I have just started taking Amitiza. I had read all of the Amitiza horror stories online and decided that I did not want to be one. So I thought about the experiences of other people and tried to figure out the cause.
Amitiza works by pulling water out of your body and dumping it into your intestines. In order to maintain your body's metabolic function you need to consume at least 1/2 your body weight (weight in pounds) in ounces of water. Logically, you will need to consume more than that to prevent the symptoms of dehydration.
It says to take it with food to prevent nausea. At first I tended to overeat to prevent symptoms. While that prevented sypmtoms, it also caused excess waste that aggravated my already bloated and impacted intestines. I cut my food intake down to 1 serving of fruit, 1 yogurt, and 1 Metamucil Fiber Wafer serving (total calories about 220). I also drank about 8 oz of water. No nausea. For dinners, when I take my 2nd pill I eat about 5 oz of meat and 2 servings of veggies. No nausea. Lunch, I try to eat a salad with oil and vinegar dressing or one of the Healthy Choice or Lean cuisine meals with veggies. Lower volume of food equals less volume in the intestines.
To overcome the blockage that has been in my system for idk ever, I scheduled 3 sesssions of hydro-colon-therapy (hydro-colonic) with a licensed and state certified colonist. Let's just say that one session had more than 5 pounds of waste and gas. I feel wonderful today and I had bowel movements without pain and discomfort for the first time in years. I think they were even fairly close to a "normal" consistency. I think I may have finally unblocked!
I make time to work out about 5 days a week for a half hour to one hour each session. Jogging and walking are known to relax the abdominals. If I feel like I have cramping during the day I take a quick walk and most times it allievates the cramping. Sometimes it leads to a bathroom session, and that too relieves the cramping. Sometimes a bit of an abdominal massage is needed too.
I have been doing most of this stuff before Amitiza and NOTHING worked. While I do get the lovely Amitiza head aches, I try to ward them off by taking ibuprofen. The side effects can be minimized if you eat right, stay hydrated, and excercise. The first normal BM is worth it.