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DYSPEPSIA, IBS,GALLBLADDER REMOVAL SURGE
Dear respected gastroenterologist
it's been 3 yrs gallbladder removal surgery but currently i am facing loose stools,mucus,3_4times poops in day 7am _5pm not in night ,i have consulted with a gastroenterologist he prescribed medicine for me is
1.RIFAXIMIN 550MG,(2_times)
2.VASOREX,(3 times in a day half an hour before eating)
3.itokon 50 mg( times in a day half an hour before eating)
4.psyllium husk(10gm in night)
medicines are helping me but i am facing difficulty in urination don't know any one causing side effects please guide me what to do next should i stop taking any one of medicine
Answers (20)
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Worth speaking to your gastroenterologist about the serious side effects including any risk of getting dependent on some of the medications given the fact that you are 28yrs.
Worth taking something simple like - Loperamide for loose stools
All the best.
J G S R clinic
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Vasorex is the most likely cause of urinary difficulty..
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Hello,
I am Dr. Romain Rajan, General Physician, and your case has been allotted to me.
Thank you for sharing the details clearly. I understand your concern, and Iâll explain this in simple terms.
Understanding your current problem
Loose stools with mucus occurring 3â4 times during the day and not at night, especially after gallbladder removal, is a common and treatable condition. After cholecystectomy, excess bile entering the intestine can cause:
⢠Bile acidârelated diarrhea
⢠Gut irritation and spasms
⢠IBS-like symptoms
The medicines prescribed by your gastroenterologist are appropriate and commonly used for this condition.
About your medicines and urination difficulty
Letâs look at them one by one:
⢠Rifaximin 550 mg â Acts locally in the gut, very unlikely to cause urinary problems
⢠Psyllium husk â Fiber supplement, does not affect urination
⢠Vasorex â Used for gut spasm control; urinary side effects are uncommon
⢠Itokon 50 mg (Itopride) â Improves gut motility; rarely, it can cause urinary difficulty, especially if there is dehydration or underlying prostate/bladder sensitivity
In most cases, difficulty in urination is NOT dangerous but needs evaluation.
What you should do now
⢠Do NOT stop medicines on your own, especially since they are helping your stools
⢠Ensure adequate water intake (very important with psyllium husk)
⢠Observe if the urine difficulty is:
⢠Reduced urine flow
⢠Burning sensation
⢠Incomplete emptying
⢠If symptoms persist for more than 2â3 days, inform your gastroenterologist â they may:
⢠Adjust the dose
⢠Temporarily stop or replace one medicine
⢠Check urine routine to rule out infection
Consult a doctor immediately if:
⢠You are unable to pass urine at all
⢠Severe lower abdominal pain develops
⢠Fever or burning urination appears
⢠Blood in urine
Reassurance
Your bowel symptoms are well-controlled, which is a positive sign. The urinary issue is most likely temporary and reversible, and usually manageable with minor adjustment â not something to panic about.
For a one-to-one consultation, you may reach out to me on 85271646 seven seven.
Iâll guide you step by step if symptoms continue.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Vasorex may cause this situation, but it’ll get better by itself after completing the prescribed course.
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No gastroenterologist here. Kindly consult in person.
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I think its a condition called IBS.. You also need proper lifestyle advices.. Also need proper history and symptoms pls connect me throgh practo or wattsap nine zero seven two twozero seven zero nine three
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It's due to vasorex drug .
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Based on your history of gallbladder removal and current symptoms, your bowel complaints are most consistent with post cholecystectomy bowel dysfunction or IBS type symptoms, and the medicines prescribed such as rifaximin, vasorex, itokon and psyllium husk are commonly used and appear to be helping your stools, which is a good sign. Difficulty in urination is not a known or common side effect of rifaximin or psyllium husk.
However, medicines like vasorex and itokon, which act on gut motility and smooth muscles, can occasionally cause urinary hesitancy or a feeling of incomplete bladder emptying in some individuals, especially if you are sensitive to them.
Next Steps
At this point, you should not stop all medicines on your own since they are improving your bowel symptoms. The safest approach would be to inform your treating gastroenterologist about the urinary difficulty so that the dose or timing of vasorex or itokon can be adjusted, or one of them can be temporarily withheld to identify the cause. Also ensure you are drinking adequate fluids and not restricting water intake.
Health Tips
If the urinary problem worsens, becomes painful, or you develop burning, fever, or reduced urine output, you should seek medical review promptly to rule out a urinary infection or other causes
Good luck! And do contact in case of any doubt.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Due to vasorex drug
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Continue prescribed medication
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
You can take medications
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
It's due to vasorex
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Meds related
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Vasorex can cause difficulty urination.
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