Anybody here have chronic constipation & pelvic floor dysfunction?

Posted by ltarashuk @ltarashuk, Mar 31, 2025

Hi,
I have slow transit constipation and have been going to pelvic floor PT and have been treated with various medication and laxatives but I feel like I am dealing with so much diarrhea it’s interfering with my daily living. I was wondering if anyone has had any success living with these issues? Thank you

Interested in more discussions like this? Go to the Digestive Health Support Group.

Profile picture for januaryjane @januaryjane

I have slow transit constipation and ibs. So I rarely have diarrhea. If you have overflow diarrhea maybe slow down on the miralax..this can cause lots of diarrhea as it is also used to prep for colonoscopies. But your issue may be different especially if you're not taking as much. But you can also cause diarrhea from doing a little too much of everything to try to get things moving. I'm not experienced as much with that area. A diet change, food sensitivity trial could be good but it can be overwhelming so I'd recommend a dietitian to help you. There are other certain diets you can try just look them up. Low fodmap diet, gluten diet, inflammation diet, ibs diet. Hope you figure something out! Remember to hydrate if you are having lots of diarrhea.

Jump to this post

All of this is so overwhelming. Do you manage yourself or do you see a doctor

REPLY
Profile picture for ltarashuk @ltarashuk

All of this is so overwhelming. Do you manage yourself or do you see a doctor

Jump to this post

I've been given tips through the years by medical professionals but I've done a lot of my own research and trial and error, figuring out my body. I do work with my gp and specialists.

REPLY

Has anyone had any experience with this and if so has anything helped you?

REPLY

If some of your constipation problems are due difficulty with relaxing the pelvic floor muscles, the best recommendation my PT made for me was a pelvic wand. It is silicone hook-shaped device that you insert through the rectum to "stretch" those muscles. It is very intimidating at first, but now I don't know what I would do without it. I bought mine through a company called Intimate Rose. Abdominal massage and a TENS unit have also been helpful for me.

REPLY
Profile picture for jlstjohn @jlstjohn

If some of your constipation problems are due difficulty with relaxing the pelvic floor muscles, the best recommendation my PT made for me was a pelvic wand. It is silicone hook-shaped device that you insert through the rectum to "stretch" those muscles. It is very intimidating at first, but now I don't know what I would do without it. I bought mine through a company called Intimate Rose. Abdominal massage and a TENS unit have also been helpful for me.

Jump to this post

Thank you for the suggestion. I bought some rectal dilators from that company based on my physical therapist suggestion but not helping. I am going to inquire about the wand. I am very happy to hear it’s helping you. Thank you again for your suggestion.

REPLY

Hi, I am still having so much trouble with overflow diarrhea to the point I can’t leave the house. My doctor keeps increasing and adding more laxatives. Now I am waking up at 2 am and going all day until bed time at 10 pm. I am exhausted, losing weight and my hemorrhoids are bleeding. I don’t know what to do…

REPLY
Profile picture for ltarashuk @ltarashuk

Hi, I am still having so much trouble with overflow diarrhea to the point I can’t leave the house. My doctor keeps increasing and adding more laxatives. Now I am waking up at 2 am and going all day until bed time at 10 pm. I am exhausted, losing weight and my hemorrhoids are bleeding. I don’t know what to do…

Jump to this post

Has your dr mentioned trying the Interstim? It suppose to help with urinary as well as fecal incontinence. I’m scheduled for the trial period at the end of June. Wishing you the best.

REPLY
Profile picture for margaretsmith328 @margaretsmith328

Has your dr mentioned trying the Interstim? It suppose to help with urinary as well as fecal incontinence. I’m scheduled for the trial period at the end of June. Wishing you the best.

Jump to this post

Thank you. I have not. The Pelvic floor PT has helped with fecal incontinence and I haven’t had any in 2 months. I just can’t stop the overflow diarrhea that happens every weekend. Thank you and best of luck to you.

REPLY

Has anyone suggested you’re dehydrated? Being dehydrated means you’re constipated or you have loose stools. The rule of thumb is half your body weight in ounces plus more if you sweat. I am 104 lbs and drink a minimum of 52 oz daily. And if you drink coffee or alcohol, for every cup of coffee, drink a cup of water and for every glass of alcohol, drink a glass of water. Be sure to also eat plenty of fiber with fruits and vegetables. Add electrolytes to your water which also helps to hydrate you.
Best to you.

REPLY
Profile picture for Joanne Narna @mothermary1

The most recent drug for constipation is IBSRela. I have severe motility so absolutely nothing works for me but when a new drug hits the market my Gastro reaches out.
My regimen is pretty severe and my doctor in Atlanta wants me to go to Mayo.

The problem is everyone on here says you can’t get an appointment for years. I want to see if they can figure me out before I decide on a total colectomy. I’ve been dealing with this for 5 years and I’ve been very lucky but my regimen won’t last forever as it’s extensive now to be able to go twice a week.

Jump to this post

I got in within a month. I filled out the form on line and all they care about is your insurance….. yes, I got into a urogynocologist and gastrointestinal doc. I flew to MSP and caught Groome Transportation to Centerstone Plaza (best busses to and from clinics and ask for the mayo rate.). This is your easiest route. DO NOT WAIT FOR YOUR DOC TO DO A REFERRAL. I made that mistake. they take all insurance other than Medicare advantage. DO IT! I will not go anywhere else now. I’m set for the Medtronic tiny interstim device in Sept. I could have done it in July. I have been to Mayo for osteoarthritis and hand surgeries, triple hernia repair in March this year, feet issues solved. Knee issue solved with persistence and a shot in the bursa sac of my knee. Colonoscopy that ended in the surgery room. The hospital was heavenly and I never ever see an employee unhappy…….. GO GO GO! Twigs restaurant attached to Centerstone is awesome. One now friend I met there stayed at Centerstone for 7 months for cancer treatments. The you cannot get an appt for years is baloney. Go to Rochester. Phoenix is harder to get into and Rochester has the most doctors. 1000…………….

REPLY
Please sign in or register to post a reply.