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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45922
Experience:  Board Certified Physician
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I have radiation proctitis and take loperamide x 8 day. Until

Resolved Question:

I have radiation proctitis and take loperamide x 8 day. Until recently I also took codeine to reduce bowel motility with good effect. Since having a cholecystectomy I can no longer take codeine as it causes spasm of the bile duct and results in severe biliary colic. My GP prescribed co- phenotrope but I can't get hold of it. Can you help?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

with radiation proctitis, you can try prescription Lomotil to slow down your bowels

Dr. David :

also prescription cholestyramine can help slow down your bowels as well.

Dr. David :

are you having bleeding from your radiation proctitis?

Dr. David :

if you are having bleeding, you might need a steroid suppository to help decrease bleeding.

Dr. David :

or a colonoscopy to go up to cauterize areas of radiation damage to your rectum to decrease bleeding.

Dr. David :

if codeine doesn't work, you can always ask your doctors to try morphine or tincture of morphine to help slow down your bowels as well and see if those cause bile duct spasms. perhaps morphine will not cause that problem.

Dr. David :

let me know if you have other questions.

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Expert:  Dr. David replied 2 years ago.
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Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

with radiation proctitis, you can try prescription Lomotil to slow down your bowels

Dr. David :

also prescription cholestyramine can help slow down your bowels as well.

Dr. David :

are you having bleeding from your radiation proctitis?

Dr. David :

if you are having bleeding, you might need a steroid suppository to help decrease bleeding.

Dr. David :

or a colonoscopy to go up to cauterize areas of radiation damage to your rectum to decrease bleeding.

Dr. David :

if codeine doesn't work, you can always ask your doctors to try morphine or tincture of morphine to help slow down your bowels as well and see if those cause bile duct spasms. perhaps morphine will not cause that problem.

Dr. David :

let me know if you have other questions

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