Crohns Constipation

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73monte
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Date Joined Mar 2007
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   Posted 9/10/2008 3:01 PM (GMT -7)   
It's been about a year and a half since my daughter was diagnosed with Crohn's in her TI. She has done very well during that time, has grown alot, and hasn't complained of any pain at all.
The only ongoing symptoms have been that she's very tired, and her last blood test showed that her iron stores were down, she was put back on an iron supplement, (about 3 months ago)
This last week or so, she has been severely constipated. Didn't have a bowel movement for about 6 days. 
The nurse advised taking a Senekot. After one day, she did have a BM, but it's been another 4 days since that.
She has some pain around her naval that comes and goes, but still has a healthy appetite. 
We're a bit worried that there is some disease activity again. Could anyone comment on her status at all? I appreciate any input.
Is there something diet wise that might help if it's just a case of constipation? When I was young we used to get Prune juice, not sure if that would be advised. 
Thanks in advance for any assistance.
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Johnny Friendly
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Date Joined Sep 2008
Total Posts : 5
   Posted 9/10/2008 3:05 PM (GMT -7)   
What kind of iron supplement is it? Sometimes they can cause constipation.

jacenta
Regular Member


Date Joined Nov 2006
Total Posts : 47
   Posted 9/10/2008 3:15 PM (GMT -7)   
iron supplement do cause constipation. she should take it with vitamin C. my doctor advised me to take metamucil twice a day.

73monte
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Date Joined Mar 2007
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   Posted 9/10/2008 3:24 PM (GMT -7)   
The iron supplement is Palafer 300mgs. She took it for about 6 months after first being diagnosed without any problems, and has been back on it for about 3 months with no problem until now.
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Johnny Friendly
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Date Joined Sep 2008
Total Posts : 5
   Posted 9/10/2008 3:35 PM (GMT -7)   
Palafer is Ferrous Fumurate.

Ferrous Sufate is another kind of Iron supplement that is supposed to have milder side effects.

I suppose it wouldn't hurt to ask your doctor about it.

lightweight
New Member


Date Joined Sep 2008
Total Posts : 1
   Posted 9/11/2008 2:31 PM (GMT -7)   
Concerning constipitation - because I frequently become constipated my doctor has me taking over the counter drugstore brand stool softeners.  I take 2 daily but can take 3 if necessary. It has helped a lot, but occasionally I'll still have a problem but not nearly as severe.  
 

73monte
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Date Joined Mar 2007
Total Posts : 1496
   Posted 9/11/2008 3:02 PM (GMT -7)   

I guess part of what I'm wondering is, does constipation signal any problems? Or, is it just a natural occuring state, that can come and go?

The thing I also don't understand, is that she's very hungry. She's only had 1 BM in the last 12 days, and she's still eating a normal amount of food, where is it going?


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


gachrons
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Date Joined Mar 2007
Total Posts : 4527
   Posted 9/11/2008 6:28 PM (GMT -7)   
Hi Monte one BM in 12 daysdoes not soung great to me .Is she having pain? I would talk to her Dr. about that . lol gil
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,and still alive.lol gail


pb4
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Date Joined Feb 2004
Total Posts : 20576
   Posted 9/11/2008 9:18 PM (GMT -7)   
Yikes, that's alot of days to go without "going" and it's not good for the bowels (lots of toxicity builds up) maybe get her in to see the doc...there could be a serious stricturing or partial obstruction happening.

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


Julie1014
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Date Joined Oct 2005
Total Posts : 1245
   Posted 9/12/2008 2:30 AM (GMT -7)   
Yes, you want to make sure there is no bowel obstruction. Is she having any pain? Is she able to pass gas? I would definately place a call to the doctor. As far as constipation goes, I started to get constipated. My doctor had me start taking Miralax every day. It has helped so much. Blessings, Julie
Diagnosed with Crohn's March 2006
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 11mg/day, Imuran 50mg, Miralax as needed, Prevacid 30mg, Vit B12
Paxil 40mg daily (for Panic disorder)
Xanax .5mg as needed (for anxiety attacks)
 
 
 
 
 


73monte
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Date Joined Mar 2007
Total Posts : 1496
   Posted 9/12/2008 4:43 AM (GMT -7)   

I have been in touch with the IBD clinic, and the nurse suggested putting her on Senekot, everyday until her next appt. in two weeks. The problem is when she takes Senekot, she ends up getting completely cleaned out and it's straight diarreah. 

She doesn't have any pain, and doesn't seem to have any hardness on her right side. She is excessively tired though. The nurse is ordering a blood test, so maybe that will indicate if there's anything going on. Is there anything in particular that couild have tested in her blood that wouild give some insight? 

Thanks to everyone for the replies. Very helpful.


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Keeper
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Date Joined Jun 2008
Total Posts : 1058
   Posted 9/12/2008 1:49 PM (GMT -7)   
There is a possibility that rectal inflammation is short-circuiting the normal peristalsis. That is not obvious from your description of your daughter's condition, but that is a possible cause of constipation. See: http://www.umm.edu/patiented/articles/what_symptoms_of_crohns_disease_000103_3.htm
Ordinarily, strictures would cause nausea and loss of appetite, so that seems less likely.

Julie1014
Veteran Member


Date Joined Oct 2005
Total Posts : 1245
   Posted 9/12/2008 2:49 PM (GMT -7)   
Keeper brings up a good point. I also get rectal inflammation, and use cortisone suppositories and occasionally a cortisone retention enema because of inflammation/stricture.
Diagnosed with Crohn's March 2006
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 11mg/day, Miralax as needed, Prevacid 30mg, Vit B12, Hydrocortisone enemas as needed
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg as needed (for anxiety attacks)
 
 
 
 
 


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 9/13/2008 8:26 AM (GMT -7)   
She took one Senekot last night, and nothing. Now what? Anyone?
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 9/13/2008 4:47 PM (GMT -7)   
I would be doing an enema myself, but that depends on how touchy the rectum is for her.

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 9/13/2008 5:05 PM (GMT -7)   
Hi Tom I would think they will test her white blood count and am hoping she has had a BM by now or tomorrow. Keep us updated as to how she is doing. lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,and still alive.lol gail


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 9/15/2008 6:49 AM (GMT -7)   

Thanks Gail,

We tried the Senekot again for a couple of days, and it seemed to work okay. She's feeling much better right now. She will be having blood work done soon, so we'll see how it goes. Thanks very much for the concern.      Tom.  


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 9/15/2008 2:11 PM (GMT -7)   
Hi Tom glad to hear she is doing better,lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,and still alive.lol gail

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