What does it mean if stool sits in the colon for over 24 hours but is still watery D?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Canaveral
Regular Member


Date Joined Aug 2016
Total Posts : 266
   Posted 6/18/2017 7:26 AM (GMT -6)   
Quick history: Clinical remission confirmed via colonoscopy and blood test, no inflammation except small amount in rectum. Still urgent watery D.

If I take an Imodium, I don't go for over 24 hours. However when I do go, my stool is always still watery D. How is it possible that stool can sit in the colon for over 24 hours and still be watery? Transit time for normal people with solid formed stool is 24-48 hours, so what's going on here? Does Imodium prevent your colon from absorbing water?

quincy
Elite Member


Date Joined May 2003
Total Posts : 29382
   Posted 6/18/2017 9:58 AM (GMT -6)   
Good question.

Did you have stool testing done for other than c. Diff?

During your c-scope, did you have biopsies done?

Imodium is an imobiliser.....so the peristalsis and working of the colon basically slows right down. Maybe the issue is possibly in your small intestine.

Meds?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 7 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

Post Edited (quincy) : 6/18/2017 10:01:20 AM (GMT-6)


Canaveral
Regular Member


Date Joined Aug 2016
Total Posts : 266
   Posted 6/18/2017 10:36 AM (GMT -6)   
Meds: Just Remicade and now Xifaxan. Mesalamines aggravate my system unfortunately.

I've had the general stool testing done that checks for the other average gut bugs, in addition to the C Diff test.

I'm increasingly suspicious of my small intestine. The fact that Vancomycin calms my gut down within hours of taking the first dose suggests to me it's a small intestine thing. I know that stuff isn't reaching my colon that fast. I'm suspicious that it's a bacterial issue in my small intestine that triggers the gastrocolic reflex, which causes my colon to rebel.

But I still don't understand why this would cause my stool to be liquid after sitting in my colon for 24 hours.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29382
   Posted 6/18/2017 10:47 AM (GMT -6)   
One for the research.

How is your food intake, what supplements including probiotics and fibre?
Since salicylates are not agreeable, how does yiur food intake compare to foods that are high in salicylates?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 7 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

Canaveral
Regular Member


Date Joined Aug 2016
Total Posts : 266
   Posted 6/18/2017 11:50 AM (GMT -6)   
I eat virtually no foods that contain many salicylates. It's not that. I wish it was that simple. My symptoms are horrible no matter what I eat. I literally ate nothing but plain grilled chicken and plain white rice for a month straight with zero improvement.

I've tried everything. Numerous probiotics, fiber pills, no fiber pills. Nothing helps.

Post Edited (Canaveral) : 6/18/2017 12:54:05 PM (GMT-6)


FSLondon
Regular Member


Date Joined Apr 2015
Total Posts : 314
   Posted 6/18/2017 2:15 PM (GMT -6)   
I often used to have watery stools while in remission. There are a bunch of theories about why. 1) we also have IBS (I think saying I have IBS is the same as saying I have diarhea--it doesn't tell me anything), 2) lasting small scale damage to our intestine, 3) dysbiosis. It could be something else entirely. My gi wasn't surprised but did feel more medication wouldn't help. I will say for me SCD and yogurt have helped. It's not a panacea but my stools are now mostly (but not entirely) formed. Who knows what it's all about.

Edited to say just read your other post. I also respond well to antibiotics. My GI said some people do but it never lasts. He said he thinks their effect shows that for some with uc dysbiosis is the main problem. They just can't figure out how to treat it permanently.

Post Edited (FSLondon) : 6/18/2017 2:20:18 PM (GMT-6)


DBwithUC
Veteran Member


Date Joined Feb 2011
Total Posts : 3811
   Posted 6/18/2017 3:24 PM (GMT -6)   
FSLondon said...
I often used to have watery stools while in remission. There are a bunch of theories about why. 1) we also have IBS (I think saying I have IBS is the same as saying I have diarhea--it doesn't tell me anything), 2) lasting small scale damage to our intestine, 3) dysbiosis. It could be something else entirely. My gi wasn't surprised but did feel more medication wouldn't help. I will say for me SCD and yogurt have helped. It's not a panacea but my stools are now mostly (but not entirely) formed. Who knows what it's all about.

Edited to say just read your other post. I also respond well to antibiotics. My GI said some people do but it never lasts. He said he thinks their effect shows that for some with uc dysbiosis is the main problem. They just can't figure out how to treat it permanently.


this all makes sense. dysbiosis may be the distal cause. It would have to be mediated by issues with mucosal membrane, since the proximal symptom is failure to absorb.

In addition to damage to the mucosa, there could be some issue with electrolytes. Absorption requires osmosis, where water exists colon and enter tissues and blood vessels. But if the mineral balance on each side of the osmotic membrane is not favorable, the water does not move.

possibly a duiretic will lower water in tissue, thus concentrating minerals/salts, and water will again move form lower to higher concentration of minerals. BUT use of all but weak OTC diuretics should be done under doctor's care. Don't risk kidney damage.

Good luck

Bacon Girl
Veteran Member


Date Joined May 2011
Total Posts : 5473
   Posted 6/18/2017 5:38 PM (GMT -6)   
Has your doctor prescribed you anything for bile acid diarrhea? Welchol has been very helpful for me during remission when my Ileocecal Valve Syndrome is acting up. This can cause food to run through me too quickly without being digested or I just end up very constipated in the lower right side. It's a back and forth type of deal that is kind of like IBS.

Welchol was a LIFESAVER for me so if your doctor is willing to prescribe it, I'd give it a shot. It seems like you have tried a lot of things already.
Joanna, 27
Diagnosed w/ proctitis 2006, spread to pancolitis, appendicitis, and ileocecal valve syndrome
Meds:100 mg Simponi, 25 mg imuran, 21 mg nicotine patch
Bone Supplement, Mag Citrate, VSL, Vit C, Oral Iron/Venofer

Diet: meat, eggs, broth, dairy, nuts/seeds, fruits/veggies

formerly known as bananagirl

Canaveral
Regular Member


Date Joined Aug 2016
Total Posts : 266
   Posted 6/18/2017 9:17 PM (GMT -6)   
Very interesting observations DBwithUC. Makes a lot of sense.

Bacon Girl -I haven't had Welchol, but I tried the Cholestyramine powder. (The kind you mix with a drink an hour before a meal.) Didn't work, and if anything, may have made my upper GI tract a little more active than normal.

Canaveral
Regular Member


Date Joined Aug 2016
Total Posts : 266
   Posted 6/18/2017 9:25 PM (GMT -6)   
Bacon Girl -what are your symptoms with ileocecal valve dysfunction? One of the hallmarks of my condition is that my bowel movements are preceeded by a sudden almost 'pop' that occurs on my lower right colon, seems like right at the junction. Frequently you can hear it. Then, just that location will strongly cramp and force everything forward, causing the rest of my colon to get it out asap.

Post Edited (Canaveral) : 6/19/2017 7:01:07 AM (GMT-6)


Bacon Girl
Veteran Member


Date Joined May 2011
Total Posts : 5473
   Posted 6/19/2017 9:38 AM (GMT -6)   
Well, Welchol is just cholestyramine in pill form so if the powder didn't help, then darnit!!

My main symptoms are burning pain in lower right side, lots of gas, bloating, nausea, and either diarrhea or constipation. It is SUPER LOUD and people always ask me if I'm hungry because that area just makes a ton of noise. It's so embarrassing.

Right now, I'm not in a diarrhea phase at all but I was only diagnosed with it a few years ago because my diarrhea got out of hand. I thought I might have c diff again even though it felt a little different (no fever which is a hallmark sign for me). My doctor told me to start vancomycin again since I always have a supply at home. I do well on it symptom wise and it gets rid of c diff every time for me. My doctor has even offered that as my main treatment and said he keeps patients on vancomycin long term.

Anyway, it was coming up on my yearly scope time around that event so he did a scope (and poop swab) and found that there wasn't any c diff bacteria in my colon but that my IC valve was totally gone and that there was a straight shot between my small intestine and colon. Just looked like a big hole. This can cause either constipation or "dumping" and alternate back and forth for patients. I take a mixture of things to help keep me regular and also things to thicken up my stool if needed.

Feel to free to email me if you need to. It's in my profile. Not sure how much of this would be relevant to your situation but I hope you can find an answer.
Joanna, 27
Diagnosed w/ proctitis 2006, spread to pancolitis, appendicitis, and ileocecal valve syndrome
Meds:100 mg Simponi, 25 mg imuran, 21 mg nicotine patch
Bone Supplement, Mag Citrate, VSL, Vit C, Oral Iron/Venofer

Diet: meat, eggs, broth, dairy, nuts/seeds, fruits/veggies

formerly known as bananagirl

Canaveral
Regular Member


Date Joined Aug 2016
Total Posts : 266
   Posted 6/19/2017 2:07 PM (GMT -6)   
Omg that sounds very similar to my situation Bacon Girl. The loud sounds coming from the lower right and everything.

Tell me this, when you lie on your left side, does it make your IC valve act up and rush to the bathroom? Often times when I lay on my left side my lower right quadrant goes crazy and I have to rush to the bathroom, as if the gravity is aggravating it.
28 years old
Female
Diagnosed UC Sept 2016
Current medications: Remicade, Symax Duotab

Past medications tried: Symax Duotab, Bentyl, Entocort, Asacol, Lialda, prednisone, fecal transplant

Bacon Girl
Veteran Member


Date Joined May 2011
Total Posts : 5473
   Posted 6/19/2017 7:53 PM (GMT -6)   
I think that has happened to me and it makes sense since the left side is where the end of the colon is. It's been a while since I dealt with the diarrhea aspect of this- I'm ALWAYS constipated now- but any time I am sick with food poisoning, the left side is bad for diarrhea!

During a UC flare, I can't lay in any position but perfectly still on my back. As soon as I move, I have to poop.
Joanna, 27
Diagnosed w/ proctitis 2006, spread to pancolitis, appendicitis, and ileocecal valve syndrome
Meds:100 mg Simponi, 25 mg imuran, 21 mg nicotine patch
Bone Supplement, Mag Citrate, VSL, Vit C, Oral Iron/Venofer

Diet: meat, eggs, broth, dairy, nuts/seeds, fruits/veggies

formerly known as bananagirl
New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, August 18, 2017 9:57 PM (GMT -6)
There are a total of 2,857,348 posts in 313,500 threads.
View Active Threads


Who's Online
This forum has 155109 registered members. Please welcome our newest member, Ligal.
394 Guest(s), 9 Registered Member(s) are currently online.  Details
Lioness1, MrsO, anb, journey2health, wayup, Tony Crispino, Hoagie, Girlie, ASAdvocate


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2017 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer