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Slow transit constipation and surgery

Digestive Health | Last Active: Jul 14, 2023 | Replies (140)

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@kmc1124

Thank you @amandaburnett. In terms of medication, I have taken Zelnorm, Amitiza, Linzess, Miralax, and, most recently, Trulance. All of those medications increase liquid in the gut which I find extremely uncomfortable and all caused liquid BM which I could not always evacuate without a suppository. I found better luck with over the counter citrucel, stool softener sand glycerin suppositories. However, that regimen was never predictable and required hours in the bathroom. It also has resulted in an ulcer on the rectum due to suppositories. Things seem to move through my colon until they get to the left side. I have constant fullness and a sagging/pulling feeling there until I have a BM. I also have gas that seems to get stuck and stop there, which is incredibly painful. (I’ve had a normal defacography test- so if the stool/gas does get to the rectum, I am capable of evacuating it).

In terms of diet, I have tried gluten free and FODMAP. I also avoid dairy because I am lactose intolerant. I haven’t found those diets helpful. The only foods that really seem to make the issue noticeable worse are beans, whole grains, and dairy.

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Replies to "Thank you @amandaburnett. In terms of medication, I have taken Zelnorm, Amitiza, Linzess, Miralax, and, most..."

Hello @kmc1124

As @astaingegerdm posted earlier I am sorry to hear about what you are going through. I too, have a motility disorder and have slow transit constipation. Mine is not as severe as yours, but I do understand what it is like to think before eating and to try to get as much fiber and liquids as possible with everything I eat. It's a constant task to keep foods, liquids and fiber supplements in balance. I'm glad that OTC fiber products are helping.

You mentioned transit/marker studies. I'm not familiar with that. Could you explain a little more about that?