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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@buckslayer

These are all really interesting responses to the chronic diarrhea problem – my husband's Mayo team has not suggested any of these things for him (just Immodium and Benefiber to thicken things up). Have any posters had these problems as a result of surgery (i.e., Whipple) or has it been mainly due to gastric issues?

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I had this problem, fir over a year did my own research and took a prescription powder called cholestramine (spelling). You mix it in water. It comes in packets, took half a box, gone , never came back.
Get only by prescription!

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I am currently on Trulance but I sometimes have to take suprep for my constipation and do a bowel purge which is not pleasant.

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@nancykeenan

I had this problem, fir over a year did my own research and took a prescription powder called cholestramine (spelling). You mix it in water. It comes in packets, took half a box, gone , never came back.
Get only by prescription!

Jump to this post

Thanks for the info! New to me though I probably could use it
Here's the Drugs.com website definition —-
https://www.drugs.com/mtm/cholestyramine.html

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The biggest reason after reading all this back then
Was I had had my
Gall bladder removed before this got bad, anout a year before, so my doctor said
We will try it at half the dose. I always made sure I brushed my teeth right after and I had no problems with anything. He found it very
Interesting but thought
It Might work and it did!

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Have you tried “Poop like a champion “cereal. You can only buy it on their website or on Amazon ! I find it very helpful

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I am approaching more and more osteoporosis and taking calcium at night is recommended . This does not allow me to go without severe constipation, even though I use Purelax, Magesium, MOM, Triphala. So I have abandoned the Calcium idea for now. I did take Fosteum Plus by prescription for a while but now have stopped that too.

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I notice you are taking three foods that are high in oxalates daily: Spinach, nuts and chia. It is good that you are drinking plenty of fluids. I just wondered if you have tried a trial of reducing high oxalate foods? I say this because I participated in some Zoom oxalate classes elsewhere earlier in the year and participants repeatedly reported bowel issues (among other problems) until they had reduced their daily oxalate intake. Spinach and almonds were two of the worst high oxalate offenders. When you have been consuming over time a lot of high oxalate foods it is said that it is best to decrease your intake of them gradually to prevent oxalate dumping, which makes people feel unwell. I have found as I have gotten older my body's ability to tolerate high oxalate foods has diminished, which makes sense because nephrons, or some functioning part of our kidneys (we lose brain cells too!) decrease in number as we age.

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A combination of All Bran, grenola, pecans and dried cherries in the morning works like a charm and I have been constipated all my life before eating this for breakfast. Other types of bran doesn’t work for me.

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@bb03 Although it has been more than a year since your post, I am hoping my reply allows people to see my post asking if anyone has experience with Motegrity, the latest medication ordered by my new gi for obstipation.

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With a diagnosis of obstipation, I have been advised by my current gi to use Miralax daily and she also ordered Motegrity which I have not yet tried.

Does anyone else have any experience with Motegrity?

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