Constipation with UC

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Socalsd
Regular Member


Date Joined Jul 2008
Total Posts : 100
   Posted 7/24/2008 7:47 AM (GMT -6)   
Does anyone have advice for constipation? I am doing well with my meds where I am not going more than twice a day. But when I do have a bm it is a long painfull process the stool is in small broken piecies . I think the constipation and is really the cause of my flares now. I was in remission for two years than started having constipation, than small redness in the stool. The more I forced the BM the more bleeding I would have. Looking back my diet was high in starches and low in veggies and not allot of water. Would rectal meds help?
Prednisone 40mg a day
Asacol 400mg 4 pills 3 times a day


PeanutMom
Regular Member


Date Joined Jun 2008
Total Posts : 197
   Posted 7/24/2008 8:00 AM (GMT -6)   
I would suggest trying to eat/drink something that would normally give you the runs. I experienced constipation just after having my son. For me extra apple juice would normally give me the runs so when I was constipated the extra applejuice helped soften the stools so they were easier to pass.
Kim
~ Mom of Nathaniel aka "Peanut" 18m (6/08)~ Married ~ 36
"The List "
- UC dx 8/2000 - Culturelle 1x day Prenatal Vitamin (Currently not flaring but not what I would call in remission either.)
- CKD Stage 3 (Chronic Kidney Disease) - Lisinopril 7.5mg - Still have 27% function!
- Anemic - Ferolicit IV on hold (6 weeks free of IV, check in August)
- Allergies - Zyrtec 10mg 


bellski
Regular Member


Date Joined Apr 2008
Total Posts : 430
   Posted 7/24/2008 8:53 AM (GMT -6)   
Before I was diagnoseed, I was in a bad flare, thought it might be hemmoroids, so I started taking lots of fiber. Then I got constipated because I wasn't drinking enough water. I would try drinking tons of water and maybe eating some fiber one cereal. It is good stuff that will help you go. Good luck, feel better.
Lori (Bellski)-age 43 from Illinois
Diagnosed February 2008 with Ulcerative Proctitis,
Currently: mild symptoms / flare ?
Medications:  Asacol 400mg X 6, Canasa X 2 
Vitamins:  Calcium 600 + D X 2, Centrum, Citrucel caplets, Probiotics
High fiber diet
"I thank God that  I found this website!"
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 25562
   Posted 7/24/2008 1:18 PM (GMT -6)   
Low in the rectum inflammation will cause constipation...those are the symptoms of an early flare that we tend to ignore. I would again strongly recommend rectal meds to help heal the rectum.

I agree with PeanutMom...do eat more foods that will loosen the stool a bit...

or,

You can take stool softeners.

Rectal meds...
quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Pooie1981
Regular Member


Date Joined Mar 2008
Total Posts : 266
   Posted 7/24/2008 3:38 PM (GMT -6)   
I am also a sufferer of constipation!! Although I go every day <only once> it is very hard and like pebble poop. Recently found out that all my right sided pain is caused from a build up of poo.. I didn't know I could be pooing every day and still be considered constipated. Since I found this out.. I have increased my water intake which seems to be helping.. but I hate waking up on the night to pee !!! I have also been trying to eat more fiber rich foods. :O) I am trying to avoid supplements so we'll see how it goes.

good luck !!
Jenn 26/female
Ulcerative PANCOLITIS diagnosed 2004
Asacol 3 pills once/day
Daily Vitamin for Women and Folic Acid
Flare March-June 2008.. pretty much in remission again July


Boy-from-Oz
New Member


Date Joined Jul 2008
Total Posts : 17
   Posted 7/24/2008 4:25 PM (GMT -6)   
I've just got over the exact same issue, my flair caused a build up of waste on the right side of my colon, I had really bad pains every time I ate. Going to the bathroom was a slow and painfull expericence.
I've started eating lots of steamed vegetables, also taking a fibre supplement after each meal, (1 level tsp of Metamucil) but the key has been water, lots of it, you need to keep things moist, so I drink 3 litres a day. (I have Gastrolite too, so I don't wash all the salt out of my system) The fibre supplement not only helps move waste through you system, but it also serves as a bit of a mop and soaks up any excess fluid. I taper my fluid intake so I drink more during the day, an only have a couple of glasses in the evening, and I find I'm not waking up in the night to go to the bathroom.
My BM's have been for want of a better word .. "Perfect", formed, not pebble like, (which is a sure sign of constipation), easy to pass.
The other upside, is with an improved diet with more vegetables my sense of general well being has improved, as well as my UC.
Everyone's different, I know, but this is really working for me.
Boy From OZ
 
UC left side diagnosed 2006
 
Current Meds
Salofalk Enemas 4 gm (daily)
Prednisolone 30 mg
 
Supplements
Metamucil
Probiotic
Omega3 2g (Enteric Coated)
Iron + Vit C
Vit B12 injection (Monthly)
 
 


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 7/24/2008 9:16 PM (GMT -6)   
It is good to hear others with UC are constipated as well. I was beginning to think that I was the only one. I try to drink plenty of fluids, and eat a high fiber diet, plus I take either Metamucil caps or Myralax mixed in with fruit juice. The Myralax doesn't cause as much gas and bloating in me, but everyone is different. I'm not sure what you do for work, but I do a lot of physical labor, so I end up being dehydrated a lot, which leads to my constipation at times. Exercise also helps to move things around. Hope this helps, and thanks for addressing something I was too timid to bring up. Oh yeah, quincy is right about treating UC from both ends.
Mild to moderate UC diagnosed May '06, prone to c diff infections
Had UC symptoms since 1999
Allergic to the 5ASA family of drugs
Probiotics 3x day
Multivitamin, Wellbutrin XL 300mg, Prozac 20mg, Allegra 180mg 1x day
Fiber supplement 2 caps 1x day
Currently experiencing a flare due to being in med limbo...
 


Sistermarie
Regular Member


Date Joined Jun 2008
Total Posts : 45
   Posted 7/24/2008 10:03 PM (GMT -6)   
I drink lots of water all day, take two metamucil capsules at dinner with about 12oz of water, and I also eat nectarines, plums, peaches and apricots, with skin removed. Watermelon and crushed pineapple too. They are yummy, nutricious,  and really help! And drink, drink, drink.
 
 
Gale--New York Diagnosed with UC 6/9/08
 
On Asacol 4 pills 3x/day
Iron supplement, fish oil, magnesium, caltrate D, cerefolin NAC,
probiotics, alpha lipoic acid.


Raea
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 7/25/2008 10:08 AM (GMT -6)   
Agree on the steamed veggies.
Lots of vitamin C gets things moving.  I have a powder form electrolyte/mineral/vitamin supplement I take.  but 5000-10000 IU of Vit C and lots of water works really well.  Then after things are moving again.  I hand grind flax seed and mix a couple Tbsp in some cereal or yogurt 2x a day.  That's been helping on multiple levels. 

NuffinButtTrouble
Veteran Member


Date Joined Mar 2007
Total Posts : 671
   Posted 7/25/2008 11:36 AM (GMT -6)   

You can also try taking two aloe vera capsuels twice or three times a day.

NBT



Diagnosed with Ulcerative Colitis January 2007
Meds: Remicade, Primal Defense Ultra, Multi-vitamins (also iron, B12, Magnesium and Zinc), Flaxseed/Natures Bounty Fish Oil
Swanson Ultra Caprylic Acid (natural anti-fungal) 600mg x2 daily
Carrot & Garlic supplements (natural anti-fungal) x2 daily
Currently taking herbal meds in the search to regain full health.

Post Edited (NuffinButtTrouble) : 7/25/2008 10:39:39 AM (GMT-6)


quincy
Elite Member


Date Joined May 2003
Total Posts : 25562
   Posted 7/25/2008 11:41 AM (GMT -6)   
Remember, it's more than likely low in the rectum inflammation....the colon heals from top to bottom, flares from bottom to top.

But, a looser stool is much easier to go through an inflamed butt....

All the above suggestions are great...I personally found the vitamin C increase most useful...I used a powder form (without sweeteners)..worked like a charm.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


gdfairy
Regular Member


Date Joined Jun 2007
Total Posts : 86
   Posted 7/25/2008 4:21 PM (GMT -6)   
This was my primary symptom when I was first diagnosed with UC--it has now morphed into the opposite when I am flaring.  It was explained to be that the colon had become so inflamed that the stool could not pass through and would just remain there and harden.   The only thing that relieved me back then was Magnesium Citrate Capsules at night.  I would need to take 750--1000 mgs when it got really bad with a really big glass of water.   I usually went to the bathroom in the morning.   I used to buy 250 mgs and adjust the dosage from there.   I couldn't take any probiotics back then.  They firmed up my stool and that was the last thing I needed.

Left sided UC 4.5 years
Current Meds: Lialda 3 in the morning, one at night
Multi Vitamin/Mineral/Fish oil, Biotin, Extra Cal/Mag/D
cortenema when necessary
 
 


Pooie1981
Regular Member


Date Joined Mar 2008
Total Posts : 266
   Posted 7/25/2008 9:23 PM (GMT -6)   
I was thinking about trying out the metamucil method.. but was looking at the drug store and there are SO many different ones to choose from ! What is the best.. the powder or capsules???
Jenn 26/female
Ulcerative PANCOLITIS diagnosed 2004
Asacol 3 pills once/day
Daily Vitamin for Women and Folic Acid
Flare March-June 2008.. pretty much in remission again July


Sistermarie
Regular Member


Date Joined Jun 2008
Total Posts : 45
   Posted 7/25/2008 9:59 PM (GMT -6)   
I take the capsules, CVS generic psyllium fiber, because name brand Metamucil is about 3x more expensive. It says take 5 a day on the bottle, but I take 2 and it helps a lot. I think it's a matter of preference how you want to take it (capsule, powder, wafer, etc.).
 
 
Gale--New York Diagnosed with UC 6/9/08
 
On Asacol 4 pills 3x/day
Iron supplement, fish oil, magnesium, caltrate D, cerefolin NAC,
probiotics, alpha lipoic acid.


princesscolon
Veteran Member


Date Joined Apr 2006
Total Posts : 733
   Posted 7/25/2008 10:56 PM (GMT -6)   
I would say a fiber supplement, rectal meds, extra water, and extra exercise, if possible.
Diagnosed with Left-sided UC in 1995 at age 15, Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Aloe Juice, Canasa, Enotcort, Colazol, Anamantle, Remicade, etc... had 1 inch deep rectal ulcer 2004, put on Remicade, August 2007:Increased Remicade dosage-700mg every 6 weeks,diagnosed w/ Psoriatic Arthritis & Fibromyalgia Current meds: Clorazepate, Lomotil,  Tylenol pm, Lyrica started 1/17/08,  Humira started 4/4/08, 6MP started 6/24/08


quincy
Elite Member


Date Joined May 2003
Total Posts : 25562
   Posted 7/26/2008 1:30 AM (GMT -6)   
Constipation + rectal inflammation = the need  for rectal meds.

Yes, use more fibre or something that will help make the stool more soft because hard stool going through an inflamed rectum hurts....but that's not going to solve the inflammation!

quincy


*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Socalsd
Regular Member


Date Joined Jul 2008
Total Posts : 100
   Posted 7/26/2008 5:31 PM (GMT -6)   
Thanks for the advice everyone. The increased water seems to be helping. I bought the Metamucil wafers they are easy to swallow also I am making sure to have some fruit and salad every day. I picked up some of that probiotic yogurt also, I figure it can't hurt. I will be talking to the GI about rectal meds on 8-5-08. I don't know what I would do without this site.
Prednisone 40mg a day
Asacol 400mg 4 pills 3 times a day


quincy
Elite Member


Date Joined May 2003
Total Posts : 25562
   Posted 7/26/2008 5:34 PM (GMT -6)   
Good you're getting some relief.

Were you just put on pred?

When is your next BI appt?

q


*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Socalsd
Regular Member


Date Joined Jul 2008
Total Posts : 100
   Posted 7/26/2008 7:02 PM (GMT -6)   
I am on 40mg of Pred for two and a half weeks now. I really want off because I can't sleep and it depresses me. It is weird the last time I took it I was more euphoric. I have been on ASOCAL for about a month and a half. It really does not seam to do much for me but I am still taking it. I have UC of the lower colon I tried masalamine enemas a few years ago but they did not really do anything ether. I am hoping the fiber will make things easier.
Prednisone 40mg a day
Asacol 400mg 4 pills 3 times a day


quincy
Elite Member


Date Joined May 2003
Total Posts : 25562
   Posted 7/27/2008 1:39 AM (GMT -6)   
Did you try the 5ASA enemas while being on Asacol ?

Your other options could have been to use steroid enemas or foam.

q
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Socalsd
Regular Member


Date Joined Jul 2008
Total Posts : 100
   Posted 7/27/2008 7:35 AM (GMT -6)   
Hi Quincy and Everyone else,

I have never heard of SASA before. What exactly i it? Also my day one with the fiber increase went well. I can say my bm was less painfull. Do you think it is smarter for me to take the metamucil wafer later in the day about 4pm after I get home from work so I don't spend the work day in the restroom.

So here is how my food routine is ending up. I have been doing a breakfast of oatmeal, yogurt(now yoplait with fiber and probiotics) lunch is protein like chicken or a deli meat sandwich, grains like pasta or wheat bread, grape juice(equal to two fruit servings). Dinner a huge salad(love spinach) with protein. I also have snacks like popcorn, cereal bar, some sweets and I just brought some fresh fruit to add to it. I find I have to eat a little all day long the prednisone makes me hungry. I am trying to watch the sodium though to avid the bloating. The last time I had a bloated chest and moonface.

I do not know what I would have done with all of your great tips. It helps to know that I am not alone with this since this illness can be so personal and hard to speak about.
Prednisone 40mg a day
Asacol 400mg 4 pills 3 times a day


Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 7/27/2008 9:04 AM (GMT -6)   
I would be careful with the popcorn as that can be difficult on the colon for most suffering with these problems.

61 yr old male~Colitis 1st diagnosed Jan '05-cleared up within a few wks. Flared again in May '06 (now UC) & hospitalized 5/07-currently heading towards a remission. Osteopena of spine from prednisone DX 8/07  Oct 07 feeling quite normal most days.  150mg Imuran  Zero mg prednisone   12 Asacol, Lidocaine Hydrochloride Jelly 2%,multi vitamin, iron 1X day, DanActive, chewable calcium, fiber capsule 1x day, Prilosec 20mg, enalapril 10mg, glipizide 5 mg, zocor 40 mg, baby aspirin, (Fentanyl pain patch 50mg 72 hrs  Morphine Sulf 15 mg twice daily)Cortifoam enema every other PM, Canasa suppositiry AM, folic acid 1mg, Fosamax 1x month


quincy
Elite Member


Date Joined May 2003
Total Posts : 25562
   Posted 7/27/2008 11:55 AM (GMT -6)   
Hi...5-ASA medications include mesalamine, mesalazine, osalazine... (Asacol, Colazal, Pentasa, Dipentum, Salofalk, Rowasa, Canasa...etc). Sulfasalazine is the original UC medication with 5ASA in it .... eventually, the mesalamine was separated unto itself and a special coating was used to get it to the colon instead of using the sulfa...the first result was Asacol.

for some popcorn can be a problem...for me it's not at all. I dont have it during the day unless I'm at the movies..lol! Chewing it well helps. I never have microwave popcorn...it's all crapola. Air-popped is much better. By keeping the popcorn in a glass jar in the freezer makes for better popping with less harsh hulls...

There are also popcorn twists available.....higher in fat and salt, but maybe a few would be an OK snack.

This is what I'd change about your diet at this point if it were me (because that's what I found out what worked well for )....no oatmeal or high fibre cereal with milk products in the morning...have an egg and toast instead. Cut the juice with water. (I don't drink juice because it hurts my stomach..if I were to have it, it'd be in the evening cut with water)
Save anything that'll give you gas for evening or late afternoon because it'll hit about 3 or more hours after you eat it.

I think experiment with cereal bars or protein bars might be better...a half rather than a full one. Again, they give me LOTS of discomfort, it's not something I eat, but experiment. Make sure you have enough water with them.

Thanks for the kind words...when I was working I definitely kept my eating pretty basic, no high fibre during the day and I never snacked on the junk stuff.

The fibre wafers in the evening after your supper might be a good idea to help with the next day's bms.

As you get used to them, then you'll probably be able to add or divide the amount you eat throughout the day. As your flare lessens, your eating will change as you feel better.

Hope this helps...experiment and you'll find what works for you and has you more satisfied.

Keep us updated.
quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 3766
   Posted 7/27/2008 12:54 PM (GMT -6)   
For about a month before I got the big "D", horrible cramping pain and all the other lovely, typical UC symptoms (before I was diagnosed), I was severely constipated. I hardly had a BM for the whole month. It was pretty uncomfortable. I was eating a diet rich in fiber, drinking tons of water, doing all the stuff they tell you to do. Initially, I thought it was just because I had started a new job and my sleep schedule was totally changed and I was really stressed out because I hated the job. Then, I started noticing some blood on the tp, and had "D" a few times on the weekends, but I still wouldn't have any BMs throughout the whole work week. Then all heck broke loose and I got all the typical UC symptoms. Now I know that constipation can be the first sign of a flare. I agree with the rectal med suggestion (try the 5-ASA retention enemas first...brand name in US is Rowasa...even if you've tried them before, it may be worth a shot to try them along with the Asacol). Hope you feel better soon.
Diagnosed with UC March 2007; yet to go into complete remission
Asacol 4 tablets 3x/day; Rowasa every 3-4 nights; Canasa every 3 nights;
Nature's Way Primadophilus Reuteri 1/day; Chewable multivitamin; Metamucil; Viactiv; Zinc supplement every few days

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