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Treatment area: Irritable bowel syndrome and diarrhea

Targeted treatment of abdominal cramps and diarrhea

Abdominal cramps and diarrhea have many causes, ranging from a brief gastrointestinal infection to irritable bowel syndrome (a functional bowel disorder). Our doctors will review your questionnaire to determine whether an antispasmodic or antidiarrheal medication is suitable for you.

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  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

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Preparations for abdominal cramps and diarrhea

Loperamide and mebeverine are prescription-only medications in this area, while Buscopan is available only from pharmacies. After making your selection, you will complete the medical questionnaire in full. A doctor will then decide whether and which medication is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which medication might be suitable?

  1. 1 If cramping abdominal pain only occurs occasionally Buscopan is taken as needed and is intended for short-term use. Your doctor will decide if it is suitable for you.
  2. 2 If you have been diagnosed with irritable bowel syndrome and experience recurring cramps Mebeverine is taken as a sustained-release capsule twice daily and relieves cramps without inhibiting normal bowel movements. A doctor will decide whether regular intake is appropriate.
  3. 3 If diarrhea is the main symptom you are experiencing Loperamide slows down bowel movements and can alleviate acute or medically diagnosed chronic diarrhea; however, it does not treat the underlying cause. The appropriate treatment will be determined by a doctor.
  4. 4 For blood in the stool, fever, unintentional weight loss or new symptoms from age 40 onwards These symptoms are not consistent with simple irritable bowel syndrome and should first be examined in person. Please provide all information in the questionnaire. The doctor will then decide.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Antispasmodics

They relax the smooth muscles of the gastrointestinal tract and can relieve cramping abdominal pain.

Butylscopolamine bromide RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Buscopan (Butylscopolaminiumbromid)

Antispasmodic tablet for gastrointestinal cramps and spasmodic abdominal pain in irritable bowel syndrome.

FormFormFormeVorm
Coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Butylscopolamine bromide blocks muscarinic receptors in the smooth muscle of the stomach and intestines. The muscles relax, and cramps subside. Because very little of the active ingredient enters the bloodstream, it primarily acts locally in the gastrointestinal tract.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If mild to moderate abdominal cramps with a known cause are present
  • If irritable bowel syndrome has been medically diagnosed
  • If there are no warning signs such as fever, blood in the stool or severe pain
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Coated tablets of 10 mg, if necessary 1 to 2 tablets up to three times daily, maximum 6 tablets per day.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 10 mg

Not suitable for patients with narrow-angle glaucoma, myasthenia gravis, bowel obstruction, megacolon, urinary retention, tachycardia, or tachyarrhythmia. Severe or worsening abdominal pain should be evaluated by a doctor immediately.

abfromà partir devanaf 32,91 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Mebeverine RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Mebeverin

Antispasmodic delayed-release capsule for the relief of abdominal cramps and discomfort associated with irritable bowel syndrome.

FormFormFormeVorm
Retard capsules

So wirkt es:How it works:Mode d’action :Zo werkt het: Mebeverine acts directly on the smooth muscle of the intestine and relieves spasms without inhibiting normal bowel movements. The extended-release capsule releases the active ingredient over several hours.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If irritable bowel syndrome has been medically diagnosed
  • When cramping abdominal pain is the primary symptom
  • If there are no warning signs such as blood in the stool or weight loss
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: One sustained-release capsule containing 200 mg twice daily, morning and evening, swallowed whole with at least 100 ml of water.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 200 mg

Blood in the stool, unintentional weight loss, fever, or new symptoms after age 40 will be medically evaluated before treatment. Contraindicated in cases of allergy to mebeverine.

abfromà partir devanaf 42,19 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Diarrhea medication

It slows down bowel movements, making stools firmer and reducing the urge to defecate.

loperamide RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Loperamid

Hard capsule for acute and chronic diarrhea, which slows down intestinal movement.

FormFormFormeVorm
Hard capsules

So wirkt es:How it works:Mode d’action :Zo werkt het: Loperamide binds to opioid receptors in the intestinal wall and slows down bowel movements. Stool remains in the intestine longer, becomes firmer, and the urge to defecate decreases. However, it does not treat the underlying cause of the diarrhea.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have acute diarrhea without fever and without blood in your stool
  • If your chronic diarrhea, for example due to irritable bowel syndrome, has been medically diagnosed
  • If you have not taken antibiotics recently
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: For acute diarrhea, usually take 2 capsules initially, then 1 capsule after each loose stool. For chronic diarrhea, a fixed daily dose is prescribed by a doctor. The maximum dose is 6 or 8 capsules per day, depending on the specific product.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 2 mg

Not suitable for use in cases of fever or blood in the stool, diarrhea following antibiotics, constipation, or bloating. Exceeding the recommended daily amount can endanger the heart.

abfromà partir devanaf 37,13 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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RatgeberGuideGuideGids

What you should know about irritable bowel syndrome and diarrhea

Acute diarrhea usually clears up on its own after a few days, whereas irritable bowel syndrome often lasts a long time. These medications alleviate symptoms, but they do not replace a medical evaluation of new, persistent, or unusual symptoms.

What is irritable bowel syndrome?

In irritable bowel syndrome (IBS), the intestines are more sensitive and function differently than usual, without any identifiable organ disease. Typical symptoms include:

  • Recurring abdominal pain or cramps that change with bowel movements
  • Diarrhea, constipation, or alternating between the two.
  • Bloating and the feeling of not completely emptying the bowels

A doctor makes the diagnosis if the symptoms persist for at least three months and other causes have been ruled out. Stress and certain foods can worsen the symptoms. Acute diarrhea, on the other hand, is usually caused by an infection and often clears up on its own after a few days.

How do the preparations work?

All preparations in this area alleviate symptoms, but do not treat their cause.

  • Butylscopolaminium bromide (Buscopan): Relaxes the muscles of the stomach and intestines, for short-term use as needed.
  • Mebeverine: Relieves cramps directly in the intestinal muscle, for regular use in cases of irritable bowel syndrome.
  • Loperamide: slows down bowel movements in cases of acute or diagnosed chronic diarrhea

When suffering from diarrhea, replacing fluids and electrolytes is paramount, for example with an electrolyte solution from the pharmacy. Which active ingredient is suitable depends on the main symptoms, pre-existing conditions, and other medications being taken.

Side effects and cautions

Buscopan can occasionally cause dry mouth, rapid heartbeat, or skin reactions. It is not suitable for patients with, among other conditions, narrow-angle glaucoma, myasthenia gravis (a pathological muscle weakness), urinary retention, bowel obstruction, or a persistently rapid heartbeat. With loperamide, constipation, flatulence, nausea, and dizziness are possible. It is not suitable for patients with fever, blood in the stool, diarrhea following antibiotic use, or an acute flare-up of ulcerative colitis. Mebeverine has few known side effects, primarily allergic skin reactions.

Taking more loperamide than the permitted daily amount can trigger dangerous cardiac arrhythmias. During pregnancy and breastfeeding, the doctor carefully considers the risks and benefits of each active ingredient.

When should you see a doctor immediately?

An online inquiry is not intended for emergencies. Call emergency services immediately on 112 (Switzerland: 144) if:

  • very severe or rapidly increasing abdominal pain occurs, or the abdomen is hard
  • Vomiting occurs, and neither stool nor gas is passed.
  • Blood in the stool is accompanied by circulatory weakness, fainting, or rapid heartbeat.

You should have blood in your stool, fever, unintentional weight loss, nighttime symptoms, and any new or changed symptoms promptly checked by a doctor if you are over 40. This also applies if acute diarrhea does not improve after two days, starts after taking antibiotics, or if you experience signs of dehydration such as very little urine.

Daily life with irritable bowel syndrome

Relieving the burden on the intestines in everyday life

For irritable bowel syndrome (IBS), small changes in daily routine often help. Keeping a symptom diary, noting meals, bowel movements, stress levels, and medications taken, can reveal what triggers symptoms after a few weeks. It also provides a good basis for discussion with a doctor. While not every trigger can be avoided, many sufferers find a calm, regular daily routine helpful.

  • Eat regular meals in a relaxed atmosphere, chew thoroughly, and drink enough fluids.
  • Exercise in everyday life and relaxation techniques to combat stress
  • In case of diarrhea, replace fluids and salts, for example with an electrolyte solution.

If the symptoms persist, nutritional counseling with an experienced irritable bowel syndrome (IBS) specialist can be helpful. Foods should only be selectively and temporarily eliminated to maintain a balanced diet. You can find information about chronic inflammatory bowel diseases in our section: Ulcerative colitis and Crohn's disease. Our online doctor answers general questions..

Zu den BehandlungsoptionenView treatment optionsVoir les options de traitementNaar de behandelopties

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about irritable bowel syndrome and diarrhea

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Frage an einen ArztAsk a doctorPoser une question à un médecinVraag stellen aan een arts
Do I need a prescription for these medications?

Loperamide and mebeverine are prescription-only medications in this area, while Buscopan is available only from pharmacies. For each request, a licensed physician will review your questionnaire to determine if the treatment is medically appropriate. Therefore, please provide complete information about your symptoms, pre-existing conditions, and all medications you are currently taking. The request itself is free of charge; you only pay for the prescribed treatment.

Irritable bowel syndrome (IBS) is a diagnosis of exclusion. Typical symptoms include abdominal pain and altered bowel habits that recur for at least three months. Before making a diagnosis, a doctor will rule out other causes, for example, with blood and stool tests, and, depending on age and symptoms, with a colonoscopy. If you haven't yet had these tests, we recommend having them done in person first.

No. Loperamide is not suitable for fever, blood in the stool, diarrhea during or after antibiotic use, bloating, or constipation. If acute diarrhea does not improve after two days, it should be discontinued and the cause investigated by a doctor. Most importantly, adequate fluid and electrolyte replacement is essential. The maximum daily dose must never be exceeded due to the risk of cardiac arrhythmias.

Both relieve intestinal muscle spasms, but in different ways. Buscopan blocks binding sites for a neurotransmitter on the muscle and is taken as needed, for a maximum of 5 days without medical evaluation of the cause. Mebeverine acts directly on the intestinal muscle and is taken regularly twice daily for irritable bowel syndrome (IBS). The contraindications also differ. A doctor will decide which medication is most suitable.

In that case, the treatment will not be approved and you will receive a full refund of all payments made. For new, persistent, or unusual symptoms, we recommend that you consult a local doctor as soon as possible so that the cause can be determined in person. In case of warning signs such as severe abdominal pain, vomiting without bowel movements, or circulatory problems, call emergency services immediately.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

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