Nausea and constipation....sorry!

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shellypoo
Veteran Member


Date Joined Dec 2005
Total Posts : 896
   Posted 9/29/2006 3:56 PM (GMT -6)   
Ok all.....
I know some of you have been there.  I read that if you haven't had constipation then you don't have MS.  This is a major issue with me.  I have tried so many different products.  I do everything I'm supposed to-water, exercise, fiber...  The gI doc says it is from my MS.  She wants me to take a daily does of milk of magnesia and an enema every day.  UGGGGG....
 
Also, I have such an issue with nausea, thank goodness for zofran and phenergan.  Nausea is a symptom of MS too, although I'm not sure why.  (to top it off the milk of magnesia makes me nauseous)!
 
Do any of you have either one of these and have you found anything that works??? eyes
Michelle ><>
 
Don't be so busy doing good
that you neglect to do what's right!


uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 9/29/2006 4:39 PM (GMT -6)   

OK, I'm gonna get pretty descriptive here. If descriptions of body functions gross you out, hit "back" now...

 

OK. If any of you are left... Are you truly constipated...or is it a matter of sluggish bowels?

"True constipation" means that it is very painful for you to produce stool. And when you do, it comes out in dry balls, pellets, hard and dry pieces. Usually small. It will be very painful to defecate (not just hard to push down, but downright painful.)  Sometimes it will be accompanied by a rush of liquid fecal matter, and sometimes blood, because you've injured your anus (I TOLD you it was descriptive!!)

"Sluggish bowels" -- more typically a problem with those of us with MS, means that we'll produce stool -- usually large, sometimes soft and wet...but not very often.

Folks think humans are supposed to have a bowel movement every day.  Actually, every-other-day is fine, every third day is acceptable.  If it is less often than that, then you need to address it.

What happens with the sluggish bowels is this: the intestine is like a long coiled muscle.  When it's working normally, it expands and contracts and the motion pushes the fecal matter through the digestive system and to the anus area, where other muscles start contracting, and signals from the brain alert you to the fact that you have to have a bowel movement.  This all happens in such a way that you generally have time to pay attention the signal, and get to a bathroom.  Normally people will "go" at around the same time every day, usually a half-hour to an hour after eating and drinking something, in the morning. But not always (See the paragraph, above.)

With MS, the muscles don't work properly. The intestine doesn't contract as it should (sluggish), and when the fecal matter gets to the point where signals are supposed to be rushing off to the brain, that circuit is "broke".  So the fecal matter sits there for awhile..and then -- often suddenly, usually after ingesting food -- the trigger will go off, with VERY little time for you to get to a bathroom (bowel incontinence. Not a good thing).  When you go, the stool will be large, relatively soft, lots of it -- not diareha, but just "wet" and a large quantity (as you've been "collecting" it for several days).

There are "bowel programs" that you can ask about, and usually the neurologist can refer you to someone who can work with you on this. Generally what the "program" is, is that indeed you increase fiber and liquids (not necessarily water, but liquids. Some folks find coffee works very well to stimulate the bowels).  Try your grandmother's favorite -- prunes, or prune juice. (These days they call them dried plums, if you go looking for them in the grocery aisle.) And you sit on the toilet every morning at around the same time, whether you produce a movement or not.  There are glycerine suppositories that work; I buy a product over the internet called ene-meez (I use one of these every other day) to trigger the bowel movement. (If you look up the ene-meez, there are two kinds; one a simple glycerine product which I use; the other more "medicinal", which I don't use.) Over time (several days to weeks) the system will get back to a more normal routine.  If you *change* your routine, though -- miss a day when you normally have a bowel movement, it can mean that it'll take a few more days to get back on schedule, so you have to be fairly disciplined about this.  I still occasionally experience bowel incontinence, but I've found that for me there are two "triggers" --

getting off my usual schedule, or ingesting food that has been prepared with MSG! (No more chinese take-out for me!!)

The nausea might well stem from the sluggish bowels -- fecal matter is, after all, fermenting food, and the fermentation produces gas, which can cause nausea, heartburn, and other discomfort.

Try to stay away from the medicinal stuff like ducolax (Milk of Magnesia is fine, if you can tolerate it! I can't!) There's a new fiber product out now which I haven't tried which they claim you can stir into any food -- the ad has them stirring it into spaghetti sauce and soup!, so if the fiber stuff is hard to consume, you might try that.  Increase intake of fruits and veggies, too.  Good luck!

Ain't MS fun???!! eyes


...I am not a doctor, nor health professional, and don't pretend to be one, here.....


Kimber
Veteran Member


Date Joined Jun 2005
Total Posts : 1852
   Posted 9/29/2006 5:00 PM (GMT -6)   
Hi Michelle,

Sorry you are still having problems with this sad As you know Mike has big issues with constipation and the meds he takes for pain adds to the problem unfortunately. Since none of the normal remedies were helping him either, the doc has him on stool softeners and a natural laxative called Senokot. By themselves they don't help much but for some reason the the combination of the two does the trick. Long term use of these products are not normally recommended but the doc feels his constipation isn't something that is going to go away. I did read something where drinking a warm liquid before meals helps move things along, might see if that helps? Hope you feel better!

Kimber
 
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shellypoo
Veteran Member


Date Joined Dec 2005
Total Posts : 896
   Posted 9/29/2006 5:17 PM (GMT -6)   
My Gi doc really doesn't think the fiber route works with MS, she actually told me to quit taking the "benefiber" I was taking and also the fiber pills.  I did take glycolax which doesn't help and zelnorm, both made me more nauseous.
 
I've tried many over the counter laxatives but I think I'm through with milk of magnesia, my stomach just can't take it right now.
 
Uppity, I will look up the ene-meez and may give it a shot.  Thanks.  I do have true constipation as well as sluggish bowel.  My GI doc is confident it is all related to the mS.  I was actually diagnosed years ago with ulcertive colitis (which I have no symptoms of now)  and had diarrea for years, then it just changed.  I feel that is when the MS kicked into high gear.
Michelle ><>
 
Don't be so busy doing good
that you neglect to do what's right!


cocoa11
Regular Member


Date Joined Jul 2006
Total Posts : 95
   Posted 9/29/2006 5:47 PM (GMT -6)   
Have you tried dried prunes figs or apricots? I am a qualified massage therapist as well as massage using aromatherapy. In my text book it says to try a glass of hot water in the morning with half a lemon. It suggests the usual things fresh fruit, brown rice, raw and leafy vegetables and to avoid dairy products, white flour, sugar and to cut back on refined carbohydrate foods. Naturally you would have tried extra water, the book suggests at least 2 litres per day. I also like to drink spring water with a squeeze of lemon, very refreshing. I couldn't think of anything worse than milk of magnesia.Blahhh!
Do you eat Bran? Sultana Bran flakes work for me. There is also linseed meal, I mix this in with the bran and also when I make a meatloaf along with lots of garlic and herbs just yummy!
Others that spring to mind that gets me going is fresh garlic, ginger and chilli.
The book suggests the following herbs: flaxseed, aloe vera juice, golden seal,barley juice, pepsin, psyllium seed (this one worked for me) and yellow dock.
PLEASE NOTE:
You would need to check with your Doctor if trying any of the above herbal remedies.
A naturopath would be able to recommend what to try but make sure that you tell them about your medical condition and what medication you are already taking.
Aromatherapy Massage recommends the use of sweet fennel, sweet marjoram and rosemary, together or on their own. Black Pepper ( NOT THE BLACK PEPPER YOU USE AT HOME) is supposed to stimulate peristalsis.

The above are all massage oils and an aromatherapy massage should only be done by a QUALIFIED MASSAGE AROMATHERAPIST AND WITH THE OK FROM YOUR DOCTOR. I hope this helps, I know how awful constipation can be.

Information taken from:

"The Complete Guide to Aromatherapy"
Author: Salvatore Battaglia
Published 1997
WatsonFerguson and Co.
Brisbane Australia

Good luck

Cocoa

Motown John
Regular Member


Date Joined Jun 2005
Total Posts : 475
   Posted 9/29/2006 6:00 PM (GMT -6)   
Friday p.m.
 
Good evening Michelle:
 
This is a problem that as MS er's I always thought we should all be immune to...
 
I always said that as MSer's and all the associated problems, we should be immune from all other medical maladies up to any sexual related diseases.
 
But.....it is far from being a fair world.  I used to have such problems @ 20 years ago.  I stated to take the over-the-counter pill, Fibrecon.
 
Problem solved.  And I eat much fruit.  Very good luck.  You don't deseve this.
 
John

shellypoo
Veteran Member


Date Joined Dec 2005
Total Posts : 896
   Posted 9/29/2006 9:45 PM (GMT -6)   
Uppity,
Will you please email me the info on those enemas.  I looked online and they are so expensive, $65-70 for 30. Where do you get yours?
 
Thanks!!
 
 
 
I eat fruit, drink water (all day), bought prune juice, prunes, dried apricots......nothing worked.  I also eat only whole wheat bread, pasta, cereals etc...  I'm very health conscious.  Sadly, it just doesn't help enough. sad
Michelle ><>
 
Don't be so busy doing good
that you neglect to do what's right!


photogirl1358
Regular Member


Date Joined Apr 2006
Total Posts : 299
   Posted 9/30/2006 1:36 AM (GMT -6)   
Hi Michelle,
 
I got really really blocked up a few months ago, and since then have tried to stay on top of it.  I have been eating about 3 tablespoons of ground up flaxseed in my fibre cereal in the morning.  It tastes pretty horrid, but I choke it down anyway as it seems to help me a lot. I think next time I'll try the flaxseed oil.
 
I hope you find a reliable method for you.
 
Shar
If it's meant to be, it will happen


uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 9/30/2006 5:38 AM (GMT -6)   
shellypoo said...
Uppity,
Will you please email me the info on those enemas.  I looked online and they are so expensive, $65-70 for 30. Where do you get yours?
 
Thanks!!
 
 
 
I eat fruit, drink water (all day), bought prune juice, prunes, dried apricots......nothing worked.  I also eat only whole wheat bread, pasta, cereals etc...  I'm very health conscious.  Sadly, it just doesn't help enough. sad

Yes, that is the price I pay.  If you are pretty sure you're doing all you can yourself, you really ought to talk to your gi doctor and see if he can get you to someone who can help you work on a "bowel program" that will give you relief.
...I am not a doctor, nor health professional, and don't pretend to be one, here.....

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