Laxatives with stricture/obstruction???

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ALgirl
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Date Joined Mar 2010
Total Posts : 105
   Posted 3/12/2010 7:52 AM (GMT -7)   
My GI thinks I am basically obstructed and he has given me a trial of Pentasa for 7-10 days (this is day 3) then wants me to schedule surgery if no better (I have been on Prednisone 9 days also, Entocort before that).  I am having a really hard time with bloating, gas, pain etc with no BM (3rd day).  Is it ok to take something like milk of magnesia?  I know I should call the office with questions but I would like to hear from someone who might have experienced similar problems first.  I just keep imagining all those capsules just sitting there not being able to get through and costing $100 for 5 days' worth and it is driving me crazy!! mad

onedaymore
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Total Posts : 111
   Posted 3/12/2010 8:35 AM (GMT -7)   
I don't know that Pentasa will do anything for a stricture or an obstruction. It's basically like topical aspirin or Neosporin for your guts -- it supposedly helps with pain, but it won't magically dissolve an obstruction.

I had an obstruction in August, and got it loose and passed with half a pharmacy bottle of Miralax and two bottles of magnesium citrate. Not sure if this process would be recommended by any gastroenterologist, but it was my internist's PA's idea . . . and it worked. But not before I started having hallucinations from all the toxins that had built up.

You should call your doctor and ask. I know there are huge warnings on most of the laxatives I've used not to use if there's a suspicion of a bowel obstruction, so it's best to get a doctor's opinion on it first.

Good luck, and I hope you start feeling better!
Diagnosed with Crohn's in 2008 at the age of 22.
Currently on: Remicade, Imuran, Pentasa, Zofran, Tramadol, Welchol, Phenergan, Ambien, Metoclopramide, Omeprazole, Hyoscyamine


NiceCupOfTea
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   Posted 3/12/2010 9:01 AM (GMT -7)   
Oh dear god, I certainly feel your pain.

I'm certain I've had a stricture for a few months, although I should let you know that I haven't been formally diagnosed with one yet. During that time I have taken the occasional Ducolax laxative with no harm done. However, laxatives don't always work, especially in the late stages of constipation. Consider a suppository instead. They are not pleasant to take; horrible to insert and burn like anything at first, but they do work. I've taken them twice in my life. First time was when I hadn't been for 10 days and was in extreme distress from symptoms I shall not describe; that was the only time anything Crohn's related made me go to ER. That was about five years ago, maybe four. Second time was only about four weeks ago, when I hadn't been for three days and had the symptoms you described. I got panicky and took one of my mum's leftover suppositories. Had a grim 40 minutes, then I went. It was a relief.

If you had a full-on blockage, then I'm pretty sure you shouldn't take anything. But it doesn't sound like you do, to be honest - for one thing you wouldn't be passing gas. For another thing you would probably be bringing back up everything you ate. It sounds like you are partially obstructed, but not fully.

Good luck. Hope this current misery soon passes for you.

debilitated
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Date Joined Jan 2010
Total Posts : 448
   Posted 3/12/2010 9:53 AM (GMT -7)   
Your G.I gave you pentasa for an obstruction?
Wow, I' m sorry.

skeptical
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Date Joined Jun 2005
Total Posts : 369
   Posted 3/12/2010 10:03 AM (GMT -7)   
My Dr. specifically said NO to any laxatives. I was also hospitalized and finally resectioned when I hadn't had a BM for 3 days. Call your Dr. NOW.

ALgirl
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Date Joined Mar 2010
Total Posts : 105
   Posted 3/12/2010 10:25 AM (GMT -7)   
Thanks you guys! Nice cup of tea, I agree with you.  I think I am partially obstructed, not wholly.  I cannot stand to eat anything other than soup because I have terrible cramping and pain if I do.  I was just hoping the steroids and Pentasa might clear up the inflammation without needing surgery.

Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 3/12/2010 11:24 AM (GMT -7)   
I have had multiple partial obstructions, and my doctor has ok'd me taking miralax when I'm constipated. She always has me start with half a dose to see if it'll help. If you're truly obstructed....1-you'll know it, because your symptoms will get much worse so fast, and 2-laxatives can be REALLY bad if you're completely obstructed, causing you to even perforate....that being said, miralax works in your body by telling it to not absorb water in your colon, so that things move through easier, so it's the safest route to start with.

If you do decide to take a laxative, start with a half dose, and see how that goes before you move to a whole dose. The last thing you want is your body trying to get rid of everything inside, when there's something in the middle of your intestines blocking things from moving forward.

As for the Pentasa, I don't understand how your dr would think it would help a stricture in 7 days. Even starting a stronger medicine like Humira, you can have obstructions when starting them. It didn't help my obstructions until about 3 months of being on the med. (I had an obstruction about 2 weeks after starting Humira, but haven't had one since it kicked in and started working!!!!!)

I hope you get some relief soon!
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, Coumadin


Valerie3
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Date Joined Feb 2009
Total Posts : 529
   Posted 3/12/2010 3:13 PM (GMT -7)   
Be careful with laxatives and bowel preps. They have made me worse in the past. One time I had a partial obstruction before diagnosis when I was going through the testing phase, and I was given a bowel prep, I warned my doctor that I thought I had an obstruction, she didn't listen and it made it worse and I felt like I was going to die for 8 hours until it passed. I really wouldn't fool around with anything like that, the only thing you could try would be an enema, in my opinion.

ALgirl
Regular Member


Date Joined Mar 2010
Total Posts : 105
   Posted 3/14/2010 10:17 AM (GMT -7)   
I just need to vent a little today.  Not feeling well at all.  cry   I tried a half dose of Miralax but no results so far.  I feel like I am beginning to look like a bird (or pregnant!) with my belly swollen and rounded out all the way from under my chest down.  I am having lots of squeezing pain in my lower back and right side of abdomen.  I guess it's time to try a suppository.   

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/14/2010 10:24 AM (GMT -7)   
I use stool softners daily in order to keep things soft and easier to pass. Maybe they would work better for you. Just a thought and do run it by your doc first. Hugs~
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

CrohnsCrone
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Date Joined Jun 2008
Total Posts : 25
   Posted 3/14/2010 10:39 AM (GMT -7)   
Please be very, very careful about self-medicating. Any time I have a partial obstruction I go on a water diet for 24 hours, then liquid diet and then keep on a low residue diet for a while. All this sanctioned by my doctor. He has never recommended taking laxatives. He says that if within 24 to 36 hours I don't feel relief I should go to the ER.

Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 3/14/2010 3:50 PM (GMT -7)   
How ya feeling ALgirl? It's been a couple days...just wondering.
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, Coumadin


ALgirl
Regular Member


Date Joined Mar 2010
Total Posts : 105
   Posted 3/14/2010 5:24 PM (GMT -7)   
Thanks everybody.  Bar77, how did you survive the obstructions for 3 months at a time?  If I eat anything other than soup I have terrible pain, and I still have the pain with just soup.  I just don't think I am that brave!  I still haven't had any results from Miralax, but afraid to try anything else.  I am pretty miserable now because Friday night I ate real food for dinner.  It was good but I woke up all through the night with pain!  Also the stricture/partial obstruction is at the terminal ileum I believe, and I was wondering if anyone else had this in the same area if it caused pain in your lower back also? It feels like a squeezing sensation from the front (right side of abdomen) and back.

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 3/14/2010 10:24 PM (GMT -7)   
Oh, maybe how I typed it was misleading...I had obstructions, but they resolved themself within about a week each time. At one point I was having acute obstructions every 3 months or so. Remicade reduced it to about twice a year. I had an obstruction 3 months after starting Humira, but none after that. All of my obstructions were partial though. One time when I had one though, they did do surgery because the stricture was so narrowed and they didn't feel there was any other option.

As for your other question...my obstructions were all in the terminal ileum, where my first surgery was, and yes I did have back pain with it.
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, Coumadin


ALgirl
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Date Joined Mar 2010
Total Posts : 105
   Posted 3/15/2010 5:56 AM (GMT -7)   
Oh, ok.  Now I understand.  Thanks bar 77!

Howlyncat
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   Posted 3/15/2010 6:00 AM (GMT -7)   
i concur with others//PENTASA ...for obstruction...hmm i would be calling your gi if it were me
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ALgirl
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Date Joined Mar 2010
Total Posts : 105
   Posted 3/15/2010 7:28 AM (GMT -7)   
I agree, even the surgeon I went to said that 7-10 days was not a very long time to see if there was improvement, but the GI said from my scope that the opening (I'm guessing at the ileocecal valve) was only pinpoint, he could not even find it at first, and he could not pass the scope through, so I guess he believes it is pretty serious and that is why he thinks I may need surgery.  I actually  had success this morning after a couple sips of prune juice last night but still am in a lot of pain. confused  I guess I was thinking that would relieve a lot of symptoms but now am cramping something awful!!!  Thanks to everyone for being so supportive!!!

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/15/2010 7:32 AM (GMT -7)   
ALgirl I am so sorry you are going thru this. Big hugs to you! I had a stricture in the same area (now surgically removed) and I was using stool softners up until the surgery even though they no longer worked as well. These are not laxatives, but just help to soften the stool and make it easier to pass. I really feel your pain, hopefully they will get things squared away for you soon, or even if necessary get you scheduled for surgery so you don't have to suffer so much. Hugs!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

ALgirl
Regular Member


Date Joined Mar 2010
Total Posts : 105
   Posted 3/15/2010 7:37 AM (GMT -7)   
Thanks so much Nanners!!!  I am going to try that tonight.

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/15/2010 7:40 AM (GMT -7)   
Sometimes it takes a couple of days to work (like 2) so be patient. Sometimes it works a little faster for me.
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

skeptical
Regular Member


Date Joined Jun 2005
Total Posts : 369
   Posted 3/15/2010 7:42 AM (GMT -7)   
ALgirl, I didn't eat one bite of anything, not anything for a month before my surgery because I'd get horrible spasms. I said it felt like a bag of snakes in me and like full blown labor. I knew I couldn't put a bite of food, or even Ensure in my body or I'd rupture. I had small BMs up until 3 days before my surgery from taking stool softeners. I asked the surgeon about that, since I hadn't eaten, how could I have a BM. He told me that your body will produce stool even when you don't eat. My belly was also huge, like I was a pregnant 50 year old!! My advice would be to call the GI AGAIN and tell him you have an obstuction. By the time they did my surgery, the small bowel behind the stricture was blown up to the size of a glass. about 3 inches in diameter and they told me I was so lucky I hadn't ruptured. And yes, mine was also in the terminal ileum.

ALgirl
Regular Member


Date Joined Mar 2010
Total Posts : 105
   Posted 3/15/2010 9:27 AM (GMT -7)   
Thanks for the advice skeptical.  I am afraid of exactly what you said because now I am having pain higher up than where it started and afraid that the area above the stricture is swelling.  I have an appointment to see the GI Wednesday now.
 
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