UC and chronic constipation

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Junipergirl68
New Member


Date Joined Sep 2008
Total Posts : 11
   Posted 9/25/2008 8:34 PM (GMT -6)   
I know that many people experience the exact opposite and are constantly going to the washroom ... However I tend to be the opposite and experience awful constipation. I just recently had a colonoscopy a month ago and then another one yesterday for my doctor to see how I was progressing. I am still very inflammed in my lower intestine and have scaring in the rectum and inflammation.
I have bleeding and lots of gas a mucus and often feel like I have to go to the WR, but then only have the gas and pains. I have had to use over the counter laxatives to get relief ... but would like to find another solution to my problem.
 
Any suggestions would be greatly appreciated blush

potty girl
Veteran Member


Date Joined Dec 2006
Total Posts : 835
   Posted 9/25/2008 9:44 PM (GMT -6)   
I dont have the same problem as you , I tend to have the D part but something I found to help with the gas is I make a tea out of basil leaves and I think that basil is a natural laxative also, It might help and doesnt taste bad. I use my coffee pot and use a teaspoon of basil per cup of water.I dont use sugar in it but my husband does. hope it helps.
Rona

synthroid .088 mg, lowpressor 50 mg x 2, cozaar 25mg x2, imdur 30 mg
nitroquick, proventol, plavix 75 mg, protonix 40 mg x 2, asacal 400mg x 9
carafate 1 gm x 4, zyrtec 10 mg, rhinocort aqua nose spray, fish oil,
potassium.


Junipergirl68
New Member


Date Joined Sep 2008
Total Posts : 11
   Posted 9/26/2008 3:32 AM (GMT -6)   
Thanks I will give it a try. I have been to the health food store and also have seen some teas that apparently have a laxative effect so I will have to read the ingredients to see if basil is one of them.

beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 9/26/2008 3:07 PM (GMT -6)   
Juniper,

I have the same problem. When I'm "healthy" I get really constipated. Because of this, for the first year or two after my dx, I didn't really believe I had UC, despie two c-scopes that said otherwise. I'm on the tail end of a flare where I finally got the typical UC symptoms, and it was night and day with my constipation. Things were flowing so freely I couldn't trust myself to pass gas without a toilet under me. I've tried many things for the constipation, but one of the biggest things for me is to stay hydrated. I live in an extremely dry place, do physical labor for a living, and dehydrate very easily. I notice that my constipation is worse when I'm lacking in fluids, so I drink lots and lots of water every day. You also might want to try metamucil of miralax to help things get moving along.

I hope you can find something that helps soon.
Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06 - currently flaring
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort retention fluid, Prednisone 15mg and tapering down


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4538
   Posted 9/26/2008 11:12 PM (GMT -6)   
Before I got UC, I often got constipated...so of course when I got UC, I could barely believe that now I have the exact opposite problem. Also, right before I got UC, I was really constipated for about a month. The only advice I've been told is to drink lots of water (when I was really constipated they told me to drink 3 liters a day) and to eat more fiber. Regular exercise can sometimes help get things moving too...even just taking a walk every day can help sometimes.

Instead of taking laxatives, I think it would be better to take stool softeners instead (not long term), if you have to take something. That's what a doctor told me to do when I had that problem. Although right after I took them a couple days in a row, the explosive never-ending "D" started, but I doubt it was related. Have you asked your doctor for suggestions?
Diagnosed with UC March 2007; Asacol 4 tablets 3x/day; Rowasa nightly; Canasa weekly; Viactiv; Metamucil wafers; multivitamin


Junipergirl68
New Member


Date Joined Sep 2008
Total Posts : 11
   Posted 9/28/2008 10:31 AM (GMT -6)   
Thanks for everyone's suggestions ... they are greatly appreciated!! :) I am really well hydrated and usually drink anywhere between 2.5 to 3.5 litres of water a day. I may have to up that though because I do workout in the mornings and maybe need more. I am also going to be upping my fibre and have added juicing of fresh veggies and fruit to the mix to see if that works. I think the idea of a stool softener is great too - don't want to have to depend on laxatives. My doctor suggested fibre slowly and said that the laxatives should help too - I know most don't believe in it because you don't want body to become dependent on them ... but not going is eve nworse for the body. I am not taking an insane amount either to help things move along ... just enough so I am not clogged up and becoming toxic!! lol

Jjc2007
Regular Member


Date Joined Apr 2007
Total Posts : 194
   Posted 9/28/2008 11:35 AM (GMT -6)   
My UC used to always show itself (in flares) with D and urgency. For the last few years, it's been the constipation and having to work hard for a BM. It scared me before I had my aneurysm repaired because I swear the pushing was going to burst the aneurysm. Anyway, what helps me is Metamucill and Collace Stool Softner. When I am not in a flare I take two of each, twice a day. When I am in a flare I take them three times a day. It seems to help. I also drink a lot of water and walk as exercise.
diagnosed with UC in 1962
regualr meds:
Asulfadine (500mg tablets, 6 daily)
Folic Acid
Zantac as needed
open heart surgery in 2005 for removal of aortic root aneurysm


iluvsunflowers15
Regular Member


Date Joined Apr 2006
Total Posts : 395
   Posted 9/28/2008 12:12 PM (GMT -6)   
I have the same problem as you. My doctor put me on Miralax, which is over the counter. It was a godsend.
Colazal 750 mg 3x3 daily
6-MP 50 mg (2) daily
Miralax-when needed
Rowasa-when needed
Been diagnosed with UC for 5 years


quincy
Elite Member


Date Joined May 2003
Total Posts : 30995
   Posted 9/28/2008 2:42 PM (GMT -6)   
Interesting that none of you remember that very low in the rectum inflammation will cause constipation. It's really a first sign of a flare coming on or the last area to heal....

Laxatives cause the colon to become ..... LAX....not what we need when having UC. The colon is very smart and takes the easy way out if it can.

One should try to add fibre supplements to encourage exercise of the digestive tract...it'll help encourage good peristalsis to keep things moving, or from becoming spasmodic.

With constipation, the colon slows down and stool becomes harder. The rectum...being inflamed...will send messages that it's not working right and slow the process of "use".

Higher in the rectum inlammation will cause a looser stool...it'll take over the reactions and rush stuff out....higher than that will cause diarrhea..much easier on the rectum from my perspective, but usually more bms, etc.

Never "ends"....but recognise that other things could be happening that will encourage us to start rectal meds and intervene on inflammation that could halt some flares very early.

Based on my experience and what I've learned from my doc and research.

quincy
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30995
   Posted 9/28/2008 2:43 PM (GMT -6)   
oh, and in saying alllllll the above, IBS can also cause constipation. Which as well shouldn't call for laxatives...increase of fibre be it through foods or supplemets will also help.

Most of us have both.

q
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!
 


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 9/28/2008 5:04 PM (GMT -6)   
Heather,

Once again, very sage advice from one smart cookie. I looked it up this time. tongue

http://dictionary.reference.com/browse/cookie, first entry, definition 3a

Thanks for your help!


Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06 - currently flaring
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort retention fluid, Prednisone 15mg and tapering down


quincy
Elite Member


Date Joined May 2003
Total Posts : 30995
   Posted 9/28/2008 6:14 PM (GMT -6)   
LOL Brandon...thanks once again...unfortunately, I'm a broken record. but, eventually it'll fix itself and I'll get on another topic..haha.

quincy
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!
 


coopville
New Member


Date Joined Oct 2008
Total Posts : 11
   Posted 10/17/2008 6:42 PM (GMT -6)   

Hi everyone, I am new to this forum.  I read Quincy's post regarding the constipation being caused by the inflamation in the rectum.  I have been using Canasa when I start to see blood and usually it will do the trick in a couple of days.  This last time, I saw blood on Sunday, started using Canasa, but by Wednesday was so constipated I was miserable.  It took me a few days, but the next Sunday I was having what I considered d and constipation and bad bleeding.  Went back to doc and I am now back on Prednisone. I had not changed my diet, been trying to eat right, take fiber, yoga, etc.  I have had a lot of stress at work for the past few weeks.  Anyway, the point I wanted to make is that my rectum has never completely felt healed since my initial UC diagnosis in November 2007.  It feels healed to a certain point, then it just doesn't seem to get any better.  I have told my GI this and he doesn't seem to have an opinion about it one way or the other.  There is especially one spot which I almost feel like I could touch  that is sore (sorry if that sounds to gross). Also when I went to the doc on Tuesday, he was concerned because he says constipation is not ususally a symptom of UC, so I was relieved to see other people have this with UC. 

I have been reading your posts since I was diagnosed last year finally decided to get on board because people who don't suffer from this have no clue what people go through.  The folks on this forum offer great advice and seem like very nice people.  I hope to be chatting with you frequently, since I don't really have anyone close to me with this problem.  Most people don't want to hear about your bowel problems. blush

Thanks everyone for all your great advice.

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