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Upset stomach on HRT?

Started by Asche, June 20, 2016, 04:55:34 PM

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Asche

I'm on Spiro and Estradiol, now up to 3x per day.  I know I'm not supposed to say the actual dosages, but I'll just say it's 3x what the doctor started me on and I think it's about as high as she customarily goes, if I remember past discussions correctly.

I'm noticing that my stomach is upset a lot.

Is this a known side effect?  Or is this likely to be something else?  (I'm under a lot of emotional strain with transition.)

I've been putting the estradiol tablet under my tongue and waiting for it to dissolve, I hope that's the right way to take it "sublingually."


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LizK

Hi Asche

My  Estradiol is in pill form and i would only be letting it dissolve under my tongue if it was a sublingual medication. My "blue bombers" are small blue pills. I started off on a regime that has me on a very low does for the first month then doubling each month until I am at 4 times the original dose which will depending on my blood work be at a transitional dosage. My Dr then wants to do an implant.

OK so now to answer your question...the first month I had no issues other than slight increase in stomach upsets, however i have doubled the dose now and have found again for the first week or so I got a bit more but it seems to have settled again. I will move to the full transitional dose in a couple of weeks and expect to get more again for a short while.

I think managing it is the best solutiuon. Hopefully it won't last too long

Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
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Stevie

 I  had morning sickness some days when my dose was increased, I have read from others on this site have had that too.
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Raye

Quote from: ElizabethK on June 20, 2016, 05:10:24 PM
Hi Asche

My  Estradiol is in pill form and i would only be letting it dissolve under my tongue if it was a sublingual medication. My "blue bombers" are small blue pills. I started off on a regime that has me on a very low does for the first month then doubling each month until I am at 4 times the original dose which will depending on my blood work be at a transitional dosage. My Dr then wants to do an implant.

Liz

Well if your Estro is micronized it can be taken sublingually. My doc wanted me to simply digest it, but we found my stomach and liver seem to not receive those treatments too well or effectively. Probably the type of Estro would be at cause, but we found Micronized Estrace seemed to do the trick, but for long term to make use of it I believe you need to do it every 6-8 hours depending on the strength of dosage. I also won't say how many times a day or the number, but it was quite frequent and hard for me to keep track of sometimes. Eventually we just decided all together twice daily for spiro + IM Injection.

Quote from: Asche on June 20, 2016, 04:55:34 PM
I'm on Spiro and Estradiol, now up to 3x per day.  I know I'm not supposed to say the actual dosages, but I'll just say it's 3x what the doctor started me on and I think it's about as high as she customarily goes, if I remember past discussions correctly.

I'm noticing that my stomach is upset a lot.

Is this a known side effect?  Or is this likely to be something else?  (I'm under a lot of emotional strain with transition.)

I've been putting the estradiol tablet under my tongue and waiting for it to dissolve, I hope that's the right way to take it "sublingually."

As for the pain in the stomach probably the Spiro. If you hadn't taken long you might wanna eat something before doing it. Eventually your body will adapt to it and not hurt or come to some discomfort with time. But don't rule out the possibility the Estro your taking also has the same effects to. That's why alot of us girls get put on various types treatments to see which one is best suited to our body. If your that concerned with the issue and the problems still occur best to speak with your doc about them on your next visit.
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JessicaSondelli

Never had any stomach issues but I'm always eating something before taking my hormones.


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LizK

Quote from: JessicaSondelli on June 20, 2016, 05:56:44 PM
Never had any stomach issues but I'm always eating something before taking my hormones.


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I never thought of that...I have to take other meds at least 30 minutes before eating so tend to take mine then which can be as long as an hour or two before I eat...I wonder if I left taking it until I was ready to eat I could minimise the stomach discomfort. Will try that on my next increase in a couple of weeks.

Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
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Dena

I vote for eating something when you take the pill as well. I had a few issues when I first started and that was what the doctor suggested. Often when you have an upset stomach, you have extra acid and the food will help buffer it.
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Raye

Yeah when I started I had issues, but then I ate something right a bit before and let it digest before taking my second dosage later in that day and I didn't have any issue compared to my first dose in the morning. That's kinda how I found out about it, but it took some time learning and I don't like having upset stomachaches. :3
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Rachel

I would take my pills then take vitamins and then eat and drink on my way to work in the car. I did not have an issue with my tummy. I had issues with dehydration and fainting. I drink a lot of water now  (stopped caffeine) and eat a lot of salt.
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jessicadee

I see this so much as a nurse in the hospital.
Try the product "Quease Ease" a lot of my cis female patients on chemo or post-surgical have used with good results. Some times ginger-ale can work.
Next time you see MD ask for some anti nausea meds. 
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spx_1112

I've also had nausea and morning/all day sickness.  Feel better. Hugs. Shannon
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Raye

I find something to distract yourself from the effects tends to take your mind away from what's going on your stomach at times, but others find this very difficult to do. That's why it's very important you always eat a bit before taking your pills regardless of the medications your taking. :3
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