Something new? - Bowel Movement talk - BEWARE

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Denda
Regular Member


Date Joined Jun 2006
Total Posts : 329
   Posted 6/6/2007 10:22 AM (GMT -7)   
Hi All -
 
OK - I'm filling out some paperwork and of course the old any bowel or urinary issue question comes up.  And it specifically states diarrhea or constipation.  I have a different type of problem.  I really don't think it's constipation, but tell me what you think. 
 
I know I have to have a bowel movement and about half of the time, the transaction takes place successfully with no issues. :o)  But the other half of the time it's like I can start to have the bowel movement and it starts fine but stops in the middle of the transaction and my 'colon/renal' muscles can no longer push it out.  So I sit... and wait... trying to get my muscles to do something, I'm not straining or anything like that, I can try to push but nothing happens, it's like the power just went out down there and I have to wait for it to come back on to finish.  Sometimes, it doesn't and I'm squirming around on the bowl (sorry, hope I'm not too descriptive here) trying to get it done w/o the muscles helping.  It's not painful or anything just REALLY annoying, especially when I'm in a hurry! ;o)
 
Has anyone had this and how do I classify it?  I don't know why I haven't thought of this issue before with my symptom list.  This has been going on for about the last 2 - 3 years for me and even with all that has been going on with me, I never thought it might be a symptom here.
 
Thanks for your input.
I not only use all the brains that I have, but all that I can borrow.
  Author: Woodrow Wilson (1856-1924), 28th U.S. President


rhondab
Veteran Member


Date Joined Mar 2006
Total Posts : 2146
   Posted 6/6/2007 10:31 AM (GMT -7)   
Hey Denda

Wow..u poor thing. I"m sorry...that seems like a awful place to find u'rself. I can't say i've had it happen, but i'm wondering...do u still feel the need to go after the lights go out there? I mean the urge? I'm wondering if waiting for a while after that happens...getting up and walking...would help at all. Maybe give u'rself a break and wait for things to come on again. I imagine that's a pretty tough thing to consider doing, but maybe better than sitting and working on it. I can tell u for sure that it's not good for u'r body to sit over the bowl like that for too long. Take it from someone who's had the probs before...u DON"T want to end up with hemorroid issues. By the way...i love u'r description..."transaction" hahahahaha Very funny and cool way to put it! Please do let us know how u are on this. I know it's a personal thing for u, but it's all ok here; we all experience these things too.
rhonda
Co-Moderator, MS Forum
 
*~*Sometimes the Lord calms the storm. Sometimes He lets the storm rage and calms His child.*~*


uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 6/6/2007 10:49 AM (GMT -7)   
Denda said...
Hi All -
 
OK - I'm filling out some paperwork and of course the old any bowel or urinary issue question comes up.  And it specifically states diarrhea or constipation.  I have a different type of problem.  I really don't think it's constipation, but tell me what you think. 
 
I know I have to have a bowel movement and about half of the time, the transaction takes place successfully with no issues. :o)  But the other half of the time it's like I can start to have the bowel movement and it starts fine but stops in the middle of the transaction and my 'colon/renal' muscles can no longer push it out.  So I sit... and wait... trying to get my muscles to do something, I'm not straining or anything like that, I can try to push but nothing happens, it's like the power just went out down there and I have to wait for it to come back on to finish.  Sometimes, it doesn't and I'm squirming around on the bowl (sorry, hope I'm not too descriptive here) trying to get it done w/o the muscles helping.  It's not painful or anything just REALLY annoying, especially when I'm in a hurry! ;o)
 
Has anyone had this and how do I classify it?  I don't know why I haven't thought of this issue before with my symptom list.  This has been going on for about the last 2 - 3 years for me and even with all that has been going on with me, I never thought it might be a symptom here.
 
Thanks for your input.

You're right -- it's not constipation.  What it IS, is "a problem with motility" -- your description is pretty accurate -- "it's like the power just went out..."  What happens is the nerve signals to the colon, telling it to contract, are interrupted, and the colon just lies there, doing nothing.
 
Imagine a snake, moving along through the grass.  it's a constant motion, looks like it's expanding and contracting, and slithering along.  The colon is like that, as it moves fecal matter from the intestines to the outside.  And it's nerve signals that "tell" the colon to move. When they stop transmitting, the colon stops contracting, fecal matter stops moving along.
 
Obviously if the fecal matter stays inside long enough, it CAN turn into a constipation problem, but it sounds like things will "power up" at some point and you'll be able to finish, eventually.
 
So you do need to tell your doctor about it....and you can describe it as a "problem with motility".  Here's a Wikipedia definition of "motility": http://en.wikipedia.org/wiki/Motility
 
and it is a pretty common problem with lots of us with MS. Often it'll be described -- inaccurately -- as "constipation" and "diahhrea"....but those are very specific and describe other conditions..which can also occur with MS.
 
Anyway.  If your doctor has any good ideas for you as to how to overcome it, do share!  :)
...I am not a doctor, nor health professional, and don't pretend to be one, here.....


shellypoo
Veteran Member


Date Joined Dec 2005
Total Posts : 896
   Posted 6/6/2007 2:39 PM (GMT -7)   
Hi Denda,
That is what I have/had...colonic inertia which is a motility disorder.  I also hade/have a rectocele which forms a pocket that the stool sits in until you manually push it out.  That could be part of your problem.  You definately need to address that and have some tests run to see what's going on.
 
After my colectomy I am feeling better but I think the rectocele is still there.  I will see my surgeon on Monday to see what she thinks.  Even though i no longer have a large intestine I do think my small intestine is a little slow itself.
 
Keep us posted on what you find out, I'll help you in any way i can.
Michelle ><>
Co-Moderator MS forum
 

Ever stop to think, and forget to start again???



Denda
Regular Member


Date Joined Jun 2006
Total Posts : 329
   Posted 6/6/2007 6:49 PM (GMT -7)   
Thank you all for the explanation!

Motility! I was trying to remember the word for the bm -> 'fecal matter'! Goodness I can't believe I couldn't remember the real name! But the snake analogy makes alot of sense to me. When I talk to my neuro next week, I'll bring it up and see what she says and pass along the information if it's any good. Thanks Uppity!

Michelle - I was hoping you would read this, you have quite a bit of knowledge on this type of issue.

I thought more than likely this was connected, but I just wanted to check before saying something to my neuro and her saying 'that's normal'.

Rhonda - I didn't know how to say what basically Michelle just said of having to manually push it out if I could get up and walk around for a while. It definately is not something that I want to do, but if it comes down to it, I guess I'll do what I have to do. I guess I need to go back and review the book 'Everybody poops' to get comfortable with talking about all of this. :o)

Thanks again to you all!
I not only use all the brains that I have, but all that I can borrow.
  Author: Woodrow Wilson (1856-1924), 28th U.S. President


shellypoo
Veteran Member


Date Joined Dec 2005
Total Posts : 896
   Posted 6/6/2007 8:45 PM (GMT -7)   
Hi Denda,
Anyone with motility or pelvic floor dysfunction will benefit from reading this website:
 
Dr. Lahr is world reknown for helping with all kinds of female bowel problems.  I actually called his office and spoke with his nurse when i didn't nkow where to go for my surgery, they were very nice.  I opted to stay here and go to a general surgeon due to travel.  I think he's in South Carolina.  It will help to see what kinds of problems other woman have.  You just click on the left side of the page that comes up to get to the topic you want to read.
 
 
Take care.
 
Michelle ><>
Co-Moderator MS forum
 

Ever stop to think, and forget to start again???



photogirl1358
Regular Member


Date Joined Apr 2006
Total Posts : 299
   Posted 6/6/2007 9:43 PM (GMT -7)   
Denda you are so funny, I like your humor.
Your description is *exactly* what I get too.  yeah
 
You're right, its so annyoing!  Especially when I only get a 15 minute break at work... don't want to leave with the job half done!  lol....sorry!
 
I find the more constipated I am, the worse it gets.  I know I need to work on more fibre as it seems to help things move through on their own. 
 
Anyway, just wanted to let u know you're not alone.
 
Shar
 
 
 
Diagnosed with MS April 2006
Longstanding anxiety and depression
Currently on Betaseron


Denda
Regular Member


Date Joined Jun 2006
Total Posts : 329
   Posted 6/7/2007 6:23 AM (GMT -7)   
Thanks again to you all! Great Site Michelle. I'm 1/2 way through it so far.
I not only use all the brains that I have, but all that I can borrow.
  Author: Woodrow Wilson (1856-1924), 28th U.S. President

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