Severe Constipation

Posted by klk464 @klk464, Feb 28, 2018

I have had severe constipation for a long time. I drink lots of water and have had almost every test possible done and tried many prescription medications. These medications work for a little bit then stop. I currently take 3 docusate in morning and at night I will take 2 senna/docusate. I still dont have a daily BM. So i get bloated crampy and back pain from this.

I was told I could go to the Mayo Clinic as they may have ideas for me because they are out of options for me here.

Anyone else suffer from this?

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Profile picture for Janell, Volunteer Mentor @jlharsh

Hi @gbear1953, I am reading through your comments and must say I really do relate to your wife’s all-things-constipation. This is an absolutely exhausting process for both of you!

I understand you are at a place that surgery is your only option. I also see your comment that her issue is pelvic floor dysfunction. In another comment you described her muscles not working the correct way. I struggled addressing my constipation (and much broader) issues for some time. Once I landed with my current providers they did an anorectal manometry test with the exact results, I had coordination problems where my muscles worked backwards. I didn’t understand any of it at the time but they were adamant that nothing else would work without addressing this problem first. That set the stage for progress, slow but steady. I am doing better.

I apologize if I am asking your to repeat but I am not seeing, and certainly not wanting to minimize the severity of the challenge your wife is facing.

Have you addressed the pelvic floor dysfunction?

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Yes she is not responding to the exercise and has tried for years. She's failed that test dramatically.
Surgery is last and only hope short of Divine intervention

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Profile picture for gbear1953 @gbear1953

These suggestions are fine for maybe the vast majority but some like my wife who has suffered for decades and has tried each new medication and has gotten as far as having a stimulator implant, mere diet and enema and such are mildly helpful but her last hope is surgery short of having to wear a bag.

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Same for me!

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I've tried everything!! I have 2 or 3 BM a month! Surgery is the only thing they are talking about now... and im not ready for that at all!

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Profile picture for Champ100 @champ100

I've tried everything!! I have 2 or 3 BM a month! Surgery is the only thing they are talking about now... and im not ready for that at all!

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Hi, @champ100. What surgery are they proposing for you? In what way(s) do you feel not ready for that?

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I have short gut syndrome and if I drink a lot of water I can get constipated. Plain water doesn't absorb enough in my body so I have to have sodium and glucose in my fluids to absorb enough in my body. Some people bodies don't absorb enough water.

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Profile picture for Champ100 @champ100

I've tried everything!! I have 2 or 3 BM a month! Surgery is the only thing they are talking about now... and im not ready for that at all!

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Two or three times a month?! You must have quite a "deposit" each time. I go about twice a week and I have a large movement. I have constipation so I have tried all kinds of things. I think I have a routine that works for me(maybe not for you): Starting on day three, I add Miralax to a glass of water at night. Then, another glass of water with miralax the next morning. If I don't have any feelings of needing to go, I will insert either a glycerin suppository. That will often stimulate the bowel to go into action after about fifteen to thirty minutes. If not, then a medicated suppository will usually guarantee a movement. I had tried the miralax routine and added a glass of Metamucil daily. That made my stool to soft any runny. Perhaps this info may be of some help. I hate to see you have to go under the knife before all options have been exhausted. I wish you well!

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Profile picture for tjanet @tjanet

I have short gut syndrome and if I drink a lot of water I can get constipated. Plain water doesn't absorb enough in my body so I have to have sodium and glucose in my fluids to absorb enough in my body. Some people bodies don't absorb enough water.

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I think I'm one whose body doesn't absorb enough water. I guess there's a fairly new medical theory about it (read about here on this site): some people's bodies send too much of the water they drink directly to the bladder so you get to struggle through life with a dry intestinal tract and therefore constipation. It causes other problems as well, you're basically dehydrated so matter how much water you drink.

Last I heard, no one has come up with a cause for it yet; if I had to guess, I'd say it's a problem with the "fight or flight" process in the body. What works for me, only once in a while (but better than nothing, I guess) is to drink very warm, almost hot water very quickly. Supposedly, that activates something in the brain saying "this is important, so process this water correctly this time." The water has to be both very warm and drunk very, very quickly, though or it won't work.

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Profile picture for h8bigbiz @h8bigbiz

I think I'm one whose body doesn't absorb enough water. I guess there's a fairly new medical theory about it (read about here on this site): some people's bodies send too much of the water they drink directly to the bladder so you get to struggle through life with a dry intestinal tract and therefore constipation. It causes other problems as well, you're basically dehydrated so matter how much water you drink.

Last I heard, no one has come up with a cause for it yet; if I had to guess, I'd say it's a problem with the "fight or flight" process in the body. What works for me, only once in a while (but better than nothing, I guess) is to drink very warm, almost hot water very quickly. Supposedly, that activates something in the brain saying "this is important, so process this water correctly this time." The water has to be both very warm and drunk very, very quickly, though or it won't work.

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How did you discover the warm water technique?

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Profile picture for celia16 @celia16

How did you discover the warm water technique?

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I was just in a hurry one morning and chugged the warm water very quickly and very quickly had a bowl movement. So I started doing that every day and it usually helps. Then I read--I think it was on this site--that drinking very warm water very quickly activates something in the brain kind of saying "this is important, so distribute the water correctly (including putting it in the intestinal tract) this time for a change." (You'd think it'd be the opposite, that sipping water slowly throughout the day would be calming and make things work better, but for some reason it doesn't.)

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Profile picture for heisenberg34 @heisenberg34

Two or three times a month?! You must have quite a "deposit" each time. I go about twice a week and I have a large movement. I have constipation so I have tried all kinds of things. I think I have a routine that works for me(maybe not for you): Starting on day three, I add Miralax to a glass of water at night. Then, another glass of water with miralax the next morning. If I don't have any feelings of needing to go, I will insert either a glycerin suppository. That will often stimulate the bowel to go into action after about fifteen to thirty minutes. If not, then a medicated suppository will usually guarantee a movement. I had tried the miralax routine and added a glass of Metamucil daily. That made my stool to soft any runny. Perhaps this info may be of some help. I hate to see you have to go under the knife before all options have been exhausted. I wish you well!

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Thank you for your input! Years ago I used to almost do the same thing w the Miralax and suppositories..I went more than just a few times a month but still not much more. I did it for about a year and then my drs changed and had me try something else. I cant even remember.. I'm not exaggerating when I say ive tried everything and have tried alot of things multiple times. ( hope this isn't too much info..) when I do have a BM it's like a big, rock hard ball. Its literally like cement lol. Im always impacted and look pregnant.. it suxks bc i literally have ppl ask me if im pregnant and I will get so embarrassed and run away and cry. Im almost getting used to getting asked that question now. Im definitely not ready for any surgery right now and have some other conditions caused from my crohns that im trying to work out. But thank you for your thoughts! Im always open to hearing anything

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