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What Causes Stomach Discomfort And Diarrhea Inspite Of Being On Metformin?

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Posted on Mon, 1 Jun 2015
Question: im taking birth control pills once a day and metformin 1000mg twice a day, i was diagnosted with PCOS a month a go but everything i eat and drink cause disconfort and i have diarreah multiple times a day everyday....what can i do?
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Answered by Dr. Klarida Papaqako (44 minutes later)
Brief Answer:
Possible side effects from metformin.

Detailed Answer:
Hello,

Thank you for using HCM,

I read carefully your query. From what I'm understanding it looks like discomfort and diarrhea has started after you have started using the birth controll pills and metformin.
From the two drugs, metformin is the one who causes gastrointestinal side effects.
In general when I start it with my patients I start with 500 mg once day for one week, then 500mg twice day 500mg for the other week, and so on...increasing it grdually. This will make the body support the medicine better and not experience such side effects.

I don't know the exsact reasons why your doctor decided to give metformine in that dose, so I would recommend that before taking some action to talk with him.
You may try the strtegy I explained until you reach the dose you are actually taking.
If even after trying this you still have the diarrhea or discomfort, you will need to talk with your doctor to switch the medicine to another one with the same effect, but with lower side effects.

Hope this is helpful. Let me know if I can help with further questions you may have.

Take care,
Dr. Papaqako.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1803 Questions

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What Causes Stomach Discomfort And Diarrhea Inspite Of Being On Metformin?

Brief Answer: Possible side effects from metformin. Detailed Answer: Hello, Thank you for using HCM, I read carefully your query. From what I'm understanding it looks like discomfort and diarrhea has started after you have started using the birth controll pills and metformin. From the two drugs, metformin is the one who causes gastrointestinal side effects. In general when I start it with my patients I start with 500 mg once day for one week, then 500mg twice day 500mg for the other week, and so on...increasing it grdually. This will make the body support the medicine better and not experience such side effects. I don't know the exsact reasons why your doctor decided to give metformine in that dose, so I would recommend that before taking some action to talk with him. You may try the strtegy I explained until you reach the dose you are actually taking. If even after trying this you still have the diarrhea or discomfort, you will need to talk with your doctor to switch the medicine to another one with the same effect, but with lower side effects. Hope this is helpful. Let me know if I can help with further questions you may have. Take care, Dr. Papaqako.