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soda HCO3 trigger?
      #366752 - 01/26/12 11:39 AM
mavera

Reged: 12/28/10
Posts: 108
Loc: The Netherlands

I'm thinking about asking my GP to change my stoolsoftener, because it contains an artificial sweetener (Na-saccharinate). My (pain)symptoms are getting worse, perhaps that could be the trigger..

I found a different one without flavourings and sweeteners, but it contains Na-HCO3 (180mg). Could this be a problem (creating excess CO2)?

--------------------
PI-IBS-C/A nausea & very bad gastric pain
meds: lansoprazol+macrogol
started EFI +FODMAPs 1/2011. 'Relapse' for 8 months. Now partly back on track again with the diet..


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Re: soda HCO3 trigger? new
      #366753 - 01/26/12 01:59 PM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

You can take up to 2 grams of NA-HCO3 four times a day as an antacid. A 180 mg of sodium bicarbonate is quite small so it likely won't have much effect. It is worth a try. Presumably the active ingredient is sodium docusate?

--------------------
STABLE: ♂, IBS-D 50+ years - Science of IBS

The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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Re: soda HCO3 trigger? new
      #366754 - 01/27/12 04:52 AM
mavera

Reged: 12/28/10
Posts: 108
Loc: The Netherlands

Thanx!
The active ingredient is macrogol (same as the one I'm using now).

--------------------
PI-IBS-C/A nausea & very bad gastric pain
meds: lansoprazol+macrogol
started EFI +FODMAPs 1/2011. 'Relapse' for 8 months. Now partly back on track again with the diet..


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Re: soda HCO3 trigger? new
      #366755 - 01/27/12 05:55 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

Macrogol contains propylene glycol which is an osmotic laxative. In North America this is generally considered a laxative not a stool softener. Generally speaking stool softeners contain emulsifying, wetting, and dispersing agents such as found in Docusate .

Osmotic laxatives are harsher than stool softeners. Could it be the laxative that is causing problems not the non-active ingredients?

--------------------
STABLE: ♂, IBS-D 50+ years - Science of IBS

The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS

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Re: soda HCO3 trigger? new
      #366756 - 01/27/12 12:20 PM
mavera

Reged: 12/28/10
Posts: 108
Loc: The Netherlands

Ok, thank you for the information. My doc called it a stoolsoftener I guess (or I've translated it wrongly ). I also don't need more of it over time.

I got it today and going to try for a few days to find out if my symptoms subside.. I hope so, because macrogol has been working fine for me for over a year.
But I'll keep the docusate in mind.

--------------------
PI-IBS-C/A nausea & very bad gastric pain
meds: lansoprazol+macrogol
started EFI +FODMAPs 1/2011. 'Relapse' for 8 months. Now partly back on track again with the diet..


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Re: soda HCO3 trigger? new
      #366767 - 01/30/12 12:51 AM
mavera

Reged: 12/28/10
Posts: 108
Loc: The Netherlands

Do you know of any other (real) stool softeners?
I tried to find the docusate, but they only have it for rectal use over here..

The only oral 'stoolsofteners' (that's really what they call it) I can find are all based on macrogol (plus electrolytes).

I guess the macrogol is indeed causing symptoms at the moment . Allthough my symptoms are different (and less heavy now than they were with the added sweetener).

--------------------
PI-IBS-C/A nausea & very bad gastric pain
meds: lansoprazol+macrogol
started EFI +FODMAPs 1/2011. 'Relapse' for 8 months. Now partly back on track again with the diet..


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Re: soda HCO3 trigger? new
      #366771 - 01/30/12 03:35 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

As I recall you live in the Netherlands. Please correct me if I am wrong. You can find a number of ads for Docusate tablets in the Netherlands by search Google as follows:

Ducosate site:nl

For example here is a link to the manufacturers web site in the Netherlands that has contact information that you can use to find out where to buy the product

Dulcolax


--------------------
STABLE: ♂, IBS-D 50+ years - Science of IBS

The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS

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Re: soda HCO3 trigger? new
      #366774 - 01/30/12 02:12 PM
mavera

Reged: 12/28/10
Posts: 108
Loc: The Netherlands

That's right, I live in the Netherlands!

I can't find the 'dulcoEase' or anything else with ducosate in the dutch assortment ( dulcolax nl)... Only the bisacodyl or picosulfate stuff etc.

I'll see my GI doctor on friday, I'll ask her about the ducosate sodium/dulcoease.

Well, hopefully the AD therapy is going to work for me, so I don't need another stoolsoftener..

--------------------
PI-IBS-C/A nausea & very bad gastric pain
meds: lansoprazol+macrogol
started EFI +FODMAPs 1/2011. 'Relapse' for 8 months. Now partly back on track again with the diet..


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