I need to take it for a short period due to a protocol for sibo. I was wondering weither I should take it in liquid or chewable, or is the tablet (caplet) form fine with a j-pouch? Worried about not absorping it due to not having a colon. Thanks!
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Unless you have stomach or other digestive problems the caplets should work fine. They are ancient history by the time they get to the J-pouch.
@Scott F posted:Unless you have stomach or other digestive problems the caplets should work fine. They are ancient history by the time they get to the J-pouch.
Thanks! I always wonder when taking tablets and other pills/capsules.
There are some extended release formulations that really are designed to release in the colon, and some of us have rapid transit times that can cause small-intestine-targeted formulations to fail. Regular caplets are just fine for most of us.
@Scott F posted:There are some extended release formulations that really are designed to release in the colon, and some of us have rapid transit times that can cause small-intestine-targeted formulations to fail. Regular caplets are just fin for most of us.
Great, thank you!
Use these- chewable tablets
@CTBarrister posted:
Use these- chewable tablets
Great, thanks! I also thought the chewables were better, but all out from where I need to order it from…next time!
Always check with your pharmacists if you are not sure. They are a wealth of information. Just an FYI the bismuth can sometimes turn your stools black. Don't freak out!
@Jaypea posted:Always check with your pharmacists if you are not sure. They are a wealth of information. Just an FYI the bismuth can sometimes turn your stools black. Don't freak out!
The caplets don’t for some reason. I will try the liquid form, I read here that someones doctor said it’s better absorped. Makes sense to me.
I was also told by a pharmacist that liquid absorbs better.
It’s not clear to me that absorption is how Pepto Bismol works - I suspect it may act directly on the gut (and gut contents). Also, I might ask a pharmacist about the target (release location) of an extended release medication, but I’d never attempt to ask a pharmacist a J-pouch-specific question.
@New577 posted:I was also told by a pharmacist that liquid absorbs better.
Good to hear, makes more sense to me intuitively.
My colorectal surgeon told me to chew Pepto-Bismol tablets a long time ago. It was something about the bismuth in the formula helping with pouch problems like pouchitis. I do it from time to time, because I always seem to have something going on with the pouch. I can verify whether it really helps or not but I figure it can hurt!
Someone above mentioned the "fast transit times" some of us have with our small intestines. I know the number of times I've had my colorectal surgeon look at my pouch, she always tells me my small intestine is in overdrive-very active!
I wonder what the reason for that is? Seems to be related to the constancy of still needing to go to the bathroom multiple times a day? Has anyone else had this issue or been told that about their small intestine?
P.S. That should read above "...can't verify" whether it really helps or not. (Is there a way to edit a post after we post?)
Personally, I prefer the caplets over the liquid or chewables. This is mostly because I don’t like the taste and don’t want to risk a black tongue.
If I was taking it for upset stomach/nausea, I might opt for the liquid or chewable to get a faster release. But for reduction of small bowel bacteria. There isn’t the need for release in the stomach before it gets to the small bowel.
Jan 
