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prof
Veteran Member


Date Joined Feb 2003
Total Posts : 1195
   Posted 11/16/2010 2:00 PM (GMT -6)   
There has been some discussion for those who have constipation with their CD and some use miralax.  is it safe to use a single dose each day?  Is there a difference between that and a stool softener/  Don't they both just add water?  I know laxatives can be damaging... is this the case with miralax?
 
Alos, would it cause rectal pain in  any way.

beave
Veteran Member


Date Joined Mar 2007
Total Posts : 594
   Posted 11/16/2010 6:37 PM (GMT -6)   
My GI said Miralax is safe for me to use every day if I want. Stool softeners like Colace didn't do anything for me, but Miralax works fairly well at keeping things soft and easy to pass.

Since all Crohn's patients are different, I'd encourage anyone to ask their doc before using it every day.

want_2_be_well
Regular Member


Date Joined Sep 2006
Total Posts : 177
   Posted 11/16/2010 10:44 PM (GMT -6)   
I can't answer your questions on the differences between Miralax and stool softners but I can say my GI says it can be used daily and that it is the safest product to use long term.




Diagnosed with CD 2006, had suffered long before 2006.




Also have seasonal allergies, milk allergy, and asthma.



Outpaitent
Regular Member


Date Joined Nov 2010
Total Posts : 37
   Posted 11/17/2010 12:36 AM (GMT -6)   
Agreed, I consulted my DR. and he said that it would be fine to use Miralax on a daily basis. I however have to use Imodium (anti diarrheal medicine) now on a daily basis because they took out my colon and part of my small intestine

rlsnights
Regular Member


Date Joined Apr 2006
Total Posts : 449
   Posted 11/17/2010 1:12 AM (GMT -6)   
My son was once on 5 doses a day of Miralax - ordered by his pediatric gi.

Miralax makes the stool slippery so it moves more easily through the colon.

Laxatives usually work by stimulating the colon and my son's gi said were not generally good for people with CD to use.

Stool softeners work by holding water in the stool so the colon can't absorb it making the stool firmer.

Miralax can make things too slippery and lead to leakage but we have been told it is by far the safest product to use for constipation (my son's presentation was severe constipation to the point of blockage).

When he was using it a lot and had leakage our gi had us add a small amount of benefiber to his diet. This helped hold the stool together while the miralax made it slippery.

Might ask your gi what to use for your particular situation.

And of course, drinking lots of water or rehydration formula is always necessary when using these products.
son now 14 1/2, dx CD age 10; current meds: MTX and omeprazole; previous tmts: pred, 6-MP, Humira, entocort, GMCS, exclusive enteral feeds, pentasa, mesalamine enemas, cipro, flagyl, many topical treatments for perianal disease

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14994
   Posted 11/17/2010 10:06 AM (GMT -6)   
I personally feel better using stool softners. I have taken them nightly for years. If I miss a day without a bm I am pretty miserable the next day. So taking them nightly keeps things softer and easier to pass. And no mixing gunky stuff with something to drink, its just two soft gels a night. Good luck! JMHO
Gail*Nanners* Co-Moderator for Crohns Disease
Crohn's Disease for over 35 years. Currently on Asacol, Protonix, 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!
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