Constipation! (Pain meds make it worse)

Posted by woundedbear64 @woundedbear64, Jun 18, 2023

I've been taking opioid pain medication for over thirty years now, I have had trouble with constipation as a young man, but after adding in the opioid it's gotten out of hand.
Does anyone have any good remedies for constipation, or at least stool softening?
I naturally only have a bowel movement once a week, the doctor said some people are like that, but add in rock hard stool, and constipation and you have a great deal of pain to deal with.
I think straining on the toilet is what caused my current spinal cord problems, I have two shunts, so I'm not supposed to strain, but I just can't help it, any help will be well appreciated!
Thank you.

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@woundedbear64

Awesome, thank you. That will definitely make it easier to find!

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Thanks, it sure works fine for me...

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I eat a lot of vegetables and fruit which keeps me regular. Without these i do get constipated.

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Very good advice, thank you for sharing it with me. I always wondered why my mother was always pushing, fruit on me, now I understand.

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Have you asked doctor for some medication to treat constipation.They can prescribe some constipation relieving medicine.
I also suffer from chronic constipation, and after watching for various foods, one remedy has come to my rescue
I take milk at night along with some cookies or some sweet thing to eat. I don’t know but it works for me. In the morning I feel bowel movement.It works for me.You will have to check if it’s ok for you to take milk or sweet things. For diabetes sweets are not recommended.
In general too, fluids help in relieving constipation . That said water works miraculously. Never let yourself dehydrated as it will cause your body to absorb water from your bowels, making them harder.

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Thank you for the advice!
Water is one thing I know I don't get enough of.
I was in the hospital last year for dehydration.

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After reading all the comments regarding constipation, I can see that everyone has their own recipe to become a "regular guy/gal". When I was regular, my BMs came every three to four days, but the front portion was very hard and the stool was VERY large...like an anaconda. Since I had a pain pump implanted with hydromorphone implanted about a year and a half ago, my movements have been more difficult to expel. I went to an enterologist who told me to take Miralax twice a day. That helped for a while until my stools became very loose. So, I cut back on the miralax, and the stool became reluctant again. I tried Fleets glycerine suppositories. They helped for a while until they didn't. I then tried the Laxative suppositories. They have worked, but I have to strain quite a bit for a long period of time to rid myself completely. Now, I don't even get any signal from my bowel telling me that "It's time to go". I'm thinking of just letting things go for as many days as it takes to feel the urge. I'm just fearful that my stool will be extremely hard. Oh, I just started Tramadol about a month ago. I'm sure that it has contributed to the problem along with the Hydromorphone.

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@heisenberg34

After reading all the comments regarding constipation, I can see that everyone has their own recipe to become a "regular guy/gal". When I was regular, my BMs came every three to four days, but the front portion was very hard and the stool was VERY large...like an anaconda. Since I had a pain pump implanted with hydromorphone implanted about a year and a half ago, my movements have been more difficult to expel. I went to an enterologist who told me to take Miralax twice a day. That helped for a while until my stools became very loose. So, I cut back on the miralax, and the stool became reluctant again. I tried Fleets glycerine suppositories. They helped for a while until they didn't. I then tried the Laxative suppositories. They have worked, but I have to strain quite a bit for a long period of time to rid myself completely. Now, I don't even get any signal from my bowel telling me that "It's time to go". I'm thinking of just letting things go for as many days as it takes to feel the urge. I'm just fearful that my stool will be extremely hard. Oh, I just started Tramadol about a month ago. I'm sure that it has contributed to the problem along with the Hydromorphone.

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Pelvic PT helps strengthen the diaphragm and other "down there" muscles (PT is like Kegel on steroids). This helps with constipation, incontinence, ED, bike injuries (me), prolapse, post-pregnancy, and who knows what else. I have celiac, collagenous colitis, and am 70, so a trifecta (trifecal?) of GI problems. Mine was controlled by a couple of TBSP/day of psyllium husk (fiber and feeds GI bacteria), walks, morning coffee (caffeine ramps up GI muscles), and slightly increasing my hypothyroid medicine. I got covid on a bike tour March of 2023 followed by 8 months of long covid and minimal exercise; my bowel movements looked like large elk droppings. Now, at least my GI tract is fairly normal.

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@kayabbott

Pelvic PT helps strengthen the diaphragm and other "down there" muscles (PT is like Kegel on steroids). This helps with constipation, incontinence, ED, bike injuries (me), prolapse, post-pregnancy, and who knows what else. I have celiac, collagenous colitis, and am 70, so a trifecta (trifecal?) of GI problems. Mine was controlled by a couple of TBSP/day of psyllium husk (fiber and feeds GI bacteria), walks, morning coffee (caffeine ramps up GI muscles), and slightly increasing my hypothyroid medicine. I got covid on a bike tour March of 2023 followed by 8 months of long covid and minimal exercise; my bowel movements looked like large elk droppings. Now, at least my GI tract is fairly normal.

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Thanks for the reply. Sounds like you have a good GI regimen going. Unfortunately, I am in such intractable pain that doing any kind of exercising or walking is virtually impossible. I have read the psyllium husk is supposed to help get things going. I am going to try and up my intake of Metamucil and see if that helps. I guess psyllium husk will be my next option. Tired of spending fifteen minutes on the toillet waiting for thing to get moving.

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@heisenberg34

Thanks for the reply. Sounds like you have a good GI regimen going. Unfortunately, I am in such intractable pain that doing any kind of exercising or walking is virtually impossible. I have read the psyllium husk is supposed to help get things going. I am going to try and up my intake of Metamucil and see if that helps. I guess psyllium husk will be my next option. Tired of spending fifteen minutes on the toillet waiting for thing to get moving.

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Psyllium husk is the "active" ingredient in Metamucil. It is good for bulking things up, and it is also good to hydrate a lot (I think Metamucil underestimates how much water/electrolyte to drink). Having a screwed up GI tract is a pain(s).

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Magnesium citrate powder in water or baking soda and you will go in an hour or so.

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