Problem with Chronic constipation

Posted by bb03 @bb03, Feb 1, 2021

I have a history of hypothyroidism, severe endometriosis/treatment was a hysterectomy 17 years ago.I also have a hx of IBS. My thyroid hormone levels are stable. I eat like a rabbit(I poop like one too, LOL!!!!!!). I eat a large amount of fiber and drink almost every hour(nonalcholic).ONly prescription drugs I take are armour thyroid and my estrogen/prosterone troche. I make a coconut bread and I add psyllium husks,flax seed and chia seed to it. I eat it practically every am. I also eat a spinach salad for lunch daily with nuts and yogurt and eat a lean meat and veggie and more coconut bread at night. I do one cheat meal with a cheat dessert once per week. I am relatively active for my age of 60. I've been to a gastroenterologist and we have tried Linzess which didn't help at all. I take miralax, and a Super Cleanse tab one per day which has herbs to soften the stool and to stimulate the bowel and It barely works. I am at a loss. I have not tried Montegrity yet. I don't know if it will be helpful and the side effects scare me. I had a CT of my abdomen and it was ok, no obstructions. The gastroenterologist that I go to practically accused me of abusing laxatives. I would be impacted if I didnt use the miralax and the Super Cleanse. Diet/water and activity do not help. I had diarrhea from my late teens to the age of 36 when my intestines out of the blue just shut down completely. I was diagnosed with hypothyroidism, I was put on Synthroid but the constipation didn't go away. So if there is any gastroenterologist out there that can help me, please let me know.I feel defeated and worry about my health.

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Profile picture for razelrosey @razelrosey

For the past year or so my rib cage area is like really painful the other day I had a small backache that radiated around to the front and I went to ER and they discovered which I have had problems before that I had backed up constipation so I have been taking MiraLAX Fiber supplement magnesium citrate stool softener, and I still have not evacuated like I should have a gastrologist a new one in a month. I hope I don’t explode before the month is over. Any suggestions out there?

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Disclaimer: This is only my experience going natural. I have used organic, integrative, functional, holistic Naturopathic doctor's advice along with my MD’s since the early 1980's. There is science in alternatives too. Because I work closely with my ND, he told me to study the Migrating Motor Complex and Osmotic Gradient and he bet that I would find what worked for me. How to keep a longer than normal pipe with consistent moisture…. My ND also said because my condition was physical, attention would be needed from now.
I tried laxatives and they are not consistent and have side effects like bloating, etc. All say for occasional use. They disrupt the system if take continuously. I liked a response from a co-redundant colon person: “It’s physical” so regular constipation suggestions may not work. Don’t give up because it took me 4 months to feel I could depend on being regular. It is worth going natural.
Last Dec the doc had me do non sedated colonoscopy. He could get through my colon as I watched on TV. I had had a baby years ago (natural and could stand pain) so figured I could stand it – it was no big deal. Most people in world don't get put out. Very interesting and it helped allow the scope to get through because I relaxed. No wonder I had been constipation on and off starting in my teens. I’m now in my early 70’s.
OptiMag and K2+ Potassium are great supps. I take them when I go to bed and once when I get up to pee. I include prunes/prune juice, winter squash, sweet potatoes, rhubarb etc in my diet. I eat cups of steamed vegetables each day. I like to grind 2T chia, 1 T sesame seeds and 2 T flax seeds, then soak in prune juice overnight. I add a T of carob now since it can help regularity. Take half in the morning and half at night. Throw sugar out along with processed and refined foods. Look up foods and drinks that constipate and give them up. Drink lot of water starting with a quart of hot water in the morning - boyscouts. I use warmed up diluted chicken broth at times too. It is soothing to my stomach. Coffee and Smooth Move are my back ups. I don't like coffee and never have drunk it much but it usually works for me in a pinch. Thankfully I only need coffee a few times a month.
Check out helpful research of biological processes that take place in our gut:
- Migrating Motor complex which is the electroactivity in the GI tract during meals and fasting
- Osmotic gradient. If too much water is pulled into the colon, diarrhea results. If not enough water is pulled into the colon constipation results. Balance of minerals is important. Magnesium, potassium and sodium brings water into the colon. I have found balancing these help prevent constipation. I have to watch my calcium intake because it tends to encourage constipation. Calcium carbonate seems to be the most constipating. I depend on blood work from time to time to make sure my minerals are balanced. Good luck, @farmersmith

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Profile picture for razelrosey @razelrosey

For the past year or so my rib cage area is like really painful the other day I had a small backache that radiated around to the front and I went to ER and they discovered which I have had problems before that I had backed up constipation so I have been taking MiraLAX Fiber supplement magnesium citrate stool softener, and I still have not evacuated like I should have a gastrologist a new one in a month. I hope I don’t explode before the month is over. Any suggestions out there?

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I can understand. I have been in same place. I finally found GI specialist, she suggested I could have a (rectocele) I am looking for Dr to treat this. If anyone has had this I would appreciate your help.

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Profile picture for xnkpr1 @xnkpr1

I’ll be following what your doctor advises since I seem to be having the same issue. Was doing fine with Miralax and Metamucil for almost a year, and suddenly the flatulence came on with no change in diet or lifestyle. It’s frustrating.

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@xnkpr1 try Beano for flatulence. Two tablets before eating.

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Profile picture for creondave @creondave

Has anyone here had excessive flatulence? Mine has flared up recently to an extreme degree. I am returning to see my GP and a Gastro specialist this week. Previously the Creon and Gas-X kept it manageable, but it has returned with a vengeance. It came on suddenly, and has not retreated.

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I’ll be following what your doctor advises since I seem to be having the same issue. Was doing fine with Miralax and Metamucil for almost a year, and suddenly the flatulence came on with no change in diet or lifestyle. It’s frustrating.

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Profile picture for creondave @creondave

Has anyone here had excessive flatulence? Mine has flared up recently to an extreme degree. I am returning to see my GP and a Gastro specialist this week. Previously the Creon and Gas-X kept it manageable, but it has returned with a vengeance. It came on suddenly, and has not retreated.

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Creondave,
I like to use activated charcoal with plenty of water to push it through my gut.
Also, I don't know the exact name, but I call it the doggie pose: get on hands and knees, lower your head and 1. Rock back and forth 2. Same position but lower the whole body, arms outstretched. How can gas/air be so painful?? ShelleyW

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Profile picture for razelrosey @razelrosey

For the past year or so my rib cage area is like really painful the other day I had a small backache that radiated around to the front and I went to ER and they discovered which I have had problems before that I had backed up constipation so I have been taking MiraLAX Fiber supplement magnesium citrate stool softener, and I still have not evacuated like I should have a gastrologist a new one in a month. I hope I don’t explode before the month is over. Any suggestions out there?

Jump to this post

Has anyone here had excessive flatulence? Mine has flared up recently to an extreme degree. I am returning to see my GP and a Gastro specialist this week. Previously the Creon and Gas-X kept it manageable, but it has returned with a vengeance. It came on suddenly, and has not retreated.

REPLY
Profile picture for razelrosey @razelrosey

For the past year or so my rib cage area is like really painful the other day I had a small backache that radiated around to the front and I went to ER and they discovered which I have had problems before that I had backed up constipation so I have been taking MiraLAX Fiber supplement magnesium citrate stool softener, and I still have not evacuated like I should have a gastrologist a new one in a month. I hope I don’t explode before the month is over. Any suggestions out there?

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bb03, I have had Amitiza, Linzess, and Trulance(a cheaper version of Linzess), 10 years ago when I first started using these, it helped a pinch...now they do nothing for me. I hope it works well for you. Shelley

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Profile picture for creondave @creondave

Right, and different people have such different reactions to chemicals in the environment, just as they do with food allergies and meds. At some point I stopped looking for too many answers, much to the surprise of friends. But after two years of looking for answers to the reason for EPI and alternative treatments, I took a break from reading about it all the time. There is such a rabbit hole of information I can find myself wasting a ton of time yet the only thing I often find at this point is frustration.

With regards to meds, indeed nothing is safe. One doctor simply said "You don't get something for nothing" and I appreciate him being so forthcoming about the side effects, and that the constipation / diarrhea / uncontrollable flatulence.

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Creondave,
WOW‼️ I have not seen this attitude of needing a break from the HARD NEGATIVE work of self research in any of the online forums I've tried. THANX for sharing, I have been in dark rabbit holes of research failure too. I have to take breaks from forums also. I let myself feel very guilty that I can't find the answers. You sharing helps to validate that my feelings are valid and real. Thanx, Shelley

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Profile picture for shelleyW @shelleyw

It's just cruel to have CIC💩 I get x-rays every few months, for past 6+ yrs, only one time I was actually not on overload, every other time, the X-rays showed moderate to severe fecal load. I also have elevated calcium and Hyperparathyroidism (surgery is next month), it has really reduced my smooth muscle function in my intestines, small and large. So, I have to keep myself almost complete diarrhea, since I have no muscle contractions to push out the poop. I take miralax every day, 1-2x , 3 capfuls. I am terrified of getting a blockage in anus, where digital removal is required, by me, to dig out a hole big enough for the rest of the poop to come out. I also don't like having a small bowel partial obstruction, that nasal gastric tube is awful!!!!! At this point I consider diarrhea my best friend. Guess I am very lucky to be retired and not need to leave the house much.

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Get your GI Dr to prescribe Linzess.

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Profile picture for Joanne Narna @mothermary1

I have tried every drug on the market for severe chronic constipation. Ibsrela is brand new. My Gastro in Atlanta has me on the list to try next new drug availability. I’m waiting. It hasn’t been made yet I guess.

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It is available but it is very pricey. I’m on it due to IBS-C. For the first time in years, I am regular! It feels so much better. The first couple of days were rocky but now that I’m used to it, I go like clockwork. If you want to try something until you can get it, try two kiwis a day. It worked for awhile for me then stopped.

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