Constipation - BAD

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journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2818
   Posted 10/5/2017 9:20 AM (GMT -7)   
Ever since my colonoscopy prep, one a month ago, one six weeks ago, I haven't been able to have a bowel movement -- only with Milk of Magnesia I used once-- I'm afraid of going back to Milk of Magnesia because I will be dependent on it to go.

Any suggestions for me. I'm taking Miralax and all it does is make the stool softer but I still can't go.
Remission. Diag. pancolitis 9/09. Took pred for 4 months, then again for another six months after 4/10 flare. Flared 2014 for 2 weeks. Lialda 2.4 gm, Rowasa nightly. Calcium/mag /vitamin D, multi-vitamin. No gluten or alcohol. depression, anxiety, insomnia, ADHD: lamictal 100 mg, Zyprexa, 10 mg, ambien 2.5 mg, Lexapro 20 mg., Strattera 100 mg.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29842
   Posted 10/5/2017 9:33 AM (GMT -7)   
What do you mean makes it soft but you can't go?

What were the results of your c-scope?

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 + Genuine Health Advanced Gut Health 15 billion @ 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 !!

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2818
   Posted 10/5/2017 9:38 AM (GMT -7)   
showed very very mild inflammation and doctor dropped my Lialda from 4.8 gm to 2.4 gm. No dysplasia. The first med adjustment in 8 years. It was a poor prep because of my constipation.

The bowels just won't move.
Remission. Diag. pancolitis 9/09. Took pred for 4 months, then again for another six months after 4/10 flare. Flared 2014 for 2 weeks. Lialda 2.4 gm, Rowasa nightly. Calcium/mag /vitamin D, multi-vitamin. No gluten or alcohol. depression, anxiety, insomnia, ADHD: lamictal 100 mg, Zyprexa, 10 mg, ambien 2.5 mg, Lexapro 20 mg., Strattera 100 mg.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29842
   Posted 10/5/2017 10:37 AM (GMT -7)   
Can you add fibre supplement? How is your diet?
On rectals?

Some meds can cause slowing down of the digestive tract...have you added anything else recently?

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 + Genuine Health Advanced Gut Health 15 billion @ 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 !!

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2818
   Posted 10/5/2017 3:45 PM (GMT -7)   
No, it didn't happen until I had the preps (2) I failed the first one and had to reschedule my colonsocopy. It still came out unclean because the first one had screwed me up.

I was going every three days up until then. Yes, I do rectals about 5 times a week.

I eat a vegetable and fruit smoothie for breakfast and lunch and have a regular dinner with vegetables.

Having to go back on Miralax. Won't do other laxatives. Will become dependent on having my bowels contract with laxative.
Remission. Diag. pancolitis 9/09. Took pred for 4 months, then again for another six months after 4/10 flare. Flared 2014 for 2 weeks. Lialda 2.4 gm, Rowasa nightly. Calcium/mag /vitamin D, multi-vitamin. No gluten or alcohol. depression, anxiety, insomnia, ADHD: lamictal 100 mg, Zyprexa, 10 mg, ambien 2.5 mg, Lexapro 20 mg., Strattera 100 mg.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29842
   Posted 10/5/2017 4:25 PM (GMT -7)   
Have you talked to your doc about it? Are you having cramping and gas?

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 + Genuine Health Advanced Gut Health 15 billion @ 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 !!

imagardener2
Veteran Member


Date Joined Jan 2010
Total Posts : 5600
   Posted 10/6/2017 5:26 AM (GMT -7)   
Since you are already using Rowasa nightly (per your sig.) my only advice is to take insoluble fiber out of your diet. Things like potato skins, nuts including nut butters, whole wheat anything, no fruit skins including blueberries, apples, peaches, etc, no potato chips or Doritos or anything similar.

What gets my gut moving if this happens is cooked spinach, small amounts daily, cooked carrots, lots of chicken broth, lots of healthy oils for lubrication. I'd feel so miserable that probably go liquid diet for a day or 2.

That is a really long time for no BM's and I'd call my GI for advice about getting an Xray.
Also I'd use MoM in this case and not worry about being dependent, just get things going and work out what the problem was later. I suspect your RX change is the reason, perhaps increased inflammation.

IamCurious
Veteran Member


Date Joined Jan 2010
Total Posts : 3071
   Posted 10/6/2017 6:43 AM (GMT -7)   
The active ingredient in Miralax is Polyethylene glycol (PEG), a polyether compound with many applications from industrial manufacturing to medicine. There are questions of safety ingesting a chemical closely related to chemicals in industrial manufacturing:
/www.webmd.com/children/news/20150106/laxative-ingredient-investigated

I agree with Ima about not being afraid of Milk of Magnesia. The active ingredient is magnesium hydroxide which can be used as a magnesium supplement since most people are deficient in magnesium. The liquid form might be better because the tablets contain extra ingredients such as maltodextrin. I myself cannot take the liquid either because it contains sorbitol (which most people don't have a problem but it bothers me).

I also agree about discussing an X-Ray with your G.I. BTW MoM is also a natural antacid for heartburn. As far as your constipation goes, besides MoM have you tried supplementing with soluble fiber, such as psyllium (Metamucil), or Citrucel? You will find soluble fiber in many of our signatures.
Male, born 1951, DX IBD Feb08. No meds, allergic to Mesalamine. Food diary instead of SCD or Paleo.
When needed VSL#3DS sprinkled over powdered psyllium seed is very helpful.

Lactobacillus Reuteri (NCIMB 30242), Culturelle, Saccharomyces boulardii.
Fish oil, curcumin, extra D3, magnesium, multivitamin, glutamine when gut repair needed.

Resistant Starch and lots of fruit & vegetables (but no cruciferous), No Gluten, no soda, no HFCS, no xylitol or sorbitol, no trans fat, no shellfish, no carrageenan, no GMO foods saturated with Roundup.
Nature created all of the locks, therefore Nature has all of the keys

quincy
Elite Member


Date Joined May 2003
Total Posts : 29842
   Posted 10/6/2017 9:44 AM (GMT -7)   
Metamucil is both soluble and insoluble....you really should have both in foods and supplements.
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 + Genuine Health Advanced Gut Health 15 billion @ 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 !!

Connor77
Regular Member


Date Joined Jul 2016
Total Posts : 362
   Posted 10/6/2017 11:36 AM (GMT -7)   
I don't see any probiotics listed in your list of meds.

Colonoscopy prep completely obliterates the bowel flora, wiping out a lot of the probiotics. This can lead to constipation.

I recommend a high count probiotic, or doing home made milk or water kefir. You can try adding fiber but without a good probiotic it might not really solve the problem on its own. In your case I'd even recommend doing rectal probiotics.

Jane123
Regular Member


Date Joined Jul 2005
Total Posts : 407
   Posted 10/7/2017 9:49 AM (GMT -7)   
I had the same issue after my colonoscopy this year. I've had increasing constipation over the past five years or so, and UC for about 13 years. I also have a tortuous, or redundant, colon, meaning my colon is longer than most, and has many more loops and twists in it. After my colonoscopy this year I didn't have a BM for about 5 days which seemed to suggest to me that my transit time is extremely slow, and I was generally walking around with a lot of digested food in my colon, resulting in bloat and just a generally gross feeling.

I mentioned this to my GI and he suggested I take docusate sodium, sometimes sold as Colace, and methylcellulose, sometimes sold as Citrucel, daily after my biggest meal. Along with lots of water and lots of dietary fiber (I try to eat lots of fiber and probiotics daily - kefir, sauerkraut, beans, chia, veggies, etc.), it has helped, though I still have increased constipation sometimes which I'm pretty sure is related to my menstrual cycle - ovulation is the worst.

Anyways, GI said there's no risk of dependency (I sincerely hope he's right about this...), and I've been so happy to find some relief. It has also felt pretty gentle. Though, if you try this, I would recommend staying on top of your hydration/electrolytes because I think the docusate sodium can mess with that.

Hope this helps! UC flares are awful, but constipation is a serious bummer too smile

Jane

journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2818
   Posted 10/7/2017 1:15 PM (GMT -7)   
Thanks for all your suggestions!

Ellen
Remission. Diag. pancolitis 9/09. Took pred for 4 months, then again for another six months after 4/10 flare. Flared 2014 for 2 weeks. Lialda 2.4 gm, Rowasa nightly. Calcium/mag /vitamin D, multi-vitamin. No gluten or alcohol. depression, anxiety, insomnia, ADHD: lamictal 100 mg, Zyprexa, 10 mg, ambien 2.5 mg, Lexapro 20 mg., Strattera 100 mg.
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