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Redundant/Tortuous Colon & Severe Constipation

Digestive Health | Last Active: 1 day ago | Replies (97)

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@sallyw133

What all have you tried? Have you only seen a regular gi or an actual motility specialist?
I’ve been at this full-time now nearly four years and I totally feel your pain and frustration. I have consulted a colorectal surgeon who has agreed to an ileostomy, but honestly just sounds like a whole new group of issues. Still need bathrooms to constantly empty bags, very limited diet, awful gas.
So the motility specialist I’m with now is willing to work a little “outside the box”. I’m on Bethanichol which is normally prescribed for urine retention but can help with gi motility. I take 20 mg three times a day. One hr before breakfast, in afternoon and at bedtime. Had to work up to this. Then, when no help, added in Amitiza. Currently taking 2- 8 mcg a day. Also, worked up to this. If I miss a day with no BM, I take some mineral oil at bedtime. Few days, 1 Senoket. So far, this regimen seems to be working better than anything else I’ve tried. Oh, also, 2 IB Guard everyday. Not sure why, but helps with left sided abdominal pain. I have also just done pelvic floor therapy with biofeedback as the CRS felt that was part of my issue. Totally unpleasant experience. Have you been tested for pelvic floor dysfunction? I have mixed feelings about whole thing.

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Replies to "What all have you tried? Have you only seen a regular gi or an actual motility..."

Hi, I have my fourth GI motility specialist. Now I’m back on amitiza twice daily and erythromycin 3 times a day and trying 60 ml Philips milk of mag every other day but causes vomiting and I can’t sleep. I was to have a total colectomy but at that time my stomach tested fine with nuclear meal and test for small bowel was great. Ten months later I completely failed Smart Pill study where now I have severe gastroparesis and severe delay in small bowel. I’m not getting surgery unless push comes to shove. I think it will bring on an entire new set of problems, possibly worse than now. I’m 68. Until 3 years ago I was very active so much you couldn’t keep me still. Now I’m miserable. One day at a time. I’ve tried linzess and Motegrity and a combination and so many other drugs too.