We normally live in harmony with the bacteria. “Good Bacteria” TreatmentsĮveryone's intestines have bacteria. For specific dosing information, talk to your CF care team. Please note that information about dosages apply to the general public and not necessarily to people with CF. You can learn more about specific gastrointestinal medications by searching for the medication from the main DailyMed page. You can learn more about these and other gastrointestinal medications at DailyMed, a service from the National Library of Medicine that provides information about drugs, including possible side effects. If you have ever had DIOS, you probably need to be on a regular medicine every day to help your intestines move along. These medicines draw water into the intestines and wash through the intestines to move blockages. Other treatments could include large-volume medication, such as polyethylene glycol electrolyte solutions (GoLYTELY, MiraLAX, or NuLYTELY), which can either be drunk or given through an NG tube. Treatments can include a nasogastric tube (NG), which goes through your nose and into your stomach to drain your intestine. Nausea so strong that you are unable to eat.Severe pain that prevents you from functioning normally.Severe DIOS needs to be treated in the hospital. Mild cases of DIOS may be treated at home with polyethylene glycol electrolyte solutions (MiraLAX or GoLYTELY). This condition can be severe enough to totally block your intestines, or it can be low-grade, when you have pain but aren't seriously ill. Distal Intestinal Obstruction Syndrome (DIOS) is a blockage or bowel obstruction, seen only in people with CF, in which thick stool sits right where the small intestine joins the large intestine.If you have constipation, talk to your CF doctor or CF dietitian about using a daily medicine like MiraLAX or GlycoLax ® to keep fluid in your intestines. Extra fluids, more fiber in your diet and regular exercise can help prevent this backup. People with CF can have bowel movements every day and still have a lot of stool backed up in their large intestine. Constipation is when thick stool sits in your large intestine.Two CF conditions make it hard to move your bowels: Brand names of polyethylene glycol 3350 include MiraLAX ®, GoLYTELY ® and NuLYTELY ®, but generics are also available. This is available at most pharmacies and grocery stores. The over-the-counter medication polyethylene glycol is very effective in reversing hard stools and constipation. Keep these problems in mind if you are having abdominal pain and a hard time moving your bowels. This can be a serious problem and may lead to surgery if it becomes very stubborn. If you have this thick mucus but not enough fluid in the intestines, you can get constipated or even develop a bowel obstruction. The production of this intestinal fluid is often limited in people with CF, even if they make a normal amount of pancreatic enzymes.Īs in the lungs, the intestines in CF can make thick mucus. In addition to making the digestive juices, the pancreas normally squirts 1 to 2 quarts of fluid into the intestines every day. You can use the American Gastroenterological Association's search tool to find a doctor who is in your area. Your physician may want to refer you to a stomach specialist (gastroenterologist) if GERD becomes an ongoing problem. There also are some surgical procedures that tighten the muscle where the esophagus meets the stomach. Lifting the head of your bed with blocks to keep your body sloping down.Avoiding certain spicy foods, alcohol, caffeinated and carbonated beverages, and mints.Not eating big meals just before lying down.In addition to treating GERD, H2 blockers and proton pump inhibitors also can help reduce acid in the intestines to help the enzymes work better. Old-fashioned, over-the-counter antacids, such as simethicone (Maalox ® or Mylanta ®), may be used along with - not instead of - proton pump inhibitors.Your CF care team may prescribe medicine for this problem. The acid reflux can cause injury to the esophagus. This is called heartburn, acid reflux or gastroesophageal reflux disease (GERD in medical talk).Ĭoughing can make this worse, so people with cystic fibrosis may be more likely to have GERD. This acid can leak back from the stomach into the esophagus. Always talk to your health care provider first. Doses vary greatly between individuals with CF. The enzyme dosing guidelines are based on consensus rather than research. Most people with cystic fibrosis need to take pancreatic enzyme capsules with every meal and snack.
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