Gastrointestinal Medications: Effects and Expectations - Gastroenterology and Hepatology

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Gastrointestinal medication efficacy


Hello, three weeks ago I had symptoms of gastroenteritis and took anti-diarrheal medication, which stopped the diarrhea.
However, for the past three weeks, I've been feeling bloated, experiencing foul-smelling gas, and my bowel movements feel incomplete.
I visited a gastroenterologist yesterday, and an X-ray showed signs of constipation, with a significant amount of gas and stool in my intestines.
The doctor prescribed Gascon, famotidine, and sennosides.
I am to take Gascon twice daily and the remaining two pills once at night.
However, it has been a day and I still haven't had a bowel movement.
Is it normal for these medications to take time to work?

sam, 20~29 year old female. Ask Date: 2016/03/04

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: After diarrhea, it is possible to experience muscle abnormalities due to reduced food intake or electrolyte imbalance.
Additionally, the intestinal mucosa requires time to gradually heal after being damaged.
Please be patient with your medication, and if necessary, you may return for a follow-up appointment.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/03/04

More Info


Understanding gastrointestinal medications and their effects on the digestive system is crucial, especially for individuals who have experienced gastrointestinal issues such as gastritis or constipation. Based on your situation, it seems you have been dealing with symptoms following a bout of gastroenteritis, which can lead to complications like constipation and bloating.

The medications prescribed to you—Gascon (which contains simethicone), Famotidine, and Sennoside—serve different purposes in managing your gastrointestinal symptoms.
1. Gascon (Simethicone): This medication is primarily used to relieve bloating and discomfort caused by excess gas in the gastrointestinal tract. It works by breaking up gas bubbles, making it easier for your body to eliminate them. You can expect to feel relief from gas-related discomfort relatively quickly after taking it, often within a few hours.

2. Famotidine: This is an H2 blocker that reduces the amount of acid your stomach produces. It is commonly used to treat conditions like gastritis and gastroesophageal reflux disease (GERD). While it helps alleviate symptoms related to excess stomach acid, it does not directly address constipation or gas issues. The effects of Famotidine can take a bit longer to manifest, typically within a few hours, but it may take a few days for you to notice significant improvements in your gastritis symptoms.

3. Sennoside: This is a stimulant laxative that works by stimulating bowel movements. It is often used to treat constipation. The onset of action for Sennoside can vary, but it generally takes about 6 to 12 hours to produce a bowel movement. If you took it in the evening, you might expect to have a bowel movement the following morning or afternoon.

Given that you have not had a bowel movement after taking these medications, it is essential to consider a few factors. First, the effectiveness of laxatives can vary from person to person, and sometimes, additional measures may be necessary to relieve constipation. Staying hydrated, increasing dietary fiber intake, and engaging in physical activity can all help promote regular bowel movements.

If you continue to experience constipation despite taking Sennoside, or if you have concerns about the effectiveness of your medications, it is advisable to follow up with your healthcare provider. They may need to adjust your treatment plan or investigate further to rule out any underlying issues contributing to your symptoms.

In summary, while it is normal for medications to take some time to work, if you do not see any improvement in your bowel movements after a reasonable period, or if your symptoms worsen, you should consult your doctor. They can provide guidance tailored to your specific situation and ensure that your gastrointestinal health is managed effectively.

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