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What Causes Watery Diarrhea When Diagnosed With Collagenous Colitis?
Question: A year ago I had a colonoscopy and it reaveled that I am suferring from collagenous colitis. I was treated with budesonide for three months and I recovered. At that time the doctor told me that I might have episodes in the future and told me to take budesonide for three months. 1st. month 9 mg - 2nd. month 6 mg- 3rd month 3 mg then stop.
My problem now is that since three months I got eczema and the dermatologist put me on 20mg prednisone.
Now and for 20 days I got watery diarrhea most probably an episode of collagenous colitis ( as I am on Sertraline which is a trigger of collagenous colitis) .
My question is : Shall I stop the prednisone and start the budesonide ? My watery diarrhea is really severe and I am losing weight.
The other question is : I want to stop the prednisone and start to treat the collagenous colitis so shall I stop the prednisone. Thanks for your prompt answer as the diarrhea is making me very weak.
I just want to add that I will switch from Sertraline to Efexor
My problem now is that since three months I got eczema and the dermatologist put me on 20mg prednisone.
Now and for 20 days I got watery diarrhea most probably an episode of collagenous colitis ( as I am on Sertraline which is a trigger of collagenous colitis) .
My question is : Shall I stop the prednisone and start the budesonide ? My watery diarrhea is really severe and I am losing weight.
The other question is : I want to stop the prednisone and start to treat the collagenous colitis so shall I stop the prednisone. Thanks for your prompt answer as the diarrhea is making me very weak.
I just want to add that I will switch from Sertraline to Efexor
Brief Answer:
Send the stool samples for 3 consecutive day?
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Female/64 - collagenous colitis - diagnosed a year ago - was treated with Budesonide as mentioned for 3 months - eczema 3 months - Dermatologist put you on Prednisone 20 mg - watery diarrhea 20 days - most probably collagenous colitis - on Sertraline - switching from Sertraline to Efexor -
Also noted your history realted to the other problems and medication you have mentioned.
Your questions:
My question is : Shall I stop the prednisone and start the budesonide ? My watery diarrhea is really severe and I am losing weight.
> Ideally Prednisone too is effective in colitis. May be 20 mg is the lower dose as for the present condition.
Watery diarrhea: send the stool sample for lab test for 3 consecutive days - post the reports.
Add on probiotics, activated charcoal, yogurt and tell me the effects.
Stool test may guide the further management.
The other question is : I want to stop the prednisone and start to treat the collagenous colitis so shall I stop the prednisone. Thanks for your prompt answer as the diarrhea is making me very weak.
> Let your treating Doctor decide as He would know the clinical details the best. Change over to Budesonide may not be much helpful as both are steroids and are known to work effectively against collagenous colitis.
I hope this answer helps you in decision making.
Send the stool samples for 3 consecutive day?
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Female/64 - collagenous colitis - diagnosed a year ago - was treated with Budesonide as mentioned for 3 months - eczema 3 months - Dermatologist put you on Prednisone 20 mg - watery diarrhea 20 days - most probably collagenous colitis - on Sertraline - switching from Sertraline to Efexor -
Also noted your history realted to the other problems and medication you have mentioned.
Your questions:
My question is : Shall I stop the prednisone and start the budesonide ? My watery diarrhea is really severe and I am losing weight.
> Ideally Prednisone too is effective in colitis. May be 20 mg is the lower dose as for the present condition.
Watery diarrhea: send the stool sample for lab test for 3 consecutive days - post the reports.
Add on probiotics, activated charcoal, yogurt and tell me the effects.
Stool test may guide the further management.
The other question is : I want to stop the prednisone and start to treat the collagenous colitis so shall I stop the prednisone. Thanks for your prompt answer as the diarrhea is making me very weak.
> Let your treating Doctor decide as He would know the clinical details the best. Change over to Budesonide may not be much helpful as both are steroids and are known to work effectively against collagenous colitis.
I hope this answer helps you in decision making.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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