Constipation? And laxatives?

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Regular Member

Date Joined Jul 2007
Total Posts : 32
   Posted 10/26/2008 10:02 AM (GMT -6)   
Hi Again,

So I was finally referred to a GI here in England, and I saw him on Friday. He believed I was quite constipated (he did an x-ray to check) and suggested that all my pain was due to that. So he suggested I take a gentle laxative to clear things out. In the meantime he'd arranged for a sigmoidoscopy (within the next three months) to look further at my left side to see if there was inflammation there at a later date. I had been taking Prednisone enemas and so the lowest portions that he was able to see at the appointment looked perfectly healthy. He also wanted me to come off of the NSAID and Codine pain pills that I had, and just to use normal paracetemal. Two GIs that I have seen now have told me that these attacks that I have which are associated with a lot of pain and the need to go to the washroom are not related to UC. But I don't think it could be from anything else, I was bleeding when this all started.

I did as he suggested and took the laxative, and when that "worked" I definitely was cleared out, but have never been in that much pain before. It was agonizing, and after it was all done I could actually feel a good amount of pain in my left side there, and of course there was again bright red blood at the end. This leads me to believe that there's still some inflammation in my left side that the prednisone can't reach.

I've never had problems with constipation before, so for me this is somewhat troublesome. I'm also a little concerned at how readily the GI told me to take a laxative and just see what happens. He said something like "We can't treat the UC when you are constipated, for reasons I can't explain to you."

I guess my question to you all is would you push to get back in to see the doctor again and explain what happened when I took the laxative? And maybe get that scope done sooner, because I'm concerned that maybe this is more of a slight blockage than just constipation. My only other thought was to try and control it on my own with foods that have a little more fibre and can help act as a natural source of roughage.

As always, any thoughts or ideas would be welcome.

Thanks so much.
22 years old
Diagnosed with Distal Colitis June 26/07 after colonoscopy
8 Salofalk 500mg pills daily
1 Salofalk enema every other day
1 Cortifoam enema every other day
1 Proferrin Iron supplement, Fish oil, and 2 Florastor probiotics daily

Forum Moderator

Date Joined Mar 2003
Total Posts : 10407
   Posted 10/26/2008 11:19 AM (GMT -6)   
I'd suggest that the constipation probably was contributed to by the codeine. Opiates are notorious for causing bad constipation. Your pain and bleeding may be simply from getting the hard stool out of you. I'd give it a few days to see if it clears up on its own, if not call the doctor. Be sure you're drinking a lot of non-caffeinated fluids; the most common cause of constipation overall is inadequate fluid intake. The more fiber you eat, the more fluids you need to keep things moving smoothly.

Hope you're better soon.
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from Entocort.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
"My life is an ongoing medical adventure"
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.

Veteran Member

Date Joined Jun 2008
Total Posts : 2865
   Posted 10/26/2008 11:42 AM (GMT -6)   

My husband has chronic constipation and doctor prescribed fiber like Metamucil and a stool softener - no laxative.


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
10/3/2008 - agreed to try one Lialda every other day and one Canasa every day due to my sensitivity to all medications and side effects. Colonoscopy 10/28 to reaccess. Taking Reglan now for nausea, etc.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol

Veteran Member

Date Joined Mar 2007
Total Posts : 679
   Posted 10/26/2008 11:51 AM (GMT -6)   
I agree with Judilyn, codine was most likely the culprit...most prescription pain pills cause constipation, which is why after surgery they will also prescribe laxitives and stool softeners with pain pills.


Diagnosed with Ulcerative Colitis January 2007
Meds: Mesaamaline (sp) Retention Enemas, herbal meds in the search to regain full health.

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