Feedback on Linzess for Irritable Bowel-C or Chronic Constipation

Posted by sue225 @sue225, Mar 9, 2019

I have both of the above-conditions. Took Linzess, (called Constella in Canada) and got terrible stomach pain. Feeling desperate and thinking about trying it one more time. Interested in hearing what kind of experiences other people have had with linaclotide/linzess.

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

@cezanne
I’m sorry that you too suffer from chronic constipation.
I don’t know how Linzess functions but what you see as diarrhea is liquid stool running down outside the hard stool that’s in your colon. With chronic constipation more and more stool collects in the colon- causing it to expand and can hold more. I don’t think Linzess is going to help you.
You need to see a GI that knows how to treat us with chronic constipation. I’m not sure what methods they use nowadays, but it will take time to control. It took time to get to where you are now.
I hope you have had bloodwork done that includes a thyroid test. Low thyroid function can cause constipation.
If possible, try to find a GI department at a university hospital. They are more likely to be experienced with this problem. You are not alone, believe me.

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@astaingegerdm
Thank you so much for taking the time to reply and for your helpful remarks and suggestions. I suspected as much about the liquid stool going around the collected stool. Once I have results from an upcoming colonoscopy and endoscopy I might seek out a specialist at a university hospital. I doubt the prep for the colonoscopy will clear me out (failed in past years and I use Cologuard now) but they want to try Sutabs with Miralx and Dulcolax as a prep.

Any notions about what might work or what steps are taken if Linzess fails are appreciated.

Thanks again. This is a great support group.

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@cezanne
Me again! I’m having trouble getting a good clean out for colonoscopy too!
I think that you’ll first need help cleaning out the colon over time, get it back to normal size.
Once that’s done Linzess might work- or something else the doctors recommend to keep you going.

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Profile picture for umerleysmayo @umerleysmayo

Linzess Question - for those of you who have taken Linzess for chronic constipation - how long did it take to work? Thank you in advance for any and all feedback.

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@umerleysmayo
I was on the lowest dose 72 mcg for over a month with absolutely no change at all. My new GI specialist switched me to the 290 mcg and after a month began daily short bouts of liquid stool but not really moving things along. Even that is slowing down now.

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

@cezanne
Me again! I’m having trouble getting a good clean out for colonoscopy too!
I think that you’ll first need help cleaning out the colon over time, get it back to normal size.
Once that’s done Linzess might work- or something else the doctors recommend to keep you going.

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@astaingegerdm
Thanks for the continuing exchange on this. What worked to clean out the colon over time and what worked, if anything, for you to get a good clean for the colonoscopy?

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Profile picture for cezanne @cezanne

@astaingegerdm
Thanks for the continuing exchange on this. What worked to clean out the colon over time and what worked, if anything, for you to get a good clean for the colonoscopy?

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@cezanne
I never got a perfect clean out but good enough to take biopsy samples.
Over the years I have used a variety of medications to get things moving. There are periods when there is some regularity and then there are times when nothing works.
A few years ago I tried Motegrity (generic from Canada) and it got things moving. I don’t take it now- I was annoyed by the cramps!
Lately I have used Prunelax- powerful-, Senokot and now Dulcolax. You need to drink a lot of water.
I also have Rx Amitiza. Similar to Linzess.
On Connect I have seen members needing surgery because nothing helped. I don’t want to get to that point.
It appears that one has to change things up- one method may not work well after some time.
I hope you can find a GI who really understands chronic constipation.

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Profile picture for brendaharvey @brendaharvey

I have not been able to find this product, magnesium citrate, anywhere for past few months.
There was a recall.
Does anyone know if it is back in production?

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@brendaharvey

I just checked and it is available on Amazon. I would try it in pill form first, taking the lowest dose possible and then increasing slowly as necessary.

Joe

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Profile picture for lorirenee1 @lorirenee1

Have you tried any natural approaches? Fresh papaya fruit, eaten daily, normalizes the stomach quite well. Also, bone broth powder, put into orange juice, used daily, can be great at normalizing the stomach problems. Try these. They may work for you. Lori Renee

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@lorirenee1 yes fruit- nectars are good. I like apple cider. Even a small glass
4-6 ounces at bedtime.

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

@cezanne
I never got a perfect clean out but good enough to take biopsy samples.
Over the years I have used a variety of medications to get things moving. There are periods when there is some regularity and then there are times when nothing works.
A few years ago I tried Motegrity (generic from Canada) and it got things moving. I don’t take it now- I was annoyed by the cramps!
Lately I have used Prunelax- powerful-, Senokot and now Dulcolax. You need to drink a lot of water.
I also have Rx Amitiza. Similar to Linzess.
On Connect I have seen members needing surgery because nothing helped. I don’t want to get to that point.
It appears that one has to change things up- one method may not work well after some time.
I hope you can find a GI who really understands chronic constipation.

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@astaingegerdm Thank you for the welcome information and sharing of experience.

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Profile picture for cezanne @cezanne

@astaingegerdm
Thank you so much for taking the time to reply and for your helpful remarks and suggestions. I suspected as much about the liquid stool going around the collected stool. Once I have results from an upcoming colonoscopy and endoscopy I might seek out a specialist at a university hospital. I doubt the prep for the colonoscopy will clear me out (failed in past years and I use Cologuard now) but they want to try Sutabs with Miralx and Dulcolax as a prep.

Any notions about what might work or what steps are taken if Linzess fails are appreciated.

Thanks again. This is a great support group.

Jump to this post

@cezanne also had trouble getting totally cleaned out before colonoscopy- even did an enema before I left for the scope…better, not as clear as I wanted…doctor said it wasn’t a real problem, she could see everything she needed to see…. Probably a few very small bits of poo. Some people get results from magnesium (glycinate easier).

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Profile picture for nycmusic @nycmusic

@cezanne also had trouble getting totally cleaned out before colonoscopy- even did an enema before I left for the scope…better, not as clear as I wanted…doctor said it wasn’t a real problem, she could see everything she needed to see…. Probably a few very small bits of poo. Some people get results from magnesium (glycinate easier).

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@nycmusic as far as everyday…hydrate and move around…also, apple and a dried apricot every day …might not work for everyone, but definitely works for me. Hydrate and move !

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