Multiple BMs every day

Posted by 44annie @44annie, Apr 28, 2024

A year ago I had a sigmoid colonectomy. Within weeks I was having 15 BMs/day. I’ve been to 4 GI docs, had a colonoscopy, enteroscopy, camera endoscopy, 2 MRIs, and a host of meds from Imodium (>impacted fecal matter), Linzesse, to Steroids; the latter two resulted in diarrhea. The only med that helps is Mesalamine, an anti-inflammatory, down to 8-10 BMs/day.
They are fully formed, often clustered, often 3:30am, 3:45, 4…
My PCP/GI has ruled out ischemic bowel disease and IBS.
I haven’t read about anyone else having so many. The only test left is a small bowel balloon endoscopy but it is risky at my age (80) and because I have many adhesions on my intestines.
I’d appreciate any help.

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I am so sorry for your pain. We should not need to seek out multiple doctors for answers. I am 65, I have finally realized that I was required to have more continuing education as an Enrolled Agent to prepare taxes, than drs do....so my opinion is most drs don't care enough about us to know what is the most effective, beneficial and up to date treatments.
You are saying you have snake formed poop 15x day? How long is each snake? Do they desinegrate when you flush? I have not had a formed snake in 10+ years.
Has anyone thoroughly investigated your adhesions? I have read that adhesions, from any core surgeries, probably are factors in fecal impactions-full blockages.

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Hi 44annie
I just have several loose but not liquid BM's per day. I am now scheduled to have a test called Anorectal Manometry next month which consists of using fleet emema followed by inserting baloon and measuring strength of muscles that control BM's. I'm anxious to hear the results and recommendations are. Is this the same thing you decided to skip? I'm 79.
Don

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Profile picture for shelleyW @shelleyw

I am so sorry for your pain. We should not need to seek out multiple doctors for answers. I am 65, I have finally realized that I was required to have more continuing education as an Enrolled Agent to prepare taxes, than drs do....so my opinion is most drs don't care enough about us to know what is the most effective, beneficial and up to date treatments.
You are saying you have snake formed poop 15x day? How long is each snake? Do they desinegrate when you flush? I have not had a formed snake in 10+ years.
Has anyone thoroughly investigated your adhesions? I have read that adhesions, from any core surgeries, probably are factors in fecal impactions-full blockages.

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Poops vary from huge to pellets. No one has investigated the adhesions further; I’ve had almost every test.

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Profile picture for Don Higgins, Volunteer Mentor @dsh33782

Hi 44annie
I just have several loose but not liquid BM's per day. I am now scheduled to have a test called Anorectal Manometry next month which consists of using fleet emema followed by inserting baloon and measuring strength of muscles that control BM's. I'm anxious to hear the results and recommendations are. Is this the same thing you decided to skip? I'm 79.
Don

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No Don, it’s not the same. Mine would go down the throat to the intestines.

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44annie
Wow, I don't know how that works. Do you know the name of the procedure?

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Small bowel endoscopy/balloon endoscopy

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apologies for lengthy post:After months of alternating between many days of constipation and then days with multiple loose stools every day, I think I'm getting closer to the "recipe" (read protocol) for regularity.Following this protocol, I've had bowel movements every day for the past couple of weeks!! The only problem is that I'm having 5-6-7 movements from morning thru mid-afternoon.What can I try to "consolidate" my BMs into once in the morning, each day or every other day or couple of days.BTW, the "recipe" that I've ultimately arrived at is--1/2 senna every evening or every other (coming down from several weeks ago very high doses to relieve the constipation),--a short walk (15 min) first thing every morning--6 prunes with 1c water after the walk--continuing throughout the day with as much water as I can remember to drink (not my strong suit)--doing my best to keep fiber intake up but especially with some edamame with dinner.PS throughout this saga, my PCP and GI doc have suggested "experimenting with" miralax, metamucil, citrucel but they're not too specific about how I should experiment and since the situation right now is better than it's been in months and I sure don't want to go backward. Also, they don't seem too interested in talking about dietary changes but I'm happy to go that route.with appreciation in advance for your thoughts.

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Profile picture for rasmst @rasmst

apologies for lengthy post:After months of alternating between many days of constipation and then days with multiple loose stools every day, I think I'm getting closer to the "recipe" (read protocol) for regularity.Following this protocol, I've had bowel movements every day for the past couple of weeks!! The only problem is that I'm having 5-6-7 movements from morning thru mid-afternoon.What can I try to "consolidate" my BMs into once in the morning, each day or every other day or couple of days.BTW, the "recipe" that I've ultimately arrived at is--1/2 senna every evening or every other (coming down from several weeks ago very high doses to relieve the constipation),--a short walk (15 min) first thing every morning--6 prunes with 1c water after the walk--continuing throughout the day with as much water as I can remember to drink (not my strong suit)--doing my best to keep fiber intake up but especially with some edamame with dinner.PS throughout this saga, my PCP and GI doc have suggested "experimenting with" miralax, metamucil, citrucel but they're not too specific about how I should experiment and since the situation right now is better than it's been in months and I sure don't want to go backward. Also, they don't seem too interested in talking about dietary changes but I'm happy to go that route.with appreciation in advance for your thoughts.

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PSS This is the OP: forgot to mention that the consistency of my BMs over the last several weeks has been basically ok and it's the multiple frequency each day that I'm hoping to mitigate.

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Profile picture for rasmst @rasmst

apologies for lengthy post:After months of alternating between many days of constipation and then days with multiple loose stools every day, I think I'm getting closer to the "recipe" (read protocol) for regularity.Following this protocol, I've had bowel movements every day for the past couple of weeks!! The only problem is that I'm having 5-6-7 movements from morning thru mid-afternoon.What can I try to "consolidate" my BMs into once in the morning, each day or every other day or couple of days.BTW, the "recipe" that I've ultimately arrived at is--1/2 senna every evening or every other (coming down from several weeks ago very high doses to relieve the constipation),--a short walk (15 min) first thing every morning--6 prunes with 1c water after the walk--continuing throughout the day with as much water as I can remember to drink (not my strong suit)--doing my best to keep fiber intake up but especially with some edamame with dinner.PS throughout this saga, my PCP and GI doc have suggested "experimenting with" miralax, metamucil, citrucel but they're not too specific about how I should experiment and since the situation right now is better than it's been in months and I sure don't want to go backward. Also, they don't seem too interested in talking about dietary changes but I'm happy to go that route.with appreciation in advance for your thoughts.

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Glad you’ve had relief. I’m doing much better too! I’m happy with my progress. I used to hesitate to put much credence into the idea that diet would impact my constipation. (Please pardon the pun. Lol). My body was so stubborn. Eventually, daily Miralax was the only thing that worked at all and the results were not ideal.

I sometimes go a little too often as well. I just reduce my raw veggies and fruit. My formula that works for me is a large garden salad with greens, beets, cucumbers, blueberries, carrots, etc for lunch and an apple with a cup of fresh cherries for an evening snack, i’ve had amazing results lately! I am astonished. I had thought my body was no longer capable of BMs without drastic measures. Now, I know there is hope! I believe I’ll be ok.

So….. turns out I didn’t have the salad yesterday. I hope there is a happy medium area that I can find by tweaking the formula gradually. Good luck to you!

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