Suggest Treatment For Severe Diarrhea, Abdominal Pain And Cramps While On Methotrexate

Posted on Sat, 30 Jan 2016

Question: Have had diarrhea and severe pain and cramping for 2 weeks. Was in ER yesterday Ana was told the result of the cat scan and blood work were normal...all the doc prescribed were pain meds and a soft diet.
I began taking methotrexate and placqunil approx 2 weeks ago... Have been off both now for a week but pain and diarrhea still present...what more can I do

Answered by Dr. Muhammad Ali Rauf (0 minute later)

Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. I would be in a better position to guide you anything if you answer following questions please:

1. how many stools are you passing daily?
2. is it semi solid or watery?
3. is there any blood or mucus in it?
4. are you able to drink & eat?
5. any history of vomiting?
6. do you have diabetes, hypertension or any other illness?
7. are you on any medication other than mentioned?
8. any other symptom that you would like to share?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ali Rauf (12 minutes later)

At least 6 times a day
Semi solid and watery
Mucus
Not without pain and diarrhea
No vomiting
Have lupus and RA
Am on Wellbrutrin, Lexipro, Toprol (for mitral valve ), synthroid,biest, progesterone
No other symptoms

Answered by Dr. Muhammad Ali Rauf (9 hours later)

Brief Answer:
Please see details

Detailed Answer:
Hello

Thank you for getting back with the answers. If i were your treating doctor then i would have advised following measures to ease your problem:

> Take lots of fluids( water, juices)
> Take Metronidazole thrice a day for 3 days
> Take ecobion sachets once a day for 3 days

> Foods that should help include:
- Boiled potatoes
- Toast
- Plain crackers such as saltines
- Baked chicken without any skin or fat

AVOID:
- Milk, butter, ice cream, and cheese
- fatty food
- Alcohol and caffeine drinks
- Foods that cause excess gas like cabbage, beans, broccoli, and cauliflower

Hopefully you will see improvement in few days and you will be able to go with normal daily routine.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar