Laxatives not working, not even Amitza??

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momto3
Veteran Member


Date Joined Nov 2006
Total Posts : 1331
   Posted 8/2/2010 8:45 AM (GMT -6)   
I'm wondering if anyone has been in this situation? I was diagnosed with Gastroparesis two years ago, but everything else worked fine. However, in the last six months, I have needed to use laxatives to get things going (sorry for TMI). In the beginning it was only every now and then, but lately in the last three months it has reached the point where nothing happens unless I use something, but by something I mean I have used an entire bottle of Miralax, prescription Lactulose, double doses of ducolax and bottles of mag citrate, and then it reached the point that it would be more than ten days even with these over the counter methods.  So I finally make an appointment with a GI doctor in the same office as the one who diagnosed my GP, thinking surely they would find this a concerning matter. The doctor tells me this is very common among women (really???) and she tells me I'm simply plugged up (that's why I'm there!!!) but I want to know why!!! Anyway, she gives me a sample (two boxes) of Amitiza, and tells me to take it at bedtime because it can cause nausea, and call her in two weeks. I leave thinking finally I will have something that works. Wrong, it did nothing, and when I call and leave a message it was 14 days and no results. The medical assistant on the phone tells me that the GI doctor stills says I'm "plugged up", and to try another bottle of the mag citrate, and some ducolax, and call and let them know what happens. I know that "C" is not a disease but a symptom and has anyone ever gone through anything like this crazy scenario? If these over the counters were working I wouldn't have gone there in the first place! I asked the medical assistant if the GI doctor thought there was anything wrong? and she said no. I just don't think this is normal! and I told her so! I wonder if she would want to go 14 days? probably not! I'm sure she would be at the doctors office as well!
 
Sorry for so much TMI, but if anyone has been in this situation I would really appreciate it, I don't know if I should go to another GI doctor, or if this is normal, or what to do. I don't have anyone that I can talk to, I tried to talk to my husband, but it is clearly TMI even for him shakehead

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 8/2/2010 11:58 AM (GMT -6)   
 
Really I would try to find a new GI doctor or an internal medicine doctor as a primary. That is unacceptable.
 
Have you ever heard of a sitz marker test?
Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

momto3
Veteran Member


Date Joined Nov 2006
Total Posts : 1331
   Posted 8/2/2010 12:12 PM (GMT -6)   
Hi Shawn,
 
No, I've never heard of that test. I did have a CT Scan in January because I was having pain on my lower right side, that went on for a good 5 days, but by the time I got in to see my primary care doctor, and the insurance okay'd the scan, the pain was gone, and all that came up was "C", even after I drank two of those big containers of chalky stuff, which in my opinion worked really well! and the GI doctor pulled up that old test from January and went from that. No other testing was ordered.
 
Thank you, I will look into the information you have given me.

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 8/2/2010 5:59 PM (GMT -6)   
A sitz marker test are these small rings you take and then they monitor them and see how long it takes for them to get through you. This is to test transit time.

SITZ Marker Test (The Doctors)Gastroenterologist Dr. Lin Chang says a SITZ marker test can determine if constipation is caused by a slow transit of stool in the colon or if a patient has a pelvic floor problem.

More from this episode

http://www.thedoctorstv.com/main/procedure_list/631

There are different kinds of consitpation problems and this helps figure out what ones.

This DR Ling Chang is also an expert on IBS and fibro.

I am surprized they have not ordered this test for you before, which is one reason I say perhaps find a new doctor.
Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 8/2/2010 6:00 PM (GMT -6)   
You can paste the link directly into you browser address, if you have any problems let me know.
Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

futurecanadian
Regular Member


Date Joined Apr 2009
Total Posts : 22
   Posted 8/11/2010 3:14 PM (GMT -6)   
I had similar problems. Since I was 11 or so I've had severe low right sided pain and every time I'd get x-rays done they'd just say "well you're constipated." While I was in college I had a horrible time. I felt sick all the time. I had 2 colonoscopies, and EGD, tried several different medications including Amitiza, MiraLax, Dulcolax, etc. etc. and nothing worked and the tests came back negative. Prior to my colonoscopies the gallons of Go-Litely didn't do a thing, I had to go on a clear liquid diet and drink a bottle of Magnesium Citrate the night before.

I work with a colorectal surgeon who I finally told about my problems. He immediately called his nurse and set up a SitzMark test. The first one I had done came back inconclusive, so he had me try it again. During the x-rays, I'd retained not only all the markers from the current test, but about 10 of the 20 from the last one. I was diagnosed with slow colonic transit, or colonic inertia. Concerned about these problems at my age (21) I was given the option to either try some more biofeedback, which hadn't worked for me in the past, or dive in head first and have a colectomy. That was just a few days ago, and I'm just trying to decide whats next.

There's a lot of issue that surround chronic constipation. If I don't get the colectomy, I'm risking pelvic floor dysfunction, which will affect not only bladder but will make my colonic inertia worse. It can also potentially affect my reproductive organs, which is scary, since I'm nowhere close to having children and would like to be able to do it the way I want to.

Its a lot to take in, but its a relief knowing that I'm not crazy. There actually is something wrong.


I hope that things work out for you. Keep asking questions, and don't give up!
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