I have been suffering day and night from chronic diarrhoea (entirely watery) and stomach ache over the past three weeks, four weeks after having a heart attack and an angioplasty. The symptoms are urgency, loss of appetite, weight loss, flatulence, sleeplessness and general lethargy & tiredness. My GP has prescribed Imodium and various rehydration powders but, although these have relieved the symptoms slightly, they don't treat the underlying cause. Have any of you experienced similar symptoms and succeeded in curing this wretched debilitating ailment? If so, I would much appreciate details on how you did so.
Chronic diarrhoea: I have been... - British Heart Fou...
Bad luck with the diarrhoea after surviving your HA. I would expect one of the meds you’ve been prescribed have caused this reaction. Read through the patient information leaflets and check the known side effects. Clearly while recovering from your HA the last thing you need is stomach problems which sap your strength. Might be worthwhile phoning the cardio specialist or a pharmacist to check the interactions of the meds too. Good luck and hope you can get this resolved. xx
Thankyou for your kind reply. The heart- related medications I am taking are Ranolazine 500mg, Ticagrelor 90mg, Bisoprolol 1.25mg and Lansoprazole 30mg. Did you abandon the latter drug, take a lesser dose of it or replace it entirely with a new drug? If the latter, what was it and how soon did it have a positive effect in clearing the chronic diarrhoea problem? How did you come to the decision that Lansoprazole was the cause of this problem and not other drugs that you are taking?
I have checked the patient leaflets relating to the four drugs above and they all list diarrhoea as a common side-effect except Ranolazine! I will speak to my local pharmacist as you suggest.
I only stopped the Lansoprazole on the instruction of my GP.
I discussed with her that the diarrhoea had only started when i stopped taking Dihydrocodeine, 1 side effect of which is constipation, a side effect of Lansoprazole is diarrhoea, she agreed that could be causing the problem so suggested i stopped Lansoprazole.
Don't stop any meds without consulting with your GP or Cardio team.
One thing i will say is if it is Lansoprazole, and you are taking Aspirin, make sure they replace it with something else.
I had the same problem with Lansoprazole despite having had no problems with Omprazole for years. Now banned because of meds. The GP went through various alternatives with me and I now take Ranitidine. This is hard, but not impossible to source at present. I take either 1 300 mg at night or 150mg night and morning depending what is available. Problem resolved literally overnight. Good luck
Atorvastatin 80mg caused me to have some diarrhoea and this stopped when my dose was reduced to 40mg. Diarrhoea wasn't watery though. I would be asking to have a sample tested incase you have picked up an infection. Have you had any antibiotics recently as they can cause problems in some people. Until you get sorted try keeping to a low fat diet. Try and avoid dairy products favouring rice dogs or almond milk. Live natural yoghurt (even if dairy) can help.
I had been taking Simvastatin for some years before my HA; after the attack, this was changed to Atorvastatin 40mg as, I was told, this is deemed to be "the gold standard in modern cardiology". A specimen has been provided and no infection could be found. I haven't taken antibiotics lately. What are rice dogs and do you need a license for them?
Yes I had it for three months after my bypass . I don’t think I ingested much of the medication and it was only after my 3 month check up with the cardiologist when he took me off all drugs apart from aspirin did it start to slightly go away. Now six months on I have a great appetite but still have to watch what I eat. I was on anti sickness pills and Imodium. I would have recovered much quicker if I hadn’t lost so much weight. I was fed up because all the doctors I spoke to said my condition was unusual as most people had constipation ! Suggest you discuss this with your pharmacist as they know more about the side effects of drugs . I now have normal bowel movements .
Paracetamol,Lansoprazole,Bisoprolol,Furosemide,Aspirin,Ferrous Fumarate ( for anemia but could not tolerate) I don’t really get on with much medication I don’t know why. But I stick to a really low fat diet and my stomach can not tolerate junk food - it’s as though it’s telling me to behave. However my diet was pretty good before bypass both BP and cholesterol were fine . Hope you manage to resolve this because I know how horrible it can be . It’s not the bypass that I felt so much as this issue of not being able to go out
Pollypuss.. have you tried SpaTone for the anaemia? Our midwife daughter recommended it. It’s naturally iron rich water from Wales, comes in sachets and is absorbed by the body much better than any tablets. My husband has anaemia now and again and the only treatment he can tolerate is SpaTone. You would have to buy it, but we’ve found it on offer at various outlets on line, including Amazon. May be worth trying, also for anyone else suffering simple anaemia. x
I had something similar a few days after my angioplasty. I had chronic diarrhoea for 48 hours and was so week I could hardly move. I ended up going back into A and E and collapsed with extremely low blood pressure. In the end they put me on a drip for several hours and I was out the same day but they said they were sure it was a bug I picked up in hospital as no one else in my family had any symptoms. I would definitely go back to A and E as you are at a very vulnerable point in your recovery and the weakness is something your heart doesn’t need right now.
I hope you are able to get it sorted.
Well, GP put me on Omeprazole, which was way better. However, I was kept on it when I stopped the dual anti-platelet Aspirin/clopedogrel, and just stayed on clopedogrel, but then I discovered they should not be prescribed together! Am now on Aspirin and the Omeprazole, no problems with it. Some people don't seem to be prescribed a PPI at all though for some reason.
Great sympathy for you. Just about all the heart meds cause either diarrhoea, constipation or flatulence. Mostly your body adjusts, but not always. And if you change meds...
I was nicely adjusted to the constipation (with some chemical help) switched meds to one that caused the runs, amplified because of the previous cocktail, all while taking one that gave me the botty-burps. That was an interesting few days😳😂.
Yes, I feel your pain. My severe gastric issues lasted for about 3 months after my MIs, and I lost about 10kg in bodyweight, so was fast tracked for an appointment with a gastroenterologist. Turns out that the shock of the MIs to my system triggered IBS. I also developed erosive gastritis and duodenitis from all the meds I had to take, so was in constant pain, too. Of course, the stomach sits almost in the chest, so after having MIs you start freaking out because it feels like you're having another one when the burning starts, but it's just caused by the holes burnt into my stomach lining.
Unfortunately, IBS can never be cured, so I've been put on a strict FODMAP diet to manage the symptoms, and rarely have flare ups now. I also started taking slippery elm, and it seems to have calmed the gastritis symptoms quite a bit.
Poor you. I know what it’s like as my symptoms echo yours. I felt everything I eat was wrong. I still cannot drink tea which I love 6 months on but that is more a bladder problem. I am surprised I can now tolerate aspirin and not have to take lots of Gaviscon. I take my aspirin with a bowl of porridge every night and it helps. Also I try not to overdo things and keep calm After my bypass my emotions could accelerate my physical condition. All this takes time but I found it does help
I want some of whatever you have that's causing it as I have the opposite problem exacerbated by nerve damage to my nether regions which makes it even more difficult to "go". But seriously it could be your medication or you could have developed IBS. I had IBS for many years until I went on my tablets so in a way shoudl be thankful because I used to spend full days rolling on the bathroom floor in agony and too afraid to be more than 3 feet away from the toilet. My IBS responded to a low fibre diet rather than the high fibre they usually suggest. I would be looking at tablets first but if it doesn't clear up, get investigated for IBS. (sorry about the italics; no idea how that happened).