Abstract

A 34-year-old woman underwent a proctocolectomy with ileal J-pouch–anal anastomosis for refractory ulcerative colitis in 2002. She did experience frequent episodes of pouchitis treated with antibiotics and was given medications for abdominal discomfort. HyoMax-SR 0.375 mg (sustained-release hyoscyamine; Aristos Pharmaceuticals, Shampur-Kadamtali, Dhaka) was ordered to treat intestinal spasms. The patient ingested 1 tablet twice a day for 1 year before consulting us for lower abdominal pain, frequent liquid stools, and incontinence.

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