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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lymphomatic Colitis. Taking Pep To Bismol. Proper Diet Meals Needed?

Hi! I ve been diagnosed with Lymphomatic Microscopic Colitis. I m taking Pepto Bismol for 6 - 8 weeks. I m on my 4th week. I was told not to concern myself with diet and that this condition will be resolved soon. I don;t feel that I can rely on getting rid of the bouts of cramps, gas and urgency to run to the bathroom. I would like a diet broken down to meals: breakfast, lunches and diners if possible. I think I can perservere and heal myself. Can you provide me with meals that I can eat?? I believe that improper inflamatory meals could have caused this problem and I feel that I can heal myself with the proper diet and help. I m 75 and aware of the importance of vitamins (A -Z) which I take. I thought I caused inflamation to my colon by taking Vit. C Crystals (500) or more a daily. In addition, I did eat lots of oranges. I don t drink and my breakfasts (yogurt, fruit, flaxseed) are made in the bullet. I look 50 yrs. old and my figure is that of a 40 year old. I work out. My weight is 123/124. I am not on medications. Can I obtain meal listings from you?? Thanks, Ellen
Fri, 22 Nov 2013
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General & Family Physician 's  Response
hello there!
thank you for asking.

here are the dietry Modifications you need.

-avoid or eliminate possible secretagogues, such as caffeine, and lactose-containing products.
-Avoid NSAIDs .
Here are the list of medication you can try for your lymphocytic colitis after discussing with your GP.

1-Antidiarrheal agents
a-Loperamide (Imodium AD)
b-Diphenoxylate hydrochloride/atropine sulfate (Lomotil)
c-Bismuth subsalicylate (Pepto-Bismol)

2-Anion exchange resins
a-Cholestyramine (Questran, LoCholest)

3-Antispasmodics
a-Hyoscyamine (Levsin SL, Levbid, Symax, Cystospaz)

4-Topical anti-inflammatory drugs
a-Sulfasalazine (Azulfidine EN-tabs)
b-Mesalamine (Asacol, Pentasa)

5-Corticosteroids
a-Prednisone (Deltasone, Orasone, Sterapred)
b-Budesonide (Entocort EC)

6-Immunosuppressant drugs
a-Azathioprine (Imuran), 6-mercaptopurine (Purinethol)
b-Methotrexate (Folex, Rheumatrex)

remember it take 6 months to resolve.50 % resolve. 15 percent persist. Diarrhea wax and wane.

the best of all option is to see the gastroenterolist for your treatment plan and have a better assessment.

Good Luck

Dr S khan


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Lymphomatic Colitis. Taking Pep To Bismol. Proper Diet Meals Needed?

hello there! thank you for asking. here are the dietry Modifications you need. -avoid or eliminate possible secretagogues, such as caffeine, and lactose-containing products. -Avoid NSAIDs . Here are the list of medication you can try for your lymphocytic colitis after discussing with your GP. 1-Antidiarrheal agents a-Loperamide (Imodium AD) b-Diphenoxylate hydrochloride/atropine sulfate (Lomotil) c-Bismuth subsalicylate (Pepto-Bismol) 2-Anion exchange resins a-Cholestyramine (Questran, LoCholest) 3-Antispasmodics a-Hyoscyamine (Levsin SL, Levbid, Symax, Cystospaz) 4-Topical anti-inflammatory drugs a-Sulfasalazine (Azulfidine EN-tabs) b-Mesalamine (Asacol, Pentasa) 5-Corticosteroids a-Prednisone (Deltasone, Orasone, Sterapred) b-Budesonide (Entocort EC) 6-Immunosuppressant drugs a-Azathioprine (Imuran), 6-mercaptopurine (Purinethol) b-Methotrexate (Folex, Rheumatrex) remember it take 6 months to resolve.50 % resolve. 15 percent persist. Diarrhea wax and wane. the best of all option is to see the gastroenterolist for your treatment plan and have a better assessment. Good Luck Dr S khan