).
This is a proton pump inhibitor targeted specifically to cure gastritis and other acid peptic disorders. Dyspepsia as such is an umbrella term use to cover symptoms like gastritis with pain and bloating belching etc.Basically a cover up term for various symptoms.
You could also compound the effect of Omeprazole by taking Magnesium hydroxide and aluminium hydroxide combination(antacid).
You could take IB Gard and FD Gard too but I don't feel they would make much off a difference.
Hope I was easy to understand.
Feel free to follow up.
Do rate the answer.
Thanks.
Please go through detailed answer.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
Some medications that could be tried in single or in combination to treat IBS related symptoms are-
A combination of Chlordiazepoxide, Clidinium Bromide, and Dicyclomine as per the suggestion of your primary doctor.Hyoscyamine is a way old medicine much better anti cholinergics are now available which are meant specifically to treat IBS related symptoms specifically. Consult your gastro with a print out of this suggestion and ask him to put you on these medicines(If not then why?).Please have his views too.
Let me brief you about them-
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.
Taken as 10 mg twice in IBS.
Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug.
Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
They are all antispasmodics and would help with spasms in intestines.
Usually all three are used in optimal combination.
IB Gard Fd Gard are all peppermint etc .They are not specific medications which are meant to treat gastritis. Right upper quadrant pain has straight forward two differencials-
Gastritis
Gallbladder pathology.
You are having mild gastritis.
Start taking Omeprazole 40 mg twice daily to help you relieve gastritis.(otc).
This is a proton pump inhibitor targeted specifically to cure gastritis and other acid peptic disorders. Dyspepsia as such is an umbrella term use to cover symptoms like gastritis with pain and bloating belching etc.Basically a cover up term for various symptoms.
You could also compound the effect of Omeprazole by taking Magnesium hydroxide and aluminium hydroxide combination(antacid).
You could take IB Gard and FD Gard too but I don't feel they would make much off a difference.
Hope I was easy to understand.
Feel free to follow up.
Do rate the answer.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Please go through detailed answer.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
Some medications that could be tried in single or in combination to treat IBS related symptoms are-
A combination of Chlordiazepoxide, Clidinium Bromide, and Dicyclomine as per the suggestion of your primary doctor.Hyoscyamine is a way old medicine much better anti cholinergics are now available which are meant specifically to treat IBS related symptoms specifically. Consult your gastro with a print out of this suggestion and ask him to put you on these medicines(If not then why?).Please have his views too.
Let me brief you about them-
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.
Taken as 10 mg twice in IBS.
Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug.
Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
They are all antispasmodics and would help with spasms in intestines.
Usually all three are used in optimal combination.
IB Gard Fd Gard are all peppermint etc .They are not specific medications which are meant to treat gastritis. Right upper quadrant pain has straight forward two differencials-
Gastritis
Gallbladder pathology.
You are having mild gastritis.
Start taking Omeprazole 40 mg twice daily to help you relieve gastritis.(otc).
This is a proton pump inhibitor targeted specifically to cure gastritis and other acid peptic disorders. Dyspepsia as such is an umbrella term use to cover symptoms like gastritis with pain and bloating belching etc.Basically a cover up term for various symptoms.
You could also compound the effect of Omeprazole by taking Magnesium hydroxide and aluminium hydroxide combination(antacid).
You could take IB Gard and FD Gard too but I don't feel they would make much off a difference.
Hope I was easy to understand.
Feel free to follow up.
Do rate the answer.
Thanks.
Please go through detailed answer.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
Some medications that could be tried in single or in combination to treat IBS related symptoms are-
A combination of Chlordiazepoxide, Clidinium Bromide, and Dicyclomine as per the suggestion of your primary doctor.Hyoscyamine is a way old medicine much better anti cholinergics are now available which are meant specifically to treat IBS related symptoms specifically. Consult your gastro with a print out of this suggestion and ask him to put you on these medicines(If not then why?).Please have his views too.
Let me brief you about them-
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.
Taken as 10 mg twice in IBS.
Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug.
Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
They are all antispasmodics and would help with spasms in intestines.
Usually all three are used in optimal combination.
IB Gard Fd Gard are all peppermint etc .They are not specific medications which are meant to treat gastritis. Right upper quadrant pain has straight forward two differencials-
Gastritis
Gallbladder pathology.
You are having mild gastritis.
Start taking Omeprazole 40 mg twice daily to help you relieve gastritis.(otc).
This is a proton pump inhibitor targeted specifically to cure gastritis and other acid peptic disorders. Dyspepsia as such is an umbrella term use to cover symptoms like gastritis with pain and bloating belching etc.Basically a cover up term for various symptoms.
You could also compound the effect of Omeprazole by taking Magnesium hydroxide and aluminium hydroxide combination(antacid).
You could take IB Gard and FD Gard too but I don't feel they would make much off a difference.
Hope I was easy to understand.
Feel free to follow up.
Do rate the answer.
Thanks.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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