Cause of my constipation??

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gumby44
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Date Joined Nov 2007
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   Posted 2/18/2008 6:16 PM (GMT -7)   
I finally recovered from about six weeks of endless diarrhea, partly complicated by Salmonella. So now for the past 7-10 days I've had miserable painful constipation. I have been using metamucil twice a day, lots of water, and colace. Still, I don't go for about three days, I get miserable, and then take Senokot, which works, but the whole process starts all over. I know it's not good to take laxatives long term, so I'm trying to find another solution. I was on a low fiber, low residue diet with the D. So today, I tried a fruit smoothie...it was the first fruit besides applesauce and bananas I have had in ages. I also started probiotics when I had the D. My quetions are:
1. Can probiotics be causing the constipation?

2. I have a small stricture but no known obstruction. Do I need to avoid fruit even when constipated?

3. Should I switch back to wheat bread and more fiber? I've been avoiding it ever since the Crohn's dx.

Any other ideas to get me to swing back to normal would be greatly appreciated!!!
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


njmom
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Date Joined Apr 2006
Total Posts : 1884
   Posted 2/18/2008 9:03 PM (GMT -7)   
Yogurt might help. Fruit should be OK, as long as it is peeled. Lots of vegies, as long as they are cooked to the point of softness. 
 
Keep well hydrated. Physical activity helps, too. 
 
Milk, ice cream, cheese, white rice, and applesauce can all cause constipation. 
 
Some people seem to think that bananas make constipation worse, while others think they help.
 
Maybe instead of applesauce and bananas you could try other fruits for a day or two?

map lady
Regular Member


Date Joined Feb 2008
Total Posts : 154
   Posted 2/18/2008 9:47 PM (GMT -7)   

Bananas always helped me stay regular, but I can't seem to stay well for very long so now they're on the no-no list again for a while.  I was reading here that sometimes you need extra potassium with crohn's so it could be good for fiber and potassium for you to have a banana here and there.  As far as helping you get to feeling some relief soon, that Miralax stuff is a bit expensive compared to the other laxatives in the store, but it's easy to take and it works really well once it gets going.  You should also check with your doctor and let the doctor know that now you're having trouble going, when that suddenly happened to me my doctor said "Good, that means you're getting better!"  I needed laxatives for a while (philipp's and miralax together) but within 2 weeks I hadn't had any problems with having to go often again, even with eating limited fiber like from fruit(yay) so they put me back on a normal diet and said to just take it easy with the fiber and not to eat too much of it.

As far as whether you should try eating wheat and stuff for fiber, I probably wouldn't do that if I were you since it might make gas/cramps since you are kinda stopped up right now.  If you do ok with the fruits and get your output back to your comfort zone you could try little bits of wheat and grain fiber and make sure it doesn't bother you and make you sore or make you go too much.  Hopefully you can go back to eating most of the healthy fibery foods you used to enjoy :)


pb4
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Date Joined Feb 2004
Total Posts : 20576
   Posted 2/18/2008 10:11 PM (GMT -7)   
I've heard bananas can actually be constipating...although I've never had any problems with them...try exercising (if you don't already) it's extreamly beneficial for the bowels to function properly.

Fibre helps with C and D so I wouldn't necessarily avoid it but you do have to have a fine line of it too, too much is not good, neither is too little, you may be over doing the fibre a bit, and make sure you're getting a balance of soluble and insoluble fibre.

Dairy can cause either D or C so I'd lay low on the dairy until you're straightend out.

And keep drinking lots of water, try some tomatoes too if you can tolerate them, they have a natural laxative effect.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


teddybearweiser
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Date Joined Oct 2004
Total Posts : 3042
   Posted 2/19/2008 4:15 AM (GMT -7)   
Hello, First of all stay away from Metamucil and other products like Metamucial it will constipate you. I tried it in the past and I payed for it. My GI doctor said to stay away from Metamucil. Will your constipated stay away from veggies and fruits. Drink alot of water.
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital
in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.
 My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
My Internest doctor has me on Lisnopril-HTCZ and Folic Acid. Diagnosed
with Osteoarthritis July 2007
 


Bspbtwins
Regular Member


Date Joined Jan 2008
Total Posts : 27
   Posted 2/19/2008 4:54 AM (GMT -7)   
I know it sounds crazy, but I believe the probiotics made me constipated. I started taking it and all of the sudden 3 days, 4 days and no BM I stopped and I am remotely back to normal. I hated to think that something that everyone says is so good for you, was actually not good for me, but that was the ONLY thing that changed in my diet. I dunno.....

Good luck.
PS. Miralax is very gentle if you do take something. I mixed it in juice and couldn't taste it at all. (And I am a gagger:-)
Diagnosed with CD in Jan. 2008. 
Meds Currently on: Prednisone 30mg, Azathioprine, Sulfsalazene, folic Acid, and Ambian for zzzz's.
 
I choose joy... I will invite my God to be the God of circumstance. I will refuse the temptation to be cynical... the tool of the lazy thinker. I will refuse to see people as anything less than human beings, created by God. I will refuse to see any problem as anything less than an opportunity to see God. ~Max Lucado
                          


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4096
   Posted 2/19/2008 7:53 AM (GMT -7)   
Thanks for all of the input! I also suspect the Probiotics...maybe I'll cut them back and see what happens.
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


yogaprof
Veteran Member


Date Joined Apr 2006
Total Posts : 1665
   Posted 2/19/2008 7:55 AM (GMT -7)   
I drink glycolax every morning with coffee and that is the only thing that gets me going. I also take metamucil twice a day. take care, yp
48 y/o woman.  Diagnosed 4/06 after colonscopy, SBFT, CT-scan all showed crohns. 3 months later, after pred and remicade, all tests showed no crohns. December '06 had adhesions cut through a laparoscopy. Now taking Glycolax, Ultra Fiber Plus, Florastor, and DHEA. Have become gluten-free diet per naturopath's tests.


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4096
   Posted 2/19/2008 11:59 AM (GMT -7)   
What is glycolax? Is that like colace?
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 2/19/2008 12:31 PM (GMT -7)   
Fibre aids with C and C, which is why my GI told me to take fibre supplements daily for the rest of my life and it's done wonders for both my crohns and IBS, it's 5 yrs later and I plan to continue with it because of the many benefits it's provided for me.

But like I said, you have to fine tune the amount of fibre you get daily, too much is not good and neither is too little...with the exeption of those suffering with blockages/strictures of course.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4096
   Posted 2/19/2008 12:40 PM (GMT -7)   
Thanks Pb4...I had IBS for many years and Metamucil always worked..I took it every day and was a happy camper. But since the Crohn's dx. it doesn't seem so easy anymore. I will work at all of the suggestions and hopefully I'll find my balance! Thanks for all of the input!!!
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 2/19/2008 12:44 PM (GMT -7)   
Sounds like you still have some bumps in the road that your body has to adjust to since being DX with CD...I think fine tuning with fibre is super important when dealing with both CD and IBS.

Good luck and keep us posted :)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


yogaprof
Veteran Member


Date Joined Apr 2006
Total Posts : 1665
   Posted 2/19/2008 2:09 PM (GMT -7)   
gumby44 said...
What is glycolax? Is that like colace?

I think there are the same. it is a stool softener powder.
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