I saw my dietitian this week. She advised that I was taking too little Creon. I have upped the dose as advised but I also have a long history of IBS and every time I increase the Creon 25000 dose I become terribly constipated, have cramps, gas and then my haemmorrhoids return - horrible combination. If I increase fibre intake, that makes matters worse. Anyone else ? Any advice please. TIA
Creon 25000, increased does + IBS and... - Chronic Pancreati...
Creon 25000, increased does + IBS and constipation
After 30 years of uncontrollable diahhrea a new GP suggested Nutrizyme 22 - one per meal! Fortunately I soon discovered a more sensible regime, thanks to this video.
youtu.be/9Cqn3uSxCRs how to dose pert
This insight came alongside the 2023 PERT shortage but my newfound revelations woke me up to the need to attend to my biome and I started an intensive course of probiotic capsules (Weightworld Bio Cultures Complex Probiotics & Prebiotics).
Within a few weeks my toilet habits were transformed from up to 15 visits a day (Often explosively and uncontrollable) to just 1-3 per day of proper poo! And the incessant farting has all but stopped!
I do not know which of the two treatments have had the most effect so will persist with both (although I now have reduced the bio cultures from 3 to twice a day and have a fairly reliable supply of PERT (8-10 capsules of Nutrizyme/Creon per day)
Perhaps you can modify your PERT dosage but I would certainly urge you to consider the probiotic/prebiotic approach.
Never having experienced stomach pain, bloating and had the dreaded piles sorted I can only sympathise,.
Good Luck