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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
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Experience:  Medical Doctor Trained at a Top Academic Institution
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Constipation, diahrrea, cramps, gas, bloating, severe weight

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Constipation, diahrrea, cramps, gas, bloating, severe weight loss. (weighs 88# ) Has lupus, osteoporosis, vascular disease. GI diagnosed caused by use of narcotic pain meds. Gave Amitiza, had very bad reaction, could not take. Gi says can't do anything unless takes it. Slowly dying and no doctor cares. Any suggestions?

DrPhilMD :

Hello. I'm Dr. Phil, licensed and practicing Internal Medicine Physician. Excellent service is my goal.

DrPhilMD :

please enter chat mode :)

Customer:

Hello

DrPhilMD :

Hi I'm Dr. Phil. Can I ask your first name?>

Customer:

Carol

DrPhilMD :

HI Carol. I'm sorry you are so sick

Customer:

Actually it is my sister, but thanks.

DrPhilMD :

Did they try weaning off narcotics?

Customer:

She has cut use in half but because of her bone problems needs them. We aware she needs to get off them but we are waiting on a alternative.

DrPhilMD :

I think there are many alternatives she could try

DrPhilMD :

gabapentin, lyrica, cymbalta

Customer:

Such as?

DrPhilMD :

All non narcotic and great for chronic pain

Customer:

Ok, will they be something insurance will cover and will it also help with pain from the blocked arteries?

DrPhilMD :

Yes and yes

DrPhilMD :

gabapentin for sure will be covered

Customer:

Ok, could she have something else wrong in the abdomen? Has had a lot of tests.

DrPhilMD :

Does it hurt when she eats?

Customer:

Yes, she tries to eat but mostly soft foods. Drinking some protein shakes.

DrPhilMD :

That is the vascular disease

DrPhilMD :

Does she smoke?

Customer:

She just had an angiogram of the arteries in the abdomn and they were ok. She used to smoke.

DrPhilMD :

That's good.

DrPhilMD :

The only way to know for sure is to get her off narcotics and see if the pain improves

DrPhilMD :

I think it will

Customer:

Your opinion would be that since she's been tested that is probably the main problem? Any suggestions of anything that migh help the severe gas, bloating and cramping?

DrPhilMD :

There is a new drug out called linaclotide that can help. Also another drug called bentyl that is good for cramping and bloating

DrPhilMD :

And yes, I agree with that

DrPhilMD :

Oh I see now she tried bentyl

DrPhilMD :

In that case levsin might be an option

DrPhilMD :

Ask the GI about linaclotide and levsin

Customer:

ok, I talked to them today and they pretty much said if she doesn't take the Amitiza the won't do anything. She has a follow up in a month. Hope they suffer pains.

DrPhilMD :

I just hope your sister gets better :)

Customer:

Thanks.

DrPhilMD :

You're welcome George :)

DrPhilMD :

Did I do excellent work for you today?

DrPhilMD :

If so, would you be so kind as to rate me as such?

DrPhilMD :

I would greatly appreciate it.

Customer:

Well, good at least!!

DrPhilMD :

thank you George :)

Customer:

Thank you.

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