Problem with Chronic constipation

Posted by bb03 @bb03, Feb 1, 2021

I have a history of hypothyroidism, severe endometriosis/treatment was a hysterectomy 17 years ago.I also have a hx of IBS. My thyroid hormone levels are stable. I eat like a rabbit(I poop like one too, LOL!!!!!!). I eat a large amount of fiber and drink almost every hour(nonalcholic).ONly prescription drugs I take are armour thyroid and my estrogen/prosterone troche. I make a coconut bread and I add psyllium husks,flax seed and chia seed to it. I eat it practically every am. I also eat a spinach salad for lunch daily with nuts and yogurt and eat a lean meat and veggie and more coconut bread at night. I do one cheat meal with a cheat dessert once per week. I am relatively active for my age of 60. I've been to a gastroenterologist and we have tried Linzess which didn't help at all. I take miralax, and a Super Cleanse tab one per day which has herbs to soften the stool and to stimulate the bowel and It barely works. I am at a loss. I have not tried Montegrity yet. I don't know if it will be helpful and the side effects scare me. I had a CT of my abdomen and it was ok, no obstructions. The gastroenterologist that I go to practically accused me of abusing laxatives. I would be impacted if I didnt use the miralax and the Super Cleanse. Diet/water and activity do not help. I had diarrhea from my late teens to the age of 36 when my intestines out of the blue just shut down completely. I was diagnosed with hypothyroidism, I was put on Synthroid but the constipation didn't go away. So if there is any gastroenterologist out there that can help me, please let me know.I feel defeated and worry about my health.

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Profile picture for reillyg1013 @reillyg1013

Not sure Joe about the tea, may work. As far as the licorice goes, regular twizzlers or licorice , doesn’t seem to work as well as the Australian - this one is very strong- shaped in short logs. I can’t say I know the percentage because I take it out of bag and put into an airtight jar whenever I purchase. One other person on Connect commented awhile ago that she has found it on Amazon. I tried Swedish black licorice, which also works, so give it a try. I’d love to know if you have any luck with the tea.

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@h8bigbiz regular Twizzlers is not pure licorice - it has some licorice content, but in essence it it candy (or a “sweet” if you are British). The “Australian licorice” that @reillyg1013 is referring to is, I believe, the pure licorice which is medicinal. You may be able to find pure licorice in health food stores.

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Profile picture for anna17X0X @anna17xox

I don't know what's going on with my digestion ,I have been chronically constipated since December so it's been 4 months. I am always gassy and the smell has been very foul so I've been scared and embarrassed to be around people lately because of how bad it smells, when I've tried to poop only gas comes out most of the time, sometimes my stomach feels stiff and I start to feel lethargic. And I've tried almost everything digestive drinks like meta Mucil, eating more fiber i live an active lifestyle and I drink plenty of fluids and water. I recently had an appointment with my pediatrician about this she made me do colon cleansing for a day . And take Miralax for a minimum of 3 weeks. My stools were watery during the cleansing but after a couple days it feels like my stool is going back to being hard and stubborn. I still don't poop completely sometimes and I'm still gassy but it's not smelly like it was before. She said I can stop taking Miralax when i feel like my stools are going back to normal after a few days or weeks and it's been a week or two and a few days. I know I still need to wait one more week but my follow-up appointment is next Wednesday. The Miralax seems like a temporary fix, I feel like it'' never go away the worst part is I cant figure out what the cause is. I don't think it's IBS because I heard IBS involves bloody stools and stomach cramps I don't have bloody stools and I don't think I get stomach cramps . It just feels like have some other serious digestive problem or something I don't really know. I don't want to be constipated for the rest of my life I feel miserable, my pediatrician said if the Miralax doesn't work as intended I may have to see a gastroenterologists.Has anyone or is anyone dealing with chronic constipation ?,does it or did it ever go away ? and has anyone been experiencing the same symptoms as me ?.Do you have any recommendations on how they treat their constipation ?

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And now for a contrarian take -- it is something to consider and may mean that some fiber doesn't move well through your specific colon or that there is an optimum amount of fiber and if you exceed that, it is counterproductive...Or that there is a subset of constipation sufferers that benefits from a low fiber diet. The lead author did his fellowship at Cleveland Clinic in Florida.

World J Gastroenterol. 2012 Sep 7; 18(33): 4593–4596.
Published online 2012 Sep 7. doi: 10.3748/wjg.v18.i33.4593
PMCID: PMC3435786
PMID: 22969234
Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms

Kok-Sun Ho, Charmaine You Mei Tan, Muhd Ashik Mohd Daud, and Francis Seow-Choen

AIM: To investigate the effect of reducing dietary fiber on patients with idiopathic constipation.

METHODS: Sixty-three cases of idiopathic constipation presenting between May 2008 and May 2010 were enrolled into the study after colonoscopy excluded an organic cause of the constipation. Patients with previous colon surgery or a medical cause of their constipation were excluded. All patients were given an explanation on the role of fiber in the gastrointestinal tract. They were then asked to go on a no fiber diet for 2 wk. Thereafter, they were asked to reduce the amount of dietary fiber intake to a level that they found acceptable. Dietary fiber intake, symptoms of constipation, difficulty in evacuation of stools, anal bleeding, abdominal bloating or abdominal pain were recorded at 1 and 6 mo.

RESULTS: The median age of the patients (16 male, 47 female) was 47 years (range, 20-80 years). At 6 mo, 41 patients remained on a no fiber diet, 16 on a reduced fiber diet, and 6 resumed their high fiber diet for religious or personal reasons. Patients who stopped or reduced dietary fiber had significant improvement in their symptoms while those who continued on a high fiber diet had no change. Of those who stopped fiber completely, the bowel frequency increased from one motion in 3.75 d (± 1.59 d) to one motion in 1.0 d (± 0.0 d) (P < 0.001); those with reduced fiber intake had increased bowel frequency from a mean of one motion per 4.19 d (± 2.09 d) to one motion per 1.9 d (± 1.21 d) on a reduced fiber diet (P < 0.001); those who remained on a high fiber diet continued to have a mean of one motion per 6.83 d (± 1.03 d) before and after consultation. For no fiber, reduced fiber and high fiber groups, respectively, symptoms of bloating were present in 0%, 31.3% and 100% (P < 0.001) and straining to pass stools occurred in 0%, 43.8% and 100% (P < 0.001).

CONCLUSION: Idiopathic constipation and its associated symptoms can be effectively reduced by stopping or even lowering the intake of dietary fiber.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3435786/

REPLY
Profile picture for reillyg1013 @reillyg1013

Not sure Joe about the tea, may work. As far as the licorice goes, regular twizzlers or licorice , doesn’t seem to work as well as the Australian - this one is very strong- shaped in short logs. I can’t say I know the percentage because I take it out of bag and put into an airtight jar whenever I purchase. One other person on Connect commented awhile ago that she has found it on Amazon. I tried Swedish black licorice, which also works, so give it a try. I’d love to know if you have any luck with the tea.

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Can you advise what brand of black licorice you purchase on Amazon? Would like to give it a try.

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Profile picture for rashida @rashida

@h8bigbiz regular Twizzlers is not pure licorice - it has some licorice content, but in essence it it candy (or a “sweet” if you are British). The “Australian licorice” that @reillyg1013 is referring to is, I believe, the pure licorice which is medicinal. You may be able to find pure licorice in health food stores.

Jump to this post

Thanks, Rashida; I found some licorice root extracts on Amazon and ordered some; I'll try to post if it helped or not.

REPLY
Profile picture for researchmaven @researchmaven

And now for a contrarian take -- it is something to consider and may mean that some fiber doesn't move well through your specific colon or that there is an optimum amount of fiber and if you exceed that, it is counterproductive...Or that there is a subset of constipation sufferers that benefits from a low fiber diet. The lead author did his fellowship at Cleveland Clinic in Florida.

World J Gastroenterol. 2012 Sep 7; 18(33): 4593–4596.
Published online 2012 Sep 7. doi: 10.3748/wjg.v18.i33.4593
PMCID: PMC3435786
PMID: 22969234
Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms

Kok-Sun Ho, Charmaine You Mei Tan, Muhd Ashik Mohd Daud, and Francis Seow-Choen

AIM: To investigate the effect of reducing dietary fiber on patients with idiopathic constipation.

METHODS: Sixty-three cases of idiopathic constipation presenting between May 2008 and May 2010 were enrolled into the study after colonoscopy excluded an organic cause of the constipation. Patients with previous colon surgery or a medical cause of their constipation were excluded. All patients were given an explanation on the role of fiber in the gastrointestinal tract. They were then asked to go on a no fiber diet for 2 wk. Thereafter, they were asked to reduce the amount of dietary fiber intake to a level that they found acceptable. Dietary fiber intake, symptoms of constipation, difficulty in evacuation of stools, anal bleeding, abdominal bloating or abdominal pain were recorded at 1 and 6 mo.

RESULTS: The median age of the patients (16 male, 47 female) was 47 years (range, 20-80 years). At 6 mo, 41 patients remained on a no fiber diet, 16 on a reduced fiber diet, and 6 resumed their high fiber diet for religious or personal reasons. Patients who stopped or reduced dietary fiber had significant improvement in their symptoms while those who continued on a high fiber diet had no change. Of those who stopped fiber completely, the bowel frequency increased from one motion in 3.75 d (± 1.59 d) to one motion in 1.0 d (± 0.0 d) (P < 0.001); those with reduced fiber intake had increased bowel frequency from a mean of one motion per 4.19 d (± 2.09 d) to one motion per 1.9 d (± 1.21 d) on a reduced fiber diet (P < 0.001); those who remained on a high fiber diet continued to have a mean of one motion per 6.83 d (± 1.03 d) before and after consultation. For no fiber, reduced fiber and high fiber groups, respectively, symptoms of bloating were present in 0%, 31.3% and 100% (P < 0.001) and straining to pass stools occurred in 0%, 43.8% and 100% (P < 0.001).

CONCLUSION: Idiopathic constipation and its associated symptoms can be effectively reduced by stopping or even lowering the intake of dietary fiber.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3435786/

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This makes sense. They know that not only will fiber not work but will add to constipation if not enough water is consumed. And I saw here on this site that it is thought that some people's bodies just do not process the water they drink correctly, that too much goes into the bladder only, not enough into the intestinal tract. (I think this is my case.)

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Profile picture for h8bigbiz @h8bigbiz

Thanks, Rashida; I found some licorice root extracts on Amazon and ordered some; I'll try to post if it helped or not.

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@h8bigbiz i have heard it is excellent for the stomach, but I can’t stand the taste! I gag on licorice - even the candy variety! That and peppermint in any form just won’t go down my throat! 😀

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Profile picture for rashida @rashida

@h8bigbiz i have heard it is excellent for the stomach, but I can’t stand the taste! I gag on licorice - even the candy variety! That and peppermint in any form just won’t go down my throat! 😀

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Lol, I can't stand the taste of licorice either but am going to try it. It's interesting what you said about peppermint: I love it but am allergic to it, gives me mouth and tongue sores.

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Profile picture for anna17X0X @anna17xox

I don't know what's going on with my digestion ,I have been chronically constipated since December so it's been 4 months. I am always gassy and the smell has been very foul so I've been scared and embarrassed to be around people lately because of how bad it smells, when I've tried to poop only gas comes out most of the time, sometimes my stomach feels stiff and I start to feel lethargic. And I've tried almost everything digestive drinks like meta Mucil, eating more fiber i live an active lifestyle and I drink plenty of fluids and water. I recently had an appointment with my pediatrician about this she made me do colon cleansing for a day . And take Miralax for a minimum of 3 weeks. My stools were watery during the cleansing but after a couple days it feels like my stool is going back to being hard and stubborn. I still don't poop completely sometimes and I'm still gassy but it's not smelly like it was before. She said I can stop taking Miralax when i feel like my stools are going back to normal after a few days or weeks and it's been a week or two and a few days. I know I still need to wait one more week but my follow-up appointment is next Wednesday. The Miralax seems like a temporary fix, I feel like it'' never go away the worst part is I cant figure out what the cause is. I don't think it's IBS because I heard IBS involves bloody stools and stomach cramps I don't have bloody stools and I don't think I get stomach cramps . It just feels like have some other serious digestive problem or something I don't really know. I don't want to be constipated for the rest of my life I feel miserable, my pediatrician said if the Miralax doesn't work as intended I may have to see a gastroenterologists.Has anyone or is anyone dealing with chronic constipation ?,does it or did it ever go away ? and has anyone been experiencing the same symptoms as me ?.Do you have any recommendations on how they treat their constipation ?

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Disclaimer: This is only my experience. I choose going natural. I have used organic, integrative, functional, holistic Naturopathic doctor's advice along with my MD’s since the early 1980's.
Good luck. I have tried laxatives and they are not consistent and have side effects like bloating, etc. And all say for occasional use. They disrupt the system if take continuously. I liked a response from a co-redundant colon person: “It’s physical” so regular constipation suggestions may not work.
Last Dec the doc had me do non sedated colonoscopy. He could get through the colon as I watched on TV. I had had a baby years ago so figured I could stand it - no big deal. Most people in world don't get put out. Very interesting and it helped allow the scope to get through because I relaxed. Look up Osmotic gradients and Migrating motor complex and consider your electrolyte balance. OptiMag and K2+ Potassium are great supps and be sure to include prunes, squash, sweet potatoes, rhubarb etc in your diet. I like to soak ground 2T chia and 2 T flax seeds in prune juice overnight, then take half in the morning and half at night. Throw sugar out, processed and refined foods and drink lot of water starting with a quart of hot water in the morning - boyscouts. Coffee and Smooth Move are my back ups. I don't like coffee but it usually works. Thankfully I only need it a few times a month. Good luck, @farmersmith

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Profile picture for h8bigbiz @h8bigbiz

This makes sense. They know that not only will fiber not work but will add to constipation if not enough water is consumed. And I saw here on this site that it is thought that some people's bodies just do not process the water they drink correctly, that too much goes into the bladder only, not enough into the intestinal tract. (I think this is my case.)

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h8bigbiz -- Regarding too much water being diverted to the bladder, do you find this the case with milk, soups, hot cereals, smoothies and other meals can that be made liquidy? Does their water divert quickly too?

REPLY
Profile picture for anna17X0X @anna17xox

I don't know what's going on with my digestion ,I have been chronically constipated since December so it's been 4 months. I am always gassy and the smell has been very foul so I've been scared and embarrassed to be around people lately because of how bad it smells, when I've tried to poop only gas comes out most of the time, sometimes my stomach feels stiff and I start to feel lethargic. And I've tried almost everything digestive drinks like meta Mucil, eating more fiber i live an active lifestyle and I drink plenty of fluids and water. I recently had an appointment with my pediatrician about this she made me do colon cleansing for a day . And take Miralax for a minimum of 3 weeks. My stools were watery during the cleansing but after a couple days it feels like my stool is going back to being hard and stubborn. I still don't poop completely sometimes and I'm still gassy but it's not smelly like it was before. She said I can stop taking Miralax when i feel like my stools are going back to normal after a few days or weeks and it's been a week or two and a few days. I know I still need to wait one more week but my follow-up appointment is next Wednesday. The Miralax seems like a temporary fix, I feel like it'' never go away the worst part is I cant figure out what the cause is. I don't think it's IBS because I heard IBS involves bloody stools and stomach cramps I don't have bloody stools and I don't think I get stomach cramps . It just feels like have some other serious digestive problem or something I don't really know. I don't want to be constipated for the rest of my life I feel miserable, my pediatrician said if the Miralax doesn't work as intended I may have to see a gastroenterologists.Has anyone or is anyone dealing with chronic constipation ?,does it or did it ever go away ? and has anyone been experiencing the same symptoms as me ?.Do you have any recommendations on how they treat their constipation ?

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Have had it for years. Prescribed lactulose but not that's not working any longer. Probiotics and stool softeners seems to work better.

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