Serious question
Posted , 13 users are following.
A few weeks ago I returned (to the US) from a fairly long trip out of the country. It seems that I brought back with me an intestinal disorder common to travelers who are unused to more exotic food preparation. (I think I put that as clearly as possible without getting too graphic.)
Weeks later I still have it, in fact it appears to be getting worse despite all the medications, prescriptions, tests, and dietary changes called for by the doctors. (Yes doctors, plural.)
But, I think I just figured out what's wrong with me...PREDNISONE!
Pred is an immunosupressent. My immune system is incapable of fighting this bug.
Now for my question to the prednisone brain trust we have in this forum... Can I stop taking pred "cold turkey" for several days, or whatever time it takes to shake this condition? I'm even prepared to suffer the slings and arrows of PMR for the duration if that is what it takes.
What do you think?
0 likes, 28 replies
richard07199
Posted
By the way, I'm on 6mg of pred.
EileenH richard07199
Posted
Probably not - what dose are you on and for how long have you been on pred? That is critical - if your adrenal function is compromised you would really be silly to do it without very close medical supervision. And adrenal crisis is not to be played about with.
I assume they have done all the appropriate stool cultures? And have they suggested you take high dose probiotics after all the antibiotics? If you kill of all the good bugs in the gut then any of the tough guys that haven't been finished off by the abx will have a field day.
richard07199 EileenH
Posted
Cultures came out negative. So, what does that mean? Have not taken any antibiotics.
Been on pred 3 years. Started on 40, now on 6mg.
From what you all tell me, I won't go cold turkey from pred.
So what's next? A gastroenterologist?
karenjaninaz richard07199
Posted
A gastroenterologist would be the best choice - after all it seems like a gut problem and thats their life's work.
richard07199 karenjaninaz
Posted
Thank you, Karenjaninaz, for the support. Going to call a gastroenterologist Monday morning.
Looked up the c-difficile that you mentioned...Boy, thats bad stuff!
Glad I havn't taken any antibiotics yet. It seems antibiotics kill everything but the c-difficile bugs, then, as Elaine says, the bad bugs have a field day.
EileenH richard07199
Posted
Oh absolutely = and depending on what country you were in maybe a tropical medicine specialist. They may not have been looking for the right "thing".
nick67069 richard07199
Posted
Assuming that you are on pred for longer then 2-3 weeks, you can NOT stop pred cold turkey. You would end up in emergency at the hospital. Sorry but have no answer to your stomach problems; I usually try to eat less and stick to chicken soup and similar simple meal until troubles blow over.
richard07199 nick67069
Posted
Thanks, Nick. Will not go cold turkey.
bob03667 richard07199
Posted
When my dogs get sick from eating any number of bad things, the quickest way to solve the stomach and loose stool problem is to mix a good deal of rice in with their food. Seems to act like a sponge and probably one thing you could do without any worry about side effects.
richard07199 bob03667
Posted
Thanks, Bobo. I am trying to eat as much rice as possible. My wife bought minute rice in single portion plastic cups. You microwave it for a minute, stir, and eat it from the cup. It is surprisingly tasty. Needs a little salt, though.
Blows the low carb program out of the water, however.
Anhaga richard07199
Posted
FYI if you want to feed good bacteria (and you do) they thrive better with fibre, and you won't get any from Minut rice, unless they've come out with a less refined version. Avoid sugar, dairy, high fat foods. And, actually, eat very sparingly but get lots of fluids (not caffeine).
Fibre is considered a probiotic.
bob03667 Anhaga
Posted
I only eat organic brown rice. Soak it first and strain off before you steam it.
Michdonn richard07199
Posted
Richard, have same problem the doctor told me BRAT, banana, white rice, apple sauce & toast. The rice is for absorption, bland, but seems to quiet things down. Good luck, not great for the diet, but one thing at a time. Good luck!
richard07199 Anhaga
Posted
Thanks, Anhaga. Now this is where I get confused. It's my understanding that high fiber foods are prebiotic. That is, they stimulate the colon. Don't I want to quiet things down in that area? In the hospital they told me to eat low fiber foods like bananas and white rice.
They also told me to avoid dairy, then in almost the next sentence, said that yogurt is helpful.
Really confused.
richard07199 Michdonn
Posted
Thanks, Michdonn.
I am following the BRAT diet. No results so far. I think at this point I'm going to have to count on the technology of modern medicine to fix this.
I appreciate your input.
EileenH richard07199
Posted
Fibre is prebiotic, probiotics are bugs, the good guys.
Anhaga richard07199
Posted
Yes, you're right. I should have written prebiotic. Thanks for correction (oh for an edit button!)
richard07199 Anhaga
Posted
Yes, as a wise person once said,: "I do my best editing after I press SEND"
Michdonn richard07199
Posted
How true, 🙂
Anhaga richard07199
Posted
And the stupid thing is I was actually THINKING prebiotic when I mis-typed. Brain fog???