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 sjd416 @sjd416

I’m writing about the constipation I’m experiencing. Earlier this year, I spent three weeks in bed and six days in the hospital for an episode of flu that knocked me flat. I couldn’t eat, and/or I couldn’t keep food down. After I started eating again, they had to resort to an enema in the hospital. I’m home now and doing physical therapy after the long period of being in bed, and I’m constipated again. I’m currently taking 3 colace tablets/day, drinking as much water as I can. I saw on this site I should try to get 64 oz of water each day. For five days in a row, I was able to have a bowel movement - not complete, but passing some stool each of those days.

Now I’m into a third day of not passing any stool. In addition to drinking water and taking Colace, I eat oatmeal, prunes, grapes, dates, walnuts and blueberries. Once when I was able, I oven roasted chicken and carrots and Brussell sprouts. Took two days to put that together since I haven’t regained all my strength. My husband doesn’t cook; I’m eating these foods because they are high in fiber and don’t require preparation. I’m considering using a suppository to help with getting things moving.

I take medication that has a reputation for causing constipation. We’ve decreased dosage, but stopping the meds isn’t an option right now.

Thoughts and ideas about getting through this are welcome.

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@sjd416
I'm 93 years old so any constipation I have is severe. I use Miralax every couple days.
My court of last resort is "Walgreens Milk of Magnesia". Cherry Flavor. 30ml followed with
12 ozs. of water. Max of 2 helpings per day.
If that doesn't work try a $90 enema at the ER.
tadueo

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Profile picture for sjd416 @sjd416

I’m writing about the constipation I’m experiencing. Earlier this year, I spent three weeks in bed and six days in the hospital for an episode of flu that knocked me flat. I couldn’t eat, and/or I couldn’t keep food down. After I started eating again, they had to resort to an enema in the hospital. I’m home now and doing physical therapy after the long period of being in bed, and I’m constipated again. I’m currently taking 3 colace tablets/day, drinking as much water as I can. I saw on this site I should try to get 64 oz of water each day. For five days in a row, I was able to have a bowel movement - not complete, but passing some stool each of those days.

Now I’m into a third day of not passing any stool. In addition to drinking water and taking Colace, I eat oatmeal, prunes, grapes, dates, walnuts and blueberries. Once when I was able, I oven roasted chicken and carrots and Brussell sprouts. Took two days to put that together since I haven’t regained all my strength. My husband doesn’t cook; I’m eating these foods because they are high in fiber and don’t require preparation. I’m considering using a suppository to help with getting things moving.

I take medication that has a reputation for causing constipation. We’ve decreased dosage, but stopping the meds isn’t an option right now.

Thoughts and ideas about getting through this are welcome.

Jump to this post

@sjd my nutritionist said that the fruits and vegetables all have to be cooked and skin off.Because the body can digest it better. That has been helpful for me

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Profile picture for sjd416 @sjd416

I’m writing about the constipation I’m experiencing. Earlier this year, I spent three weeks in bed and six days in the hospital for an episode of flu that knocked me flat. I couldn’t eat, and/or I couldn’t keep food down. After I started eating again, they had to resort to an enema in the hospital. I’m home now and doing physical therapy after the long period of being in bed, and I’m constipated again. I’m currently taking 3 colace tablets/day, drinking as much water as I can. I saw on this site I should try to get 64 oz of water each day. For five days in a row, I was able to have a bowel movement - not complete, but passing some stool each of those days.

Now I’m into a third day of not passing any stool. In addition to drinking water and taking Colace, I eat oatmeal, prunes, grapes, dates, walnuts and blueberries. Once when I was able, I oven roasted chicken and carrots and Brussell sprouts. Took two days to put that together since I haven’t regained all my strength. My husband doesn’t cook; I’m eating these foods because they are high in fiber and don’t require preparation. I’m considering using a suppository to help with getting things moving.

I take medication that has a reputation for causing constipation. We’ve decreased dosage, but stopping the meds isn’t an option right now.

Thoughts and ideas about getting through this are welcome.

Jump to this post

@sjd416 I have a torturous twisted colon and I have the problem and when I can't go much after five days, I'd take a dulcolax suppository

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@pml I just started Linzess and after 2 weeks doing much better. Have you tried that? Do you know the cause?

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Profile picture for sjd416 @sjd416

I’m writing about the constipation I’m experiencing. Earlier this year, I spent three weeks in bed and six days in the hospital for an episode of flu that knocked me flat. I couldn’t eat, and/or I couldn’t keep food down. After I started eating again, they had to resort to an enema in the hospital. I’m home now and doing physical therapy after the long period of being in bed, and I’m constipated again. I’m currently taking 3 colace tablets/day, drinking as much water as I can. I saw on this site I should try to get 64 oz of water each day. For five days in a row, I was able to have a bowel movement - not complete, but passing some stool each of those days.

Now I’m into a third day of not passing any stool. In addition to drinking water and taking Colace, I eat oatmeal, prunes, grapes, dates, walnuts and blueberries. Once when I was able, I oven roasted chicken and carrots and Brussell sprouts. Took two days to put that together since I haven’t regained all my strength. My husband doesn’t cook; I’m eating these foods because they are high in fiber and don’t require preparation. I’m considering using a suppository to help with getting things moving.

I take medication that has a reputation for causing constipation. We’ve decreased dosage, but stopping the meds isn’t an option right now.

Thoughts and ideas about getting through this are welcome.

Jump to this post

The only Rx for CIC that has worked somewhat for me is Motegrity. The problem - it is very expensive.

My GI Dr sent an Rx for it to https://www.costplusdrugs.com and I got a 3-month prescription filled for about $60 in total. Check out the website and ask your Dr 1) if he thinks Motegrity would help you and 2) if yes, if he would send the Rx to https://www.costplusdrugs.com

This is a site started by entrepreneur Mark Cuban. The site doesn't have all drugs, but if they carry the one you need, it seems like a great way to save money.

You first have to open an account on the site. Hope this helps.

Joe

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Profile picture for julesd3611 @julesd3611

@pml I just started Linzess and after 2 weeks doing much better. Have you tried that? Do you know the cause?

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@julesd3611
I have never tried Linzess. Since my home remedy that I mentioned earlier worked for me I just stayed with that. But if Linzess works well for you, keep using it! Constipation can be caused by numerous things. We are all different. I'm glad that you found something that works for you!
PML

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Profile picture for berekann @berekann

@sjd416 i’ve read several times in different places lately that Colace does not work so maybe eliminate that, a suppository doesn’t do much good for me personally, my G.I. doctor said it’s better to get the food moving from the top and he suggested MiraLAX or Metamucil. Benafiber is another idea. Have you tried abdominal massage that’s been recommended here several times. Good luck!

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@berekann just remembered about the time my dad was pretty severely constipated, so much so he went to the ER. They told him to get a bottle of magnesium citrate, and that worked very well, almost too well! Maybe a dose of milk of magnesia or Dulcolax would be a short term solution. Because I know how miserable it makes one feel

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I use Miralax every other day and for stubborns, Milk of Mag. 93 year old Korean war vet. HI MOM!

tadueo

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About a year ago, I started having serious bowel movement issues. I never go daily, but when I do, my stools are like hard stones, or the opposite if taking a bunch of laxatives (foul, runny quirts). After pushing too much, I had to get several hemorrhoids banded.

Last summer, my gastroenterologist did both an endoscopy and a colonoscopy, and found two things: when I digest food, it seems to stay in the lower esophagus before finally entering the stomach/intestines - he said that the green mess (I only had a salad the day before) was still visible lower in my esophagus, which diagnosed digestive track issues - and from the coloscopy, that I have slight diveraticultis, so "lay off the seeds and nuts and fiber"!

One Dr stated I should increase my fiber (of course), while another said the opposite > if you have a hard time with your digestive track, eat LESS fiber and go with food that is "easier to break down" (pasta, rice, bread, ALL WHITE!.)..."do the opposite" (Seinfeld). To address my diagnosed chronic constipation, I tried stool softeners (of course), fiber powders (Benefil, Miralax, Bloom), and medically, a few prescriptions - Linzess (cannot tolerate due to horrible diarrhea), Ducolax, and the expensive Prucalipride, to no avail. The ONLY thing that helps (not 100%) is Milk of Magnesia, but that should not be a long-term solution, and it usually does the same thing: at first, hard stones have to be pushed to "get it going", followed by foul-smelling runs.

As for my protologist, he did a bunch of tests: Anoscopy, pelvic MRI with rectal gel, and X-ray with Sitzmarks® pellets (radiopaque markers test to measure colonic transit time). Everything came back NORMAL! The only finding, which was mentioned from a prior cystoscopy, was that I have weak muscles in the bladder floor (which is more related to my recent prostate post in here). BTW, I tried pelvic Physical Therapy (who knew that was a thing?) but with no improvement.

I am still struggling with constipation that is so chronic, it is upsetting my daily life. I do not know what to try next, and the Dr's do not offer any best, final solution. I continue to take MOM just so I can void at least every few days to get some relief. And yes, I do follow a healthy diet and drink a LOT of water.

That's my story, and I hope someone in this forum has had/is having similar experiences.
https://www.mayoclinic.org/drugs-supplements/prucalopride-oral-route/description/drg-20452343
https://my.clevelandclinic.org/health/treatments/24993-anoscopy
https://www.sitzmarks.com

REPLY
Profile picture for danilo1m @danilo1m

About a year ago, I started having serious bowel movement issues. I never go daily, but when I do, my stools are like hard stones, or the opposite if taking a bunch of laxatives (foul, runny quirts). After pushing too much, I had to get several hemorrhoids banded.

Last summer, my gastroenterologist did both an endoscopy and a colonoscopy, and found two things: when I digest food, it seems to stay in the lower esophagus before finally entering the stomach/intestines - he said that the green mess (I only had a salad the day before) was still visible lower in my esophagus, which diagnosed digestive track issues - and from the coloscopy, that I have slight diveraticultis, so "lay off the seeds and nuts and fiber"!

One Dr stated I should increase my fiber (of course), while another said the opposite > if you have a hard time with your digestive track, eat LESS fiber and go with food that is "easier to break down" (pasta, rice, bread, ALL WHITE!.)..."do the opposite" (Seinfeld). To address my diagnosed chronic constipation, I tried stool softeners (of course), fiber powders (Benefil, Miralax, Bloom), and medically, a few prescriptions - Linzess (cannot tolerate due to horrible diarrhea), Ducolax, and the expensive Prucalipride, to no avail. The ONLY thing that helps (not 100%) is Milk of Magnesia, but that should not be a long-term solution, and it usually does the same thing: at first, hard stones have to be pushed to "get it going", followed by foul-smelling runs.

As for my protologist, he did a bunch of tests: Anoscopy, pelvic MRI with rectal gel, and X-ray with Sitzmarks® pellets (radiopaque markers test to measure colonic transit time). Everything came back NORMAL! The only finding, which was mentioned from a prior cystoscopy, was that I have weak muscles in the bladder floor (which is more related to my recent prostate post in here). BTW, I tried pelvic Physical Therapy (who knew that was a thing?) but with no improvement.

I am still struggling with constipation that is so chronic, it is upsetting my daily life. I do not know what to try next, and the Dr's do not offer any best, final solution. I continue to take MOM just so I can void at least every few days to get some relief. And yes, I do follow a healthy diet and drink a LOT of water.

That's my story, and I hope someone in this forum has had/is having similar experiences.
https://www.mayoclinic.org/drugs-supplements/prucalopride-oral-route/description/drg-20452343
https://my.clevelandclinic.org/health/treatments/24993-anoscopy
https://www.sitzmarks.com

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