For this reason Fybogel can be used for people who have had part of their bowel removed and also those who suffer from leakage of stool. A suggested starting dose of Fybogel will have been discussed with you. It is usual to start with 1 sachet a day but some people will require a larger dose.
People vary a lot in their response to Fybogel. It sometimes needs some experimentation to find the dose that will soften your bowels without giving you diarrhoea.
It is usual to start on a low dose and build it up slowly over a few days so that you can judge how your body is responding. It is best to take Fybogel after meals but do not take it just before going to bed. It is important to drink plenty while you are taking Fybogel. You should aim to drink at least 2 litres about cups of fluid per day. Most sorts of drinks will do, but as a start, just try drinking a glass of water times a day in addition to what you normally drink.
Sometimes it may take a few days before you feel the full benefit from a bulk-forming laxative such as Fybogel. Try to eat a balanced diet containing high-fibre foods such as wholemeal and whole-grain breads and cereals, fruit and vegetables, brown rice and wholemeal pasta. Questran can be taken with loperamide, but this is usually unnecessary.
If your diarrhoea is very severe and you are losing a lot of fluid, you may need to take oral rehydration solutions, containing water, salt and sugar. These constitutents stimulate fluid absorption and counteract the diarrhoea. Although they will not necessarily improve the diarrhoea but they will prevent you from becoming severely dehydrated. Oral rehydration solutions are not usually necessary for IBS.
If you need to take them you must see your doctor. Several companies have been developing specific blockers of serotonin in the gut 5HT3 inhibitors that reduce sensitivity and inhibit persistalsis and secretion.
These drugs strike directly at the fundmental physiological abnormality of IBS and can be very effective, particularly in women. Unfortunately the launch of these agents has been hampered by a worrying risk of side effects. Only one drug Alosetron — Lotronex has been marketed and that is only available in North America for named patients with particularly severe and resistant diarrhoea.
Some studies indicate that the broad spectrum antibiotic, Rifaximin, may be a useful treatment for IBS-Diarrhoea. This is particularly popular in the United States of America. There's some evidence that Fybogel stops iron being taken in properly by the body. If you need iron supplements, it's best to take them at least 1 hour before, or 4 hours after, you take Fybogel. There are no known problems with taking herbal remedies and supplements with Fybogel.
Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. Fybogel is called a bulk laxative. It helps to bulk up poo with fluid so it's softer and easier to pass. You can take Fybogel for as long as the constipation lasts, or for as long as your doctor has recommended. For more serious constipation, and if you're taking Fybogel to increase the fibre in your diet, your doctor may recommend that you take it for many months.
Ideally, you should only use Fybogel occasionally and for a few days at a time. It can also cause an electrolyte imbalance. This is where levels of substances like sodium, potassium and magnesium in your body get too high or too low. A severe electrolyte imbalance can cause serious health problems, such as muscle spasm and twitching and even convulsions.
But there are some situations where you may need to take Fybogel for many months — for instance, if you need to increase the fibre in your diet. Your doctor will decide exactly how long and how much Fybogel you need to take. Occasionally, you may need to take 2 different types of laxatives at the same time to get your bowels moving again.
Only take 2 laxatives together on the advice of your doctor or pharmacist, as there's an increased risk of side effects. There are other types of laxatives. They work in a different way from Fybogel, but are equally good at treating constipation. There's no firm evidence to suggest that taking Fybogel will reduce fertility in either men or women.
Fybogel does not affect any type of contraception, including the contraceptive pill or emergency contraception , unless you have severe diarrhoea 6 to 8 watery poos in 24 hours for more than 24 hours. If you have severe diarrhoea, your contraceptive pills may not protect you from pregnancy. Look on the pill packet to find out what to do. Read more about what to do if you're on the pill and you're vomiting or have diarrhoea. It might help to stop eating pastries, puddings, sweets, cheese and cake for a while, as these foods can make constipation worse.
It's often possible to relieve constipation without having to use laxatives. Before trying Fybogel, or to stop constipation coming back, it may help to:.
Page last reviewed: 24 January Next review due: 24 January Fybogel ispaghula husk On this page About Fybogel Key facts Who can and cannot take Fybogel How and when to take it Side effects Pregnancy and breastfeeding Cautions with other medicines Common questions about Fybogel.
About Fybogel Fybogel is a laxative taken to treat constipation difficulty pooing. Help us improve our website Can you answer a quick question about your visit today? Milk and dairy products are an important food group, so you should talk to your IBD team or dietician before removing them from your diet.
Your IBD team can also help you find out if you are lactose intolerant. Symptoms can be managed by following a low lactose or lactose-free diet, and using lactose-free products instead. Some medicines also contain lactose, but do not stop taking any prescribed medication without checking with your doctor or IBD team. However, these diets do not contain enough nutrients to be healthy long-term options. It is best to avoid extreme exclusion diets without first getting advice from a qualified dietitian to make sure that you are still getting a balanced and nutritious intake..
If you have diarrhoea, you will lose more water than usual with your stools. It is therefore especially important if you have Crohn's or Colitis that you drink plenty of fluids. You may also need to replace the salts and sugars lost with the diarrhoea. One way to do this is to drink a commercial rehydration solution such as Dioralyte, Electrolade or Rehidrat.
For more serious dehydration your doctor may recommend drinking an Oral Rehydration Solution ORS with a higher sodium salt level. For more details on this and how to avoid and manage dehydration, see our information sheet, Dehydration.
It is important to tell your stoma nurse if you have a higher output than usual, as they will be able to advise you on your diet, ways to stay hydrated, and may suggest medications such as loperamide. You can try avoiding foods that may increase output such as spicy food and fruit, and eating more foods that may thicken the output such as foods high in carbohydrates. It is important to drink plenty of fluids when you have a stoma, especially if you are experiencing diarrhoea. For more information see our information sheet Living with a Stoma.
For people who experience urgent or frequent bowel movements, bowel retraining can be helpful. Creating a regular time for emptying your bowels and finding ways to stimulate your bowels to empty more fully may be helpful.
Another way of managing urgency is practising pelvic floor exercises to strengthen the muscles around your rectum and anus to improve bowel control. More information about bowel retraining and pelvic floor exercises can be found in our information sheet Managing Bowel Incontinence in IBD.
The card is also available in different languages for use when travelling abroad. We also offer new members a RADAR key which gives you access to over 9, locked public toilets around the country. For more information visit crohnsandcolitis. You might also find it helpful to look at the Great British Public Toilet Map: greatbritishpublictoiletmap. What I do is I keep a spare pair of underwear, trousers and toiletries in my locker at work just in case.
This helps brings me peace of mind knowing I have clean clothes at the ready. See our information sheet Managing Bowel Incontinence in IBD for tips on how to manage bowel leakage, products and services that may help you.
If you experience frequent bowel movements, diarrhoea or incontinence, you may experience sore skin around the anus. Increased washing and wiping can also irritate the skin in this area.
Keeping the skin clean and dry is the most effective way to minimise sore skin. Some baby wipes contain alcohol and other chemicals which can irritate the skin, so try and opt for alcohol-free brands or those for sensitive skin. Some people find a jug filled with warm water makes washing easy on the toilet. You could also use a soft disposable cloth with warm water, but avoid flannels and sponges as they can be rough and are difficult to keep clean.
Avoid using disinfectants or antiseptics in the washing water as these can sting and you may be sensitive to the chemicals in them.
Plain warm water is best. These cleansers avoid the need for soap and water, which may dry the skin. Ask your doctor or IBD team about these.
If you are very sore, you could try using a hairdryer on a low heat setting. Check with your doctor or nurse before using these products, as some people are allergic to components of some products such as lanolin, a natural wax with moisturising properties. Barrier creams should be used a little at a time, as too much can stop the skin from breathing and can make the area sweaty and uncomfortable.
Always make sure the old layer is washed off before applying more. Other products that people have found helpful include Sudocrem, Metanium and zinc and castor oil cream. If you find you are scratching at night, you could try wearing cotton gloves in bed available at some pharmacies.
A Continence Nurse can advise you on which pads are best for you — you can ask your doctor or IBD team to refer you to a Continence service. It might be worth cutting down on these on a trial basis, but you should seek advice from your IBD team before doing this. It is best to avoid tight jeans and other clothing that may rub the area.
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