Colonic Inertia

Posted by matchabell @matchabell, Sep 18, 2023

Would like to hear from those diagnosed with colonic Inertia. With and without surgery, What surgeries you had, and how are you now ?
Also dyssynergia overlapping ( outlet dysfunction ). How long without surgery, and what your doing for daily management ?
Scared of any surgeries, but also fearing symptoms progressing.
Appreciate those sharing their experiences.

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i have colonic inertia which increased dramatically over thr last 2 years. My GI doctor has dismissed me after a year of trying different meds. I did have another GI doctor, who didn't understand colonic inertia. I am dependent on Smooth Move Tea, Linzess, Magnesium capsules, Colace with Senna and sometimes add MOM. I can't tolerate Miralax because it makes the bloating worse. I did have a surgery consult and told total colectomy with ileostomy. His receptionist was extremely rude which was actually good because it made me read more about this condition. I am a retired RN. I don't feel confident about surgery in FL Tampa General, Mayo Clinic in Jacksonville and UF all rank in the 30's in the US. Mayo Clinic is # 1 so that is my plan for now. i have had Pelvic Floor Therapy for over 3 years with 3 different providers.
was far. i have fought off surgery for several years, hoping some new treatments would become available. I am stressed out over this potential surgery..... !

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@sallyw133

Mestinon It’s normally prescribed for myasthenia gravis but a side effect is increased gi motility. It didn’t work until I added in the Miralax. The combo has been working great! Hoping it continues!

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Has it continued to work? I find that treatments often work for a little bit but then stop.

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@linma

Has it continued to work? I find that treatments often work for a little bit but then stop.

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Yes, it has continued to work as long as I use it with the Miralax. Alone, it did not work for me. Not perfect, but leaps and bounds better than where I was a year ago which was on the verge of a colectomy. I have to juggle the Miralax as sometimes it works a little too much, but for the most part, it's all going pretty well.

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That's so great to hear. Do you mind me asking what your dosing is? Did any other drugs work for you? I thought I had tried just about everything, but I hadn't heard of this yet. The only treatment being recommended to me right now is a colectomy, but I'm not ready to take that leap yet. I'm only 40. I'm scheduled to go to Mayo Clinic in May and am hoping they have some other ideas...

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@sallyw133

Yes, it has continued to work as long as I use it with the Miralax. Alone, it did not work for me. Not perfect, but leaps and bounds better than where I was a year ago which was on the verge of a colectomy. I have to juggle the Miralax as sometimes it works a little too much, but for the most part, it's all going pretty well.

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Thank you for sharing this update! Happy to hear you have found some relief. I would also like to hear your regimen with Mestinon and Miralax.

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I take 60 mg of Mestinon 3 times a day and usually 1/2 cap of Miralax every morning in my coffee. If I need to, I increase or decrease Miralax or take a little Calm Mag powder at night.

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