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 rocknrobbn @rocknrobbn

I am afraid SIBO kicked in today. I have been having bone pains, and muscle tenderness and fatigue for a week and today diarrhea kicked in. Well at least I had 2 marvelous weeks. And I bumped up Colace to daily and was happy I had had BM 4 days in a row. But the other symptoms of bone pain, fatigue and muscle weakness are sure signs of SIBO. I will request antibiotics at my gastroenterology appointment tomorrow. He said I would need antibiotics intermittently. 🙁

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I hope you’ll get antibiotics- to get rid of that sick to the core feeling that SIBO can cause.
Feel better!

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

@rocknrobbn - I have taken Motegrity for 6 weeks now- no diarrhea. Sometimes I take it with Amitiza. Definitely not perfect, but there is better action than before.
There still are times with total standstill- then I take Motegrity and Senokot. Usually works well, but there will be cramps. My goal is also to avoid SIBO - keep things moving.

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I am afraid SIBO kicked in today. I have been having bone pains, and muscle tenderness and fatigue for a week and today diarrhea kicked in. Well at least I had 2 marvelous weeks. And I bumped up Colace to daily and was happy I had had BM 4 days in a row. But the other symptoms of bone pain, fatigue and muscle weakness are sure signs of SIBO. I will request antibiotics at my gastroenterology appointment tomorrow. He said I would need antibiotics intermittently. 🙁

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Profile picture for rocknrobbn @rocknrobbn

My current GI said Motegrity or other drugs would give me diarrhea. Ugh:(

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@rocknrobbn - I have taken Motegrity for 6 weeks now- no diarrhea. Sometimes I take it with Amitiza. Definitely not perfect, but there is better action than before.
There still are times with total standstill- then I take Motegrity and Senokot. Usually works well, but there will be cramps. My goal is also to avoid SIBO - keep things moving.

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Boy, so many of us out there with the only answer for me was total colectomy. I’ll never do it. I hate the always wondering if I’m impacted. I think for me it was an error with my acdf surgery. I get anything possible but exactly after that I couldn’t move my bowels. I just want to be looked at from my surgery down my entire spine. Maybe I have compression someplace. I can’t get anyone to take me. I swear every medical doc just thinks lawsuit. I can’t be bothered. Just help me.

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Profile picture for Joanne Narna @mothermary1

After so many tests, pills, OTC meds the only thing left was to remove my entire colon. It was scheduled but I couldn’t do it. Yes, this has ruined my first two years in retirement but I think a total colectomy would only bring on just another issue. I think I’m able to at least regulate my diarrhea with going out. I met my son in Disney last thanksgiving for a full week. I had a grocery store drop off fruit I could digest cases of water and lots of ensure plus. I did a huge cleanse day before I left. I went the entire week without laxatives and never went once. As soon as my plane landed my husband was at the airport with my go to laxatives and I started Immediately. Yes, the next week was tough but the week with my grandson was worth it. You just need to plan it out. Never easy.

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I am so sorry. I also plan trips and social activities around my constipation. Before it was diarrhea from bacterial overgrowth, now back to chronic constipation. Ugh. People don't understand. And the chronic constipation gives me fatigue, and nausea along with all the other frustrartions. My GI just says "of course you will feel ill, your body isn't suppose to have waste stay in your body." I think to myself, 'Thanks, like I didn't know that?"

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Profile picture for rodeo2step @rodeo2step

Yes, I've heard of that " power pudding" recipe. Recently I've had a lot of cramping with too much fiber. Probably IBS C. But I will try it. Thank you.

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I can’t have fiber. However, this recipe was given to me by a Physical Therapy group my Motility Clinic doctor had me see. With a small amount of Milk of Mag it has kept me out of the ER.
I do still have flares of the Gastroparesis from time to time. I take IBGUARD Prior to first food of the day along with Culturelle probiotic. I am better than I have been in the past 3 years.

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Profile picture for rodeo2step @rodeo2step

I so feel your pain and frustration. I have redundant tortuous colon, constipated all my life (74) now. I used to go almost daily, but hard and small. Recent colonoscopy only showed some thickening of Sigmoid colon wall ( muscular hypertrophy) I've done all the 64 oz of water, fiber, exercise, Miralax 4 x's a week . It's a balancing act to not get cramping and diarrhea. I too have had to cancel trips, and live alone and it's affecting my social life, and mental health. And yes, people don't understand , nor do they want to hear about it. Best to you! Bobbie

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Some of the worst aspect to this is the isolation

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Profile picture for brendaharvey @brendaharvey

You might want to try what have been using. 1 cup applesauce 1 cup oat bran mixed with 1/4 cup prune juice. Two tablespoons before bed with small amount of milk of magnesia saline.
This works for me better than Linzess or Miralax or Motegrity.

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Yes, I've heard of that " power pudding" recipe. Recently I've had a lot of cramping with too much fiber. Probably IBS C. But I will try it. Thank you.

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Profile picture for rodeo2step @rodeo2step

I agree, Miralax takes several days, at least 3 for me, too sometimes more. My GI Dr. said to speed that up I could take it 2 X's a day. I have been relying on it along with Citracel and lots of water and fiber in diet, but finding a balance of both as to not be " going all the time" is tricky. Plus I'm not real happy about relying on the Miralax. But it has helped my lower left pain and constipation issues.

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You might want to try what have been using. 1 cup applesauce 1 cup oat bran mixed with 1/4 cup prune juice. Two tablespoons before bed with small amount of milk of magnesia saline.
This works for me better than Linzess or Miralax or Motegrity.

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Profile picture for rodeo2step @rodeo2step

I just bought CVS's version of IB Gard. It also has Fennel oil and Ginger. I'm a little hesitant to take a stimulant laxative like Colace daily. I don't want to get dependent on it. Glad you have improvement!

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Fingers crossed.

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