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What Causes Cramping And Continuous Diarrhea After A Colonoscopy?

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Posted on Fri, 27 Mar 2015
Question: Colonoscopy performed on Tuesday, 3/3/2015 (4 days ago) was clean Have had cramping and continuous diarrhea since the procedure (currently 3/6/2015). Is there a path forward to eliminate the diarrhea?
doctor
Answered by Dr. T Chandrakant (30 minutes later)
Brief Answer:
As discussed .

Detailed Answer:
Hi.
Thanks for your query.
I have read and understood the history of starting Pantoprazole started prior to the procedure for acid reflux, colonoscopy on 3/3/2015 - was clean - cramping and continuous diarrhea since procedure - wants to know how to stop diarrhea.

I would like to know a few things:
What was the indication for colonoscopy ?
Do you have any other associated Medical Problems ?
Is the diarrhea watery / bloody / mucus / ?
How many times in 24 hours ?
I hope you do not have any nausea, vomiting, bloating, fever, weakness, muscle fatigue (indicating electrolyte imbalance or dehydration)

The possible causes of diarrhea for 4 days may be:
-Disturbed GI flora
-Action of the cleaning agents prior to colonoscopy still continues.
-Side effect of Pantoprazole.

The possible treatment can be:
-Stop Pantoprazole
-Combination of Prebiotics and Probiotics orally
-Loperamide till diarrhea is controlled
-Examination of stool : if positive for infection then to start with Antibiotics and Metronidazole.
-Banana, curds / Yogurt in diet
-Activated charcoal tablets which act as adsorbents for toxins.

You may start either of or combination of the above suggested courses with discussion with your treating Doctor or a Family Physician.

I hope this answer helps you to understand the possible causes and get a relief.
Please feel free to ask for further relevant queries if you need to or if you feel that there is a gap-of-communication.

Wishing you an early recovery.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (11 hours later)
Colonoscopy scheduled as routine 10 year checkup.
Have experienced bloating with above-noted cramping following eating.
No nausea, vomiting, weakness or fatigue.
No known medical problems with exception of noted acid reflux.
Watery diarrhea contuse this morning; no evidence of blood in discharge - frequency is 5-6 events per day.

Are over-the-counter diarrhea medications effective? You noted Loperamide.
Started 1.5 cups/day yogurt last night. Adding bananas this morning.
doctor
Answered by Dr. T Chandrakant (35 minutes later)
Brief Answer:
Take Loperamide after consultation of your Doctor.

Detailed Answer:
Thanks for your feedback.
Your history says that the bloating and cramping started after eating. No other problems except the Acid reflux.
Loperamide is an anti-motility drug, although OTC, please take only after consultation of your Doctor as you may be asked to take only if your Doctor thinks so.
Hope yogurt and bananas help.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Cramping And Continuous Diarrhea After A Colonoscopy?

Brief Answer: As discussed . Detailed Answer: Hi. Thanks for your query. I have read and understood the history of starting Pantoprazole started prior to the procedure for acid reflux, colonoscopy on 3/3/2015 - was clean - cramping and continuous diarrhea since procedure - wants to know how to stop diarrhea. I would like to know a few things: What was the indication for colonoscopy ? Do you have any other associated Medical Problems ? Is the diarrhea watery / bloody / mucus / ? How many times in 24 hours ? I hope you do not have any nausea, vomiting, bloating, fever, weakness, muscle fatigue (indicating electrolyte imbalance or dehydration) The possible causes of diarrhea for 4 days may be: -Disturbed GI flora -Action of the cleaning agents prior to colonoscopy still continues. -Side effect of Pantoprazole. The possible treatment can be: -Stop Pantoprazole -Combination of Prebiotics and Probiotics orally -Loperamide till diarrhea is controlled -Examination of stool : if positive for infection then to start with Antibiotics and Metronidazole. -Banana, curds / Yogurt in diet -Activated charcoal tablets which act as adsorbents for toxins. You may start either of or combination of the above suggested courses with discussion with your treating Doctor or a Family Physician. I hope this answer helps you to understand the possible causes and get a relief. Please feel free to ask for further relevant queries if you need to or if you feel that there is a gap-of-communication. Wishing you an early recovery.