Constipation: What helps you?

Posted by harithakur @harithakur, Feb 23, 2021

I am suffering from constipation please suggest

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Profile picture for sunshinebird @sunshinebird

I’m currently having this new issue & have an appt with Gastric doc at end of month. I believe thyroid can also cause this. I’m waiting to see. My primary told me to start MiraLAX as it isn’t an issue to use regularly.

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Welcome to Mayo Clinic Connect, @sunshinebird. Sorry to hear you have this new constipation issue, but happy to hear you have an appointment coming up soon.

Hoping here you can connect with members such as @peggyp2 @martyd @heyjoe415 and others who have dealt with constipation.

How is the PEG 3350 (Miralax) your primary recommended working so far?

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Profile picture for Lisa Lucier, Moderator @lisalucier

Welcome to Mayo Clinic Connect, @sunshinebird. Sorry to hear you have this new constipation issue, but happy to hear you have an appointment coming up soon.

Hoping here you can connect with members such as @peggyp2 @martyd @heyjoe415 and others who have dealt with constipation.

How is the PEG 3350 (Miralax) your primary recommended working so far?

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Apparently, you have me mixed up with someone else. My problem is not constipation, per se. My problem is that it takes me 3 hours every morning to have a bowel movement. I have tried pelvic floor, biofeedback, etc. No answers.
I'm ready for a colostomy. No one has any suggestions.

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Profile picture for barbaradh @barbaradh

I am a 68 year old female of normal weight, active and w/o new health issues. In January my bowel movements changed overnight; there has been no change in diet or hydration, activity level, meds (only Rx is beta blocker for a PSVT that appeared 3 years ago). I went from having normal looking stools to passing small “stones” (Bristol scale image 1). I went to see gastroenterologist who said, “Let’s start with colonoscopy.” That sounded reasonable as it was almost ten years since the last one which was 100% normal. Well, so was this one. I am almost two weeks past thar test, and my stools went right back to small stones. I poop on a regular time schedule, and there is no-strain to pass the stools. I am scheduling a follow up with the same doctor, but I am curious if any one has lived through this. Probiotics change nothing. Thank you.

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I have been to multiple Gastos. My experience: A colonoscopy, an assortment of pills, try this, try this, try this. They have no clue!

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Profile picture for barbaradh @barbaradh

I am a 68 year old female of normal weight, active and w/o new health issues. In January my bowel movements changed overnight; there has been no change in diet or hydration, activity level, meds (only Rx is beta blocker for a PSVT that appeared 3 years ago). I went from having normal looking stools to passing small “stones” (Bristol scale image 1). I went to see gastroenterologist who said, “Let’s start with colonoscopy.” That sounded reasonable as it was almost ten years since the last one which was 100% normal. Well, so was this one. I am almost two weeks past thar test, and my stools went right back to small stones. I poop on a regular time schedule, and there is no-strain to pass the stools. I am scheduling a follow up with the same doctor, but I am curious if any one has lived through this. Probiotics change nothing. Thank you.

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After almost 6 months of constant Bristol Scale #1 BMs, but no constipation, I started drinking non-sugar kefir (available at most supermarkets in dairy section). Kefir has a mother-load of active ingredients not found in yogurt. It only took a few days, but it solved my problem, and I am back to “normal.”

I had a colonoscopy in March to rule out issues, and nothing significant (anatomically) was discovered, so I felt my problem must be coming from my gut flora. While you wait for your office visit, be sure to eat healthy (no to low sugar), and you could try some non-sugar kefir. Good luck. However, my problem did not involved the most common constipation symptom: motility. I was always “regular” but all my stools were hard, small, round pellets. I thought I was morphing into a rabbit.

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Profile picture for martyd @martyd

Apparently, you have me mixed up with someone else. My problem is not constipation, per se. My problem is that it takes me 3 hours every morning to have a bowel movement. I have tried pelvic floor, biofeedback, etc. No answers.
I'm ready for a colostomy. No one has any suggestions.

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Hi - sorry for your miserable mornings. Have you been told that you must have a BM every day? I have read that people vary in the frequency of their BMs, and some people naturally go every other day, or even longer. (I have microscopic colitis and before being on Budesonide I was having diarrhea 7-10 x day, miserable. Now I go 1xday, normal BM)
Anyway, what happens if you were to go every other day? Would you be uncomfortable?
A colostomy sounds scary.
Margot

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Profile picture for sunshinebird @sunshinebird

I’m currently having this new issue & have an appt with Gastric doc at end of month. I believe thyroid can also cause this. I’m waiting to see. My primary told me to start MiraLAX as it isn’t an issue to use regularly.

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Hi sunshinebird. Yeah I would give Miralax a try. I take it about 3 or 4 times/week before. I go to bed. It's safe to use everyday I believe.

Your Dr will have other ideas I'm sure.

One observation, having dealt with CIC now for years, when results happen, it's over the top. There doesn't seem to be a middle ground. Watery stools or diarrhea can cause dehydration on the days when the steps I take work too well. Please be aware and drink an electrolyte water (Smart Water is what I use) to compensate.

It's very frustrating, that is for certain. All the best to you!

Joe

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Profile picture for part @part

Gastroenterologist don’t have many answers when it comes to constipation. They will certainly recommend fiber, miralax, water, other drugs but root cause seems mostly unknown. The newest research that is bringing excitement is related to microbiome. I can suggest that if you started any new medicines - even over the counter- prior to your issues then investigate the medication. Best of luck

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My gastro doctor has said that women who had a large baby during childbirth with or without an episiotomy often have constipation later in life!

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For me what helped was the correct diagnosis, which was Hashimoto's.

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Profile picture for mostlyjackie @mostlyjackie

My gastro doctor has said that women who had a large baby during childbirth with or without an episiotomy often have constipation later in life!

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Yep. I had an emergency forceps delivery of my son who was almost 9 lbs. and had his shoulder stuck. I ripped all the way back to my rectal area. Since then I have struggled with recurring constipation episodes that used to be resolved with the usual over-the-counter laxatives and stool softeners, plus Fleet enemas. (My diet has always been healthy with plenty of fiber and water plus exercise). No dietary suggestions helped - not prunes, Kiwi, coffee, tart cherry juice, yogurt, etc. that everyone keeps recommending because "it works for them". Now, 35 years later, I have chronic idiopathic constipation with little relief from even the most expensive of the new constipation drugs (Linzess, lubiprostone, Motegrity) or magnesium citrate supplements like CALM. My obstetrician seemed to think the nerve damage could be repaired, but I haven't found any doctors who say that would be possible. Going to a gastro motility specialist next, but no openings until December.

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